Facelift The Woodlands
For many individuals, one of the best ways to improve your youth and vivaciousness is with a facelift performed by plastic surgeon Dr. Paul Gill in Houston—a procedure that corrects aging and droopiness of the jaw, neck, and lower face.
If You’re Considering a Facelift in Houston
Though it is a popular procedure—more than 110,000 were performed in the US in 2010—facelift surgery techniques can vary depending on the patient’s aesthetic goals. Most often, however, the goal of a facelift is to correct some of the following issues:
- Sagging jowls
- Excess skin in the lower face
- Folds of skin on the neck
- Loose underlying tissues on the lower face
Optimal results from a facelift in Houston can leave you looking more than 10 years younger, leading to improved quality of life following surgery.
To be an ideal patient for a facelift you should be between 40 and 60 years old with good skin elasticity and be a healthy, non-smoker. It is also important to have realistic expectations for the outcome of your procedure and to notify Dr. Gill if you have high blood pressure, blood clotting issues or if you tend to form excessive scars.
What to Expect in Surgery
Dr. Gill uses a variety of techniques to meet the aesthetic goals of each patient. Many facelift procedures are now done with a local anesthetic, but general anesthesia is a common choice for more extensive facial procedures. The surgery will last two to three hours.
Most often, Dr. Gill will make an incision at the temples behind the hairline extending in front of your ears and then behind your earlobe. Through this incision, Dr. Gill will remove the excess fat and skin that leads to drooping of the lower face. He will then carefully redrape the skin and close the incision with sutures before covering it with a dressing.
Recovering from a Facelift
In some cases, a facelift can have a lengthy recovery lasting up to three weeks. During this time, you will need to get plenty of rest and limit your activity. You may experience swelling and discomfort, which may be managed with medication. The scars you may see will fade over time and Dr. Gill will let you know when you can apply makeup to cover the after-effects of surgery.
Scheduling Your Facelift in the Woodlands
What is a facelift?
A facelift is a procedure designed to treat the 3 areas of the cheek, the jawline, and the neckline. There are several different techniques we can utilize to address these concerns, however, they are based on the level of laxity the patient has and the amount of surgery the patient is interested in proceeding with.
How long does a facelift usually take to perform?
Depending on subsequent procedures and the amount of neck laxity and soft tissue involvement, a facelift can take anywhere from 2 ½ to 4 ½ hours.
How do you perform a facelift?
In the Woodlands and North Houston area, we perform a lateral SMASectomy facelift. This procedure focuses on muscle rejuvenation. The loose SMAS muscle, or the cheek and jawline, are removed and re-sutured to allow for tightening and correction of the area. Subsequently we focus attention on the platysma muscle where we tighten this and secure it to the mastoid or mastoid bone. This allows for secure correction of the neckline and treatment of neck laxity. We strongly believe in extensive muscle repair in the facelift to allow for a natural and long lasting result. If the muscle is not correctly repaired and excess tension is placed on the skin, an unnatural and short-lived result will occur, therefore after focusing on our muscle repair we simply remove whatever skin is loose through an incision within the hairline and around the ear allowing for the most natural, long lasting result.
Who is a good candidate for a facelift procedure?
A good candidate for a facelift procedure in the Woodlands and North Houston area is someone who has visible signs of aging and has lax skin and/or muscle laxity in the neck and jawline. An excellent candidate will be a patient with platysmal banding, loss of the cervical mental angle, jowling, or nasolabial folds. A patient must undergo a thorough pre-operative medical workup to ensure optimal health for this procedure and a safe recovery.
What are realistic expectations for a patient having a facelift?
Patients undergoing a facelift procedure must be realistic in regards to what can and cannot be corrected by surgery. A facelift surgery is designed to correct facial shape not to treat fine lines or fine wrinkles. If the patient desires removal of loose neck skin, jowling, and nasolabial folds this can be adequately corrected with a facial rejuvenation procedure.
What are the common reasons why a patient has a facelift?
Patients typically present to my office inquiring about a facelift after aging and sun damage has caused laxity in the neck and the jawline. My patients typically desire correction of the platysma muscle, which is forming bands and obviously has decussation and herniation of some of the underlying fat tissue. They also have loss of definition of their jawline with significant jowling.
How long does it take a patient to recover from a facelift?
A facelift procedure typically results in bruising and swelling that can last approximately 2 weeks. We utilize various supplements such as Arnica and Bromelain along with a multivitamin and healing packs to assist with this, however, I encourage patients to understand bruising and swelling will be present for the first 2 weeks. Usually by this time, 90 percent of the bruising and swelling is down and patients can utilize mineral makeup to cover up the incisions and any remaining bruising to be very presentable in public. We usually find that by 6 weeks all swelling and bruising is completely resolved and the scar lines have thinned to the point where makeup is no longer necessary. At this point, we will continue to follow our patients every 3 months for a year to assess their final results.
Some additional comments in regards to facelifts, we feel it is imperative that patients understand the importance of the muscle repair. We utilize the analogy of reshaping the pillow and then removing the loose pillowcase. A poorly performed facelift will often tighten the pillowcase but do nothing to the underlying pillow. This will result in a short lasting result, however, by focusing on the muscle repair or the pillow, primarily, the result will often be longer lasting and take tension off the skin allowing for a very nice, natural, and durable result.