How long has it been around? When did they start this procedure?

Soma Plastics face lift treatmentsFacelift surgery has been around for over 100 years, dating back to the early 1900’s. Throughout the years surgeons have crafted and perfected the techniques of this surgery and modernized to fit today’s world of modern beauty.

Facelifts are typically performed in an outpatient settings. It may involve a local anesthetics and sedatives or general anesthesia. At the start of this period in the history of the facelift there was a change in conceptual thinking, surgeons started to care more about minimizing scars, restoring the subcutaneous volume that was lost during the aging process and they started making use of a cranial direction of the “lift” instead of posterior.

What is this procedure?

Depending on the degree of the changes you would like to see, your facelift choices include a traditional facelift, limited incision facelift or a neck lift. In a traditional facelift, the surgeon makes an incision in front of the ear, extending up into the hair or hairline as well as behind the ear into the hair-bearing scalp.

New methods are continually being developed to improve cosmetic procedures. Many of these procedures claim to make recovery faster and easier, but they are often modifications of a traditional facelift. A second incision under the chin may be necessary to further improve an aging neck. In General the smaller incisions lead to faster recovery. Sutures or skin adhesives close the incisions. Lasers are sometimes used for a neck-lift procedure called laser neck and jaw liposculpture and resurfacing.The work is often carried out under a local anesthetic, through a one-inch incision under the chin.

The laser is used to melt some of the fat under the chin and to tighten the skin while it heals in a more lifted manner. Forehead skin can be raised through small incisions in the frontal hairline. It is then lifted and secured to the deeper tissues to prevent further sagging or drooping. Liposuction can remove focal deposits of fat in the face, usually between the chin and the neck. It can be done as part of a facelift, or as a separate procedure.

What is the advantage of this procedure?

A facelift, or rhytidectomy, is a surgical procedure that improves visible signs of aging in the face and neck, such as:Relaxation of the skin of the face causing sagging, Deepening of the fold lines between the nose and the corner of the mouth, Fat that has fallen or has disappeared, Jowls developing in the cheeks and jaw, Loose skin and excess fat of the neck that can appear as a double chin or “turkey neck.”

Face lift surgery can restore a more natural and youthful appearance to your face, helping your personality shine through and allowing you to age more gracefully in the years to come.A facelift, like any cosmetic surgery, offers the benefit of confidence in yourself and your appearance. Appearance issues can cause relieve stress, and by getting a facelift, you can help relieve that stress. A facelift is designed to smooth your skin and firm your muscle tone to give you a more youthful appearance often making you appear 10 to 20 years younger.

What is the surgical treatment like local or sedation?

The old way of performing an awake facelift was to place several painful injections in the face. This was only to pull and remove a minimal amount of skin in order to try and tighten the appearance of the face. The results have classically been short lived and not very impressive or natural, with regards to facial rejuvenation.

The most effective and commonly performed type of facelift at our practice is a modified extended deep plane facelift. Either a SMART lift or a deep plane mini-facelift can be performed in no time and with no pain. These are groundbreaking methods for facial rejuvenation, which keep you looking like yourself but younger, livelier and more refreshed. With these lifting techniques, you can achieve the most natural and significant results imaginable in both the face and neck with no sign that a procedure was ever performed. The majority of patients’ family members only comment on their new hairstyle or that they look more refreshed and well rested, all while the changes in the before and after photos are quite clear and impressive.

Who needs this procedure?

The loss of youthful contours in the face can be due to variety of factors, including thinning of the skin, loss of facial fat, gravity, sun damage, smoking, as well as heredity and stress. Typically, anyone who is experiencing sagginess around their face, and wants to achieve a more youthful look, and is in good health can get this procedure done.

How long does it take?

The procedure can take from 2 to 5 hours, and the person can normally go home on the same day after surgery, but might take longer if other cosmetic procedures are done at the same time.

What is the recovery like?

Recovery for a facelift can vary from patient to patient, though it does take about 2-3 weeks for swelling to reduce. Most patients experience some discomfort, but medication can relieve tenderness.Bruising and swelling will be at their worst after 2 days, and they can persist for a few days. Following completion of a facelift, a bandage might be placed around your face to help minimize swelling and bruising. Small tubes may be present to draw off any excess blood or fluid that you may accumulate. You will be given specific instructions on how to care for the surgical site and drains,how to apply or take oral medication, specific concerns to look for at the surgical site or in your general health. Sutures are removed about 5 to 10 days after surgery. Numbness and muscle stiffness is normal for some time. Scars can take nearly a year to fade and tone down. You will also be reminded when to follow up with your plastic surgeon so they can assess your surgical incisions.

What can you do to speed up recovery?

It is worth remembering that while genetics play a role, a healthy lifestyle with a balanced diet and sufficient exercise can also help to maintain the appearance of the skin. Avoiding smoking and limiting alcohol intake, stress, sun exposure, and contact with pollutants can all help extend the youthful appearance of skin. The same habits can help maintain the effects of facelift surgery.

Are there non-surgical treatments?

A nonsurgical facelift is a combination of minimally invasive and nonsurgical procedures, designed to rejuvenate and refresh the appearance. Compared with a surgical facelift, these techniques do not require large incisions, general anesthesia or overnight hospitalization. The noninvasive treatments get patients in and out of the doctor’s office quickly, with little post-op discomfort and minimal downtime. Even though you will not “go under the knife,” the anti-aging results from a nonsurgical facelift are still significant. Each nonsurgical facelift is custom-tailored to meet the individual’s unique needs. A variety of noninvasive techniques are available, addressing anything from fine lines, deep creases, lax skin, thinning lips, sunken cheeks, large pores, acne scarring and the loss of facial volume.


Several components of a nonsurgical facelift work to create a glowing complexion while skipping the needle altogether. Modern-day chemical peels are a trusted, noninvasive technique, shrinking large pores and improve overall skin quality. Dermabrasion and microdermabrasion resurface and exfoliate the skin, ridding dry and damaged tissue. Fine lines, wrinkles and hyperpigmentation are reduced as fresher skin comes to the surface. Laser and ultrasound treatments, such as Ultherapy and ThermiTight, use concentrated energy to address the deepest, foundational layers of the skin. Over the months to come, tissues become firmer and tauter.

Dermal fillers are a cornerstone of nonsurgical facelifts. These smooth-gel injectables immediately restore volume along the cheeks, temples, lips and under the eyes. Plumping sunken areas, dark shadows are eliminated, creating youthful vibrancy. Placed along the Nasolabial Folds or Marionette Lines, fillers can create definition and smooth tissues for a wrinkle-free look. Dermal fillers can be made from several products, including moisture-rich Hyaluronic Acid (HA). Their plumping and smoothing properties can last from six months to over a full year.

An important piece of the nonsurgical facelift puzzle, Botox offers unmatched wrinkle reduction. Often used to smooth forehead creases, frown lines and crow’s feet, Botox works on any dynamic wrinkle. Temporarily relaxing the targeted muscle, Botox smooths lines associated with repetitive expressions. Although Botox does not provide immediate wrinkle relief, patients will see results in one to two weeks. Benefits of Botox can last three months.

What are the complications?

Just with any other surgical procedure, facelift can have some possible complications. Complications of facelift surgery are infrequent, and cosmetic procedures are generally safe, as long as they are carried out by a qualified and experienced professional. However, any surgery comes with some risk. The risks and complications of facelift surgery include:


  • Bleeding
  • Bruising
  • Complications of anesthesia
  • Damage to the facial nerves controlling muscles, usually temporary
  • Hematoma
  • Infection
  • Loss of hair around the incision site, but this is uncommon
  • Numbness, which can improve within days or weeks
  • Scarring
  • Skin necrosis, or tissue death
  • Unevenness between two sides of the face
  • Widening or thickening of scar

Unsatisfactory results may include:

  • asymmetry
  • unsatisfactory surgical scar location
  • unacceptable visible deformities at the end of the incisions. (It may be necessary to perform an additional surgery to improve your results).


If the patient notices inflammation, pain, redness or swelling in the days following surgery, they should seek medical help. This could be a sign of hematoma. If there is a fever, they may have an infection. Some may include but are not limited to possible hematoma, scarring, nerve injury, hair loss and skin loss. A face-lift isn’t a treatment for superficial wrinkles, sun damage, creases around the nose and upper lip, or irregularities in skin color. This procedure is not permanent, as it has to be done every 10-15 years due to the body’s natural aging process.

Face Procedures

Before & After Gallery