The choice between mini or full facelift depends less on what area of the face you want to address, and more on the terminology of the surgeon. Unfortunately for patients, it can be very confusing, since one surgeon’s mini-lift is another surgeon’s facelift. Rather than focus on the word “mini” or “full” or “partial” in regard to facelifting, it’s better to look at what anatomical configuration you have, and the best way to improve it. Even with my full-facelift patients, the incisions are hidden along the tragus of the ear and behind the ear, so it’s not the incisions to focus on, but what can be done to improve your areas of concern. If you have sagging skin and jowls, I would suggest that you research the best plastic surgeons in your area and meet with a few. Look at the before and after photos. Ask how the wounds are closed (I always use very thin suture material, which makes for the finest incisions possible, but some surgeons use staples which are less desirable). Are you comfortable with the surgeon? Is his or her staff responsive? Are the anesthesiologists board certified, or does the surgeon use a lesser-trained nurse anesthetist? These are the important questions to consider. I also encourage you to create a long list of questions to take with you to your consultation so that you will have a thorough understanding of the process. In my practice, my consultations are not timed, because I find it fitting to spend as much time as needed, since the decision of surgery warrants careful consideration.
