What Are the Pros and Cons of a Face Lift?
Doctor Answers 57
Pros and Cons of a facelift
The cons can include safety issues Other cons are the facelifts that look like facelifts. Distorted hairlines, odd shaped ears or pulled up looks or hollows in the face are telltales of a facelift that is not well done.People should not looked pulled or distorted after a facelift. In almost every facelift I perform, I incorporate some fat grafting to restore some of the natural fullness of youth.
A facelift is a permanent chance. I encourage everyone considering facial rejuvenation to atke their time, view many photos, do research and ask many questions before seelecting a plastic surgeon to perform your facelift.
The following are a few things that can distinguish some surgeons from others
1) Graduating from a top tier medical school at the top of their class.
2) Membership in Alpha Omega Alpha. This is the medical honors society. Alpha Omega Alpha is to medicine what Phi Beta Kappa is to undergraduate universities.
3) Formal surgical training from prestigious medical universities. The minimum number of years of surgical training for plastic surgeons to be bord certified in five years. Some physicians have as many as ten years of formal surgical training. There simply is no substitute for stelar academic and practical surgical training.
4) Very experienced surgeons with meticulous surgical technique and natural looking outcomes will have photgraphic evidence of their work. Patients should be able to view many photos of the surgery of interest, photgraphed from three different perspectives all with similar lighting, distance from the camera and cropping
The elite experience extends beyond the surgeon to the facility, and the surgical team. You should be able to see the surgical theater and know who else will be in the OR with you during surgery. The Joint Commission (JCAHO) is an organization that provides certification to hospital OR's. The Joint Commission and AAAASF are two of the organizations that can provide certification to surgical suites. Some plastic surgeons elect to have their surgery centers dually certified.
The anesthesia experience is critical to a safe and comfortable surgical experience. A board certified anesthesiologist can administer general or MAC anesthesia. My preference is to have a board-certified anesthesiologist at the bedside of my patients for the duration of surgery.
Plastic surgeons who cater to high profile individuals who place a high value on privacy will have a private first floor entrance and exit so patients never need to be in a public lobby or elevator for pre-operative or post operative visits.
Advantages and trade-offs of face lifts
The advantages, clearly, are dramatic results that can be drastic or natural depending on your preference and choice of surgeon. I'll add a video to help summarize these points.
Best of luck
Chase Lay, MD
The Upside and Downside of the Facelift
Starting with the cons: You will need to put your life "on hold" for about 2 weeks while you are healing. This takes some planning for most people to be out of the public eye for this period of time. Secondly, it can be expensive depending on what combination of procedures you have done. Third, you could end up with an "overdone" look, so be very careful in picking your surgeon.
Now looking at the pros: The first most obvious is the feeling of a new lease on life, rolling the clock back 10 or more years is the main motivation. A popular comment at the time of consultation is, "I want to look as young as I feel". Another popular reason these days is feeling more competitive in a youth driven job market. The boost in self esteem helps many gain the confidence needed to seek reemployment.
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Pros and Cons of Facelift
Facelift is the "gold standard" for facial rejuvenation.
A well planned facial rejuvenation incorporates various techniques, including fillers and resurfacing, as most appropriate for each individual patient.
The "pros" of Facelift, as a surgical correction include the most effective, powerful and enduring technique to remove excess skin and lift drooping skin of the face, jawline and neck.
The "cons" include cost, undergoing a surgical procedure and recovery, scars, rsks of surgery.
Face lifts - my thoughts in Santa Barbara
Aging of the face affects each patient individually and therefore, consideration of any facial rejuvenation is a very personal decision. The facelift procedure, or rhytidectomy, addresses many aspects of the aging face in order to restore a refreshed, more youthful appearance. Areas of concern may be varied or specific.
Commonly, the regions of the jowls and cheeks are of particular interest to patients. With age, there is a loss of the youthful volume in the mid-face region in most patients. There also may be a concern regarding the definition of the jaw line, or excess tissue of the neck that can be seen as fullness, vertical bands, or the blunting of the angle below the jaw. The appearance of lines near your eyelids or around the mouth, or a lowering of the position of your brow may also be evident. While all of these issues may be addressed surgically, no cookie-cutter operation will achieve all of the goals that you may seek. The facelift operation must be specifically customized to each and every patient.
When considering a facelift procedure, careful assessment must involve evaluation of your facial balance. Your skin quality, the appearance and position of facial lines, and additionally your general health of the patient must be carefully addressed, as must the bony facial structure. The meticulous analysis of the patient's facial form is one of the most interesting aspects of plastic surgery.
As techniques in facelift procedures have evolved, many operations have been touted as the best way to achieve a youthful appearance. I believe that a safe approach to the facelift procedure is of foremost importance, and that an individual may benefit from a combination of surgical techniques. The SMAS, or suspension layer of the face, is almost always addressed in these operations. This layer is in continuity with the superficial muscle layer of the neck, and this can be taken advantage of in the contouring of a mini-facelift, or limited-incision procedure. The SMAS layer can be manipulated during surgery to provide a thinner facial shape in patients with a round face, or the SMAS can be used in different ways to provide volume to a face that appears hollowed. Improvement of the contour of the cheek may be performed by manipulation of the SMAS layer, or alternatively by lifting from a well-hidden eyelid approach. It is specific knowledge of facial anatomy, combined with a breadth of surgical techniques that allows your plastic surgeon to create an individualized approach for facial rejuvenation.
In combination with the facelift operation, ancillary procedures may be utilized to achieve optimal results. These may include eyelid surgery such as blepharoplasty, brow elevation, lip lifting or augmentation, or filling in the deeper lines above and below the corners of the mouth: the nasolabial folds and marionette lines. In depth discussions of each of these procedures allows the patient, as well as the surgeon, feel comfortable with the decision making process.
The good, the bad, and the natural facelift
Every cosmetic treatment has its pros and cons; facelift surgery is no exception. The surgery is very safe and effective in skilled hands, such as those of a board certified ( The American Board of Plastic Surgery) Plastic Surgeon.
The clear advantage of facelift surgery is a longer lasting, more definitive correction of aging-related problems, often with results lasting for more than 5 to 10 years. Current techniques are extremely advance with more results for a lesser down time. The surgery can generally be done as a same day procedure, going home shortly after surgery.
The disadvantages of facelifting include some recovery time, often 2 weeks, with visible signs of surgery. There are always risks with the surgery, and that is the reason to go to a trained expert. In general, the pros strongly outweigh the cons, giving a natural enhancement.
What Are the Pros and Cons of a Face Lift?
A facelift has associated risks of poor healing, bleeding (hematoma 4-5% risk) and rare motor or sensory nerve injury (usually temporary but rarely long term). If the incision is not properly designed, the sideburns can be raised and the hairline behind the ear altered with bad consequences aesthetically. I have seen rare patients who came to me years after having a facelift elsewhere who either saw no long lasting improvement or suffered from pain. This is rare and has never occurred in my personal experience but is a warning to "shop" carefully.
Do your homework carefully and be certain that you have justifiable confidence in the experience of the doctor whom you've chosen as your surgeon. The best outcome with least complication risk is when the procedure is done properly the first time.
Jon A Perlman MD FACS
Certified, Am Board of Plastic Surgery
Member, Am. Society of Aesthetic Plastic Surgeons (ASAPS)
Beverly Hills, CA
Facelifts: The Good and the Bad
Pros: Removal of excess skin, lifting of drooping skin along face, jawline, and neck