Many patients ask about facelift surgery. The most common question is, “What is the best age for a facelift?” Most patients think that later is better, but there is good data showing that waiting longer is not the best idea. Each of our bodies ages at a different rate. But the optimal timing for facial rejuvenation surgery is when you are medically able to undergo surgery and when your skin has the best tone to respond to surgery. By waiting until you are older, your skin’s intrinsic ability to respond to surgery actually is diminished, so the longevity of your result is compromised.
A facelift is really a combination of procedures that can be performed separately or together. Facial rejuvenation can include correction of the lower face and neck, which is what most people think of as a facelift. This procedure will smooth your jawline and remove bands and sagging on your neck. Occasionally, patients will require only treatment of the face or the neck, but a combined treatment is most often the best option, given that the risks and downtime are the same for either or both of these procedures.
Treatment of the upper face often includes eyelid surgery and/or brow surgery. Eyelid surgery is ideal for younger patients who want a refreshed appearance and have little or no issue with their lower face and neck. Sometimes, brow surgery is used to enhance the result of eyelid surgery. Brow surgery is ideal for patients who think that they have an angry look even when they are smiling because of the heaviness of their brow.
While many doctors will offer fillers and neurotoxins such as BOTOX® to help you look younger, only a surgeon certified by the American Board of Plastic Surgery is uniquely qualified to provide advice on both surgical and non-surgical options. Studies have shown that surgery performed at the right time on the right patient provides a long-lasting result with only one intervention. And the overall cost is less than having repeated sessions with fillers and neurotoxins, only to have surgery in the end. Moreover, surgery at the right time will be more effective at “turning back the clock” while minimizing repeated trips to the doctor for treatment.
Dr. Solomon is certified by the American Board of Plastic Surgery and has more than 25 years of experience in helping patients make the right decision for themselves. He has all of the tools needed to give you the best outcome possible. Whether you are interested in a facelift or some other type of facial surgery like eyelid surgery or a brow lift, he has the experience and skill needed to give you the results you desire.
His surgical options include facelifts of varying types. There are several methods of facelifts, from minimal to more aggressive, and he has experience with each of these. His goal is to help you find your best self by removing excess fat, repositioning sagging tissues and sculpting those elements into a coherent, youthful appearance. He always aims to provide results that look natural. He provides ancillary treatments, including lymphatic massage to reduce swelling rapidly, so you can return to life quickly. He can combine elements, including fat grafting, eyelid surgery and brow surgery, to give you the best result.
It is important to also understand that your facial skin is an envelope for all of the structures beneath. Skin care, laser treatments and other modalities are available to enhance your skin and optimize your result. Some of these things include skin care products that you will learn to use in order to train your skin to renew itself.
Many patients ask about options like thread lifts, skin tightening and resurfacing. These are methods that treat some patients and are different from actual facial surgery. They are not equal to facial surgery. Thread lifts are helpful when it comes to temporarily repositioning looseness in the face and neck. The amount of collagen created by these threads is variable, and the lift is not as permanent as that achieved by surgery. While they may cost less than a facelift, their temporary nature may mean that they need to be repeated within a short time, so the cost savings is ultimately minimal.
Skin tightening treatments are helpful to treat loose skin. But facial surgery acts on several layers to reshape the face to a more youthful appearance. Skin tightening will tighten the envelope, but it will not adjust the structure of your face. So, the soft tissue beneath the skin that contributes to jowls and neck bands, such as facial fat, muscle and fascia, is not corrected.
Resurfacing with a laser, dermabrasion or a chemical peel is a useful adjunct to facial surgery, but it is not a substitute for it. These methods treat fine lines and skin discoloration. They may even provide some skin tightening, but they do not reposition the soft tissues that are a major part of facial aging.
As a part of the treatment of facial aging, it is important to be aware that in addition to changes in the tissues beneath the skin, there can be changes in the supporting bone structures. Cheekbones and your chin provide support for all of the other elements of your face. Some patients will benefit from implants in the cheeks, chin or even jowls to support the overlying skin and soft tissue. Only a plastic surgeon with the experience of Dr. Solomon can help you determine if this is something that will provide you with the look you seek.
Dr. Solomon has a bicoastal presence, with offices in Beverly Hills and Philadelphia, to help his patients in both parts of the country achieve their best look. He would be more than happy to evaluate your facial features and provide you with honest feedback concerning your candidacy for a facelift. You can reach his office by calling 310-299-3553 (California) or 610-667-7070 (Pennsylvania). Contact us today to book your appointment and get started. We look forward to speaking with you!