Facelift Surgery

What is a face lift?

Facelifts are one of the most common surgical procedures for aging. Facelift surgery seeks to lift the descended skin of the cheeks, jaw line and neck and suspend it into its normal, more youthful position. Most facelift procedures also address the layers deep to the skin by elevating or suturing this soft tissue of the face to a more aesthetically pleasing position.

Facelifts are typically performed as as an out-patient procedure.  Dr. McDonald makes inconspicuous incisions in and along the hairline, along the natural curves and creases of the ear and hid behind it. With years of performing facelifts, Dr. McDonald uses his skill to avoid noticeable scarring and leaving hair growth and the ear shape unaffected.

Along with correction of the face, many desire to remove the sagging skin of the neck. Not only may there be an excess amount of skin but there can be laxity and weakness of the muscles of the neck, as well as excess fat. These combine to hide the tight jaw line and neck contours. The neck lift is frequently performed, in addition, to a facelift and can be achieved through the same incisions or an additional small incision under the chin. The loose neck skin is released and lifted, the weak muscles can be tightened and the excess fat removed to create a defined aesthetic contour that is natural.

Volume restoration is now considered a major component to correction of the aging face. Fat transfer (grafting) allows a patient to use their own tissue to increase soft tissue volume. This is becoming a very popular procedure as it is usually readily available and easily harvested.  Recent research has also noted that fat grafts and the microscopic components that are transferred with the fat also have biologic activity that can improve collagen deposition, improve scarring, reduce wrinkles and improve vascular perfusion to the recipient sites. Volume can also be restored with dermal and subcutaneous fillers. There are many options for these injectables including Hyaluronic Acid preparations such as Juvederm or Restylane. Other products such as Radiesse or Sculptra have a biologic component that increases production of collagen thus adding to the volume effect of the product. Dermal fillers and fat transfer can be used at the same time as facelift surgery to augment the results and you can discuss these options during your consultation with Dr. McDonald.


 View Before and After Photos