Results, Recovery, Incisions from Mini Facelift: What to Expect?
- Asked by debra weintraub in las vegas, NV
- 5 years ago
Mini Facelifts Are Still A Facelift!
Mini facelifts are facelifts done under local anesthesia and still have the incisions around the ears and in our practice, are the same as a full facelift except just don't cover the upper cheek area. It does great for the jawline and neck with minimal downtime such as only a few days to 1 week off and is what most patients need and want for $6000-8500 rather than the full lift for $15-25,000. I take special pride in hiding and minimizing the incisions and making the 4 hr experience as pleasant as possible. Everybody should still do all the extras that enhance the facelift results and that make them look younger and more youthful such as fillers, botox,and chemical peels. Cheap, heavily advertised facelifts and short-scar incision procedures last only 6-12 months and can result in ugly noticable scars and also usually "Pixie Ears" deformities. Good luck on the new you. Sincerely,
Web reference: http://www.drdavidhansen.com
Thes so-called name brand facelifts that offer minimum...
Thes so-called name brand facelifts that offer minimum down time done in a dental chair under local anesthetic are not very good. They are great marketing tools to have patients come in.
A quality facelift, whether it is a full facelift or a short scar facelift done under adequate and safe anesthesia, will often give a better longer lasting result.
A professor of mine once said that "I can give you a caricature sketch-type facelift that will be very quick, and give you an OK result for a while, but a true masterpiece takes longer to perform and the results last a lot longer."
Mini Facelift - Recovery, Incisions, Expectations
Thank you for your question. In my practice a "Mini Facelift" usually has the following characteristics:
- A Mini Facelift is typically done on younger individuals with cheek or midface aging who do not have jowls or neck sagging
- Incisions are usually limited to the hairline on the temple and to varying degrees the front of the ear
- The result should lift the cheek and midface and to a lesser extent the lower face
- Recovery time is time for bruising and swelling to resolve usually a week to 10 days.
Don't choose a Facelift procedure by a marketing name. See an experienced, reputable, Board Certified Plastic Surgeon and make sure to explain your exact goals.
Heavily marketed Facelift names designed to minimize the procedure are often misleading. Minor Facelifts will not significantly correct Jowls and loose neck skin.
Web reference: http://drseckel.com/surgical-procedures/face-lift/
Mini Lift = Mini Results
Mini Lift usually refers to a skin-only excision around the ear, with minimal or no undermining (surgical release of tissues to aid in repositioning).
The technique tightens the cheeks and jowls by creating a pull (tension) on the skin of the area without lifting or tightening the underlying support structures.
The advantages are a quick procedure with minimal or no recovery that will refresh one's appearance. The disadvantage is lack of longevity (a few months to a couple of years).
Can be the right answer....sometimes
The mini-lift is a fine operation if it is used in the RIGHT patient.
Any qualified surgeon should have the mini-lift as PART of their toolbox. The problem arises when the doctor has the mini-lift as their ONLY tool.
As many of the surgeons here have stated the issue is especially worrisome when the procedure is being marketed.
When I see a patient in my office that comes in looking for a mini-lift I can discuss this with them in the context of comparing it to a full Facelift.
So here are the two types of patients that are good candidates for a mini-lift:
1. Younger patients with minimal age related changes
2. Older patient who would benefit from a full Facelift but are willing to trade the better result for a shorter downtime
Incisions from minlift
The incisions for a minilift are basically the same in the front of the ears as for a facelift. However the incision stops just behind the earlobe. Muscle and tissue are pulled up and repositioned. It improves the slightly sagging jawline and snugs up the skin on the face to just behind the earlobe. It will not improve the neck beyond about 1 to 1 1/2 inches down the neck.
Recovery is about 5 to 7 days. The results should last for 4 to 6 years depending on the elasticity of the skin which is continually subject to gravity.
Mini facelift is a right operation for the right patient
As you can see, the doctors vary in their opinion in what a mini facelift will achieve. One reason for that is the patient: the results will be different for different patients. A younger (40's or 50's) patient who is thin, has good bone structure and some sagging skin will do great with a regular facelift, but will also do very well with a mini facelift with a long duration of the results.
The other reason is the doctor: all surgeons are not created equal, and some are just better at doing surgery than other. To confuse you further, different doctors call different types of operation a mini facelift. Some just excise a small sliver of the skin around the ear, and some do an extensive surgery, almost the same as a regular facelift. Of note, lifestyle lift is essentially a mini lift under local anesthesia, and it is as good as the doctor performing it.
There is a great variability in the "lifestyle lift" doctors, so do your research very carefully if this is something you are considering. So how do you make sense of this all as a consumer? As always, interview different doctors, preview their before and after pictures, talk to their past patients, and compare prices.
Facial Rejuvenation - No two surgeries are alike
FACIAL REJUVENATION: no two surgeries are alike
I prefer the term 'facial rejuvenation' over the more antiquated term 'facelift', as many patients that I see who seek a more youthful and refreshed facial appearance undergo a set of surgical procedures very different from what would have been considered a 'facelift' twenty-five years ago.
The word 'rejuvenation' means, literally, 'to make young again'. In each individual, different facial changes occur with age. One person may be unhappy with 'baggy eyelids', while another has 'droopy eyebrows'. One person may be troubled by 'jowls' in the lower face, while another would like an improvement in their 'floppy neck'.
Surgical treatment of facial aging changes must therefore be carefully individualized to match each patient's aesthetic needs and desires. No two 'facelifts', by necessity, are the same. In helping a patient to make decisions about plastic surgery for facial rejuvenation, I always examine and assess how each aesthetic area or 'unit' of the face contributes to an individual's overall appearance: the brows and eyelids, the cheeks or 'midface', the lower face and chin, and the neck. An individualized surgical plan is then developed which addresses each patient's specific concerns and needs.
Plastic Surgery of the Face in the 21st Century
The specialty of Plastic Surgery has been undergoing a 'paradigm shift' in the approach to surgical treatment of facial aging changes over the last two decades. This shift has consisted of a departure from older 'subtractive' techniques to newer 'restorative' techniques.
Surgery which consists mainly of removing (subtracting) skin and fat and pulling tissues tight will lead, in many instances, to a 'skeletonized' and therefore more aged (or "done") appearance. Facial soft tissues (and even the facial bones) actually lose volume and projection with age, and it is thus inevitable that surgery which focuses only on removing tissue will in some fashion 'age' the face. The contemporary approach to surgical rejuvenation of the face consists more and more of an attempt to restore facial volume and contour, in an attempt to emulate youthful facial features. My personal approach to facial rejuvenation is to first maximize repositioning and recontouring of facial aesthetic areas, and to remove only as much tissue as is necessary.
I also find that structural fat grafting, using a patient's own fat from the abdomen or hips, is an extremely effective means to help restore the facial volume associated with a youthful appearance. The importance of restoring facial volume is readily apparent when I review with a patient a number of photographs from their twenties and thirties. The meticulous addition of soft tissue volume by means of fat grafting is one of the most powerful means now available for 'turning the clock back.'
The term mini lift might mean something different to different people. Some people might describe a mini lift as lower face only, or possibly a midface lift, or even eyelid surgery. What is important is not the name of the procedure but that you and your plastic surgeon are in agreement about what your goals are and that you understand the downtime and recovery period.
Surgical or even non-surgical treatment of facial aging changes must be carefully individualized to match each patient's aesthetic needs and desires. In helping a patient to make decisions about plastic surgery for facial rejuvenation, I always examine and assess how each aesthetic area or 'unit' of the face contributes to an individual's overall appearance: the brows and eyelids, the cheeks or 'midface', the lower face and chin, and the neck. An individualized plan is then developed which addresses each patient's specific concerns and needs.
A "liquid facelift" is a procedure that is performed using temporary dermal fillers like Juvederm Restylane or Perlane. There is little to no downtime with a liquid facelift. This might be an ideal treatment for some, but the results are temporary and it does not address excess skin.
Structural fat grafting, sometimes referred to as microfat grafting can provide fullness to lips, cheeks, hollowed upper or lower eyelids and can fill lines and wrinkles on the face. Unlike the liquid facelift, the results from structural fat grafting can be permanent
Laser Skin tightening is a non-invasive treatment with little to no downtime. For individuals with early signs of aging, uneven skin tone, scarring or large pores a laser skin tightening procedure can provide dramatic results.
Full Facial rejuvenation or a full facelift may be the answer for some. Some people looking for facial rejuvenation are interested in the lower face, midface and eyes, others are interested in one area only. Surgical treatment of facial aging changes must therefore be carefully individualized to match each patient's aesthetic needs and desires. No two 'facelifts', by necessity, are the same. In helping a patient to make decisions about plastic surgery for facial rejuvenation, I always examine and assess how each aesthetic area or 'unit' of the face contributes to an individual's overall appearance: the brows and eyelids, the cheeks or 'midface', the lower face and chin, and the neck. An individualized surgical plan is then developed which addresses each patient's specific concerns and needs.
Consult with a plastic surgeon who has experience and expertise in both surgical and non-surgical facial rejuvenation to determine the treatment plan that is best for you.
Web reference: http://www.michaellawmd.com
Expect mini results, almost the same down time.
Mini-lifts including the Lifestyle Lift offer minimal pulling through usually traditional facelift incisions. The downtime is slightly less than for an actual facelift. Many patients are very disappointed to learn that their mini-lifts had the same incisions as if they had a real facelift, but half the result or less. Because of the excessively tight closure of many minilifts (in an attempt to pull on tissues that are far away), the scars can be wide and unsightly. The results are typically not lasting because not much pulling was done.
An expert facelift surgeon (i.e. board certified plastic surgeon) who has performed more than a thousand facelifts can perform an actual facelift with SMAS adjustment typically in about 2 hours. Often, ancillary procedures are performed (volume restoration with LiveFill, eyelid rejuvenation, platysmaplasty procedure (i.e. Neck-Lace), brow rejuvenation, lip lifts, etc), so the time is often more in the range of 4 hours.
After "mini-lifts", especially some I have seen, many people are not fit to be be seen in public at all, with significant visible scarring and deformation of the earlobes because of tight pulling. With a cleverly performed facelift, it should be minimally apparent that the patient has had any work done at all. The downtime before cessation of bruising is maybe 48 hours longer with an actual facelift vs. a minilift. Luckily, we are able to revise most LSL's and convert them to real facelifts, greatly reducing the scars around the ears and significantly tightening the deeper tissues in the process. However, the mini-lift patients whom we revise have undergone two procedures when they could have just had one.
For patients on a budget (the usual in these economic times), it is better to save and have the procedure done properly than to pay a lower fee and be disappointed.
A mini facelift gives a mini result for a mini length of time
If you are young and are seeing early signs of facial aging, perhaps a mini facelift is adequate to treat your situation. Far too many patients, however, are tempted by the allure of a mini lift thinking it will give them the same result as a properly done facelift and that the results will last as long. This is simply not true.
The Lifestyle lift is a heavily marketed procedure trying to capture your interest with a clever name and promises that are frequently not delivered when you read multiple patient reviews. A well performed true facelift on the other hand has a 80-90% satisfaction as listed on this web site.
Usually it is best to do all you can with fillers, Botox, photorejuvination and skin care and wait until you really need a facelift and then go and find the best plastic surgeon and get a great result.