I had a deep plane facelift, necklift, browlift, upper bleph and CO2 under my eyes and around my mouth on October 31, 2023. Although I am only 7 weeks out, I wanted to leave a review about my experience so far. I am 62 years old, eat healthy - am a vegetarian, exercise daily, and have always felt like I looked great for my age. But for the last few years the wrinkles, jowling, general sagging of eyelid, brow and malar area was really bothering me. I had been researching surgeons for about 5 years - there are a lot of great surgeons in the San Francisco bay area and so I met with 5 total. All of them had different approaches and different treatment plans (which was super confusing) but Dr. Ransom was the only surgeon who did NOT push extra procedures. His plan was straightforward, and made sense for what I wanted to achieve. I also liked that he is a neck and face surgeon ONLY, that he has authored numerous peer-reviewed publications, and that he trained and co-authored with Dr. Andrew Jocono in NYC - one of the best surgeons in the field and whose work is impeccable. One of my finalist surgeons was really pushing for a lip lift and when I asked Dr. Ransom about it as an option, he said "I can do it, but you won't look like YOU, and my job is to make you look like you - only younger and more refreshed". That sealed the deal for me :) I also have hereditary malar bags that have always bothered me. They are notoriously difficult to treat and so I was looking for a surgeon who would address them with confidence and Dr. Ransom assured me that with the deep plane technique plus the CO2, I would see fantastic results.
In terms of the actual surgery and post op, this is definitely major surgery and with that, there are always potential complications. I did not have any complications, but please do yourself a favor and DO NOT look at all those before and after photos on Instagram and assume that you'll be looking refreshed and photo-ready at week 2! A deep plane face lift means a longer healing process, and it takes a lot of trust that you'll come out the other side looking amazing but the wait is so worth it! My actual procedure took about 6 hours and I was under general sedation. Dr. Ransom performs his surgeries in a beautiful, high tech private surgical room right next to his office so that was really a bonus - no hospital check in, etc. You are sent home that day, with a huge bandage headwrap and 2 scary looking drains to decrease the swelling, and then have to come back the next morning so Dr. Ransom and his fabulous RN Patricia can check to make sure everything looks good. My swelling was extreme. In fact, I didn't look in the mirror for about 4 days because it was that bad. Mostly I think because of the CO2 on top of everything else but I Dr. Ransom said that I had a lot of work done, and the more work, the more swelling. They prescribed a 5 day taper of steroids to keep swelling to a minimum and I can't imagine what I would have looked like without those! Everyone heals at a different rate, and for me, the first 2 weeks were pretty miserable. You have to clean your stitches a few times a day (gross), and the CO2 needs to be treated every few hours with special vinegar soaks. I had zero pain - didn't take a single Norco that was prescribed - just tylenol. At about day 7 I was questioning whether I had done the right thing, and was so scared that I was never going to look normal again - and because you are basically homebound for 2 weeks with exercise off limits, a bit of depression set in for me and had a few good cries. My husband was thankfully super patient and understanding but I was NOT a happy camper for few days. And I was also just uncomfortable because of the facial numbness and swelling - plus you have to sleep with a head wrap the first 2 weeks and on your back. My drains needed to stay in for an extra day, and then bleph stitches get removed on day 5, and all other stitches on day 9, so my poor husband was driving me to and from appointments almost daily for that first 2 weeks.
Weeks 3 and 4 were a turning point for me - still very swollen around my jawline but the numbness started to lessen and that was when I started to see the results of the beautiful work that Dr. Ransom did. At the 6 week mark, I went back in for a post op and to get my incisions lasered (included in the price). I am blown away by the attention to detail, and precision work that Dr. Ransom did. My eyes are youthful and refreshed, I have cheekbones (OMG - YAY!) and although my jawline and under my chin is still a bit numb and swollen I can see that its going to end up looking even more amazing with each passing week. I had super strong banding at my neck prior to surgery, and there is a tiny hint of a stubborn platysmal band still showing ever so slightly - hardly noticible, but Dr. Ransom is such a perfectionist he botoxed it during my last visit and said it most likely will resolve once the swelling is gone. The CO2 made an incredible difference, no more lines around my mouth, malar bags are gone!!!! Under eyes are still a bit pink and still a tad bit of swelling there (all easily camouflaged with makeup) because Dr. Ransom really went deep with the laser and I suspect that I won't be done healing for a while. I am going back in March to have my neck done as well.
Some additional thoughts: I went back to work week 2. I work remotely and I just told everyone my camera wasn't working. Ideally, if you can, best would be to take a full 2 weeks off and just rest and take it easy, as it was a push going back so soon. I am a long distance swimmer and I haven't gotten back in the pool yet although I was cleared for all forms of exercise at 6 weeks - am scared that my goggles will leave permanent marks on my beautiful new face (haha - so silly) so I am waiting a few more weeks. I will report back!
I am BEYOND THRILLED with the work that Dr. Ransom did - he is truly an incredibly skilled artist with an expert eye. I would trust him with anything that has to do with my face, and the best part is that I really do look like me, just a more beautiful version of a much younger me!