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POSTED UNDER Lifestyle Lift REVIEWS

Just Had the Lifestyle Lift - Happy So Far - San Ramon, CA

ORIGINAL POST

The basic lift costs $4850 which takes care of the...

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JohnRich
WORTH IT$5,850

The basic lift costs $4850 which takes care of the lower third of the cheeks, the jowls, and the jawline. I also opted for a platysmaplasty which was $1000 extra. I did not need the second $1000 option, liposuction, which is recommended for those with a double chin.

They say no intravenous anesthesia is required, but whatever oral pills they gave me (at least two Valiums) knocked me out to the point where I don't remember a thing of the actual operation. The multiple injections of the local anesthetic are the most painful part of the whole procedure, but no worse that what you'd experience in a dentist office.

They won't let you drive home afterwards, so either bring a driver or take a taxi to a nearby hotel (I did the latter). 24 hours later you report back for the surgeon to examine the incisions. All was well so I was sent home for 10 days until time to get the stitches out. From what little I could see between bandage changes, my jawline is much firmer, the jowls are gone, the cheeks look more even, and even the nasolabial folds are less deep.

I'll report back here after the swelling and bruising go down. I was sore the first 30 hours after surgery, but the vicodin to care of it. By 40 hours I felt well enough to work from home, and even made short trips to the grocery store.

JohnRich's provider

Robert F. Gray, MD, FACS

Robert F. Gray, MD, FACS

Board Certified Facial Plastic Surgeon

JohnRich

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Replies (3)

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August 1, 2010
I will have surgery with Dr. Gray in the next few weeks. Thank you for writing the post. In addition to what you had done I will also have my upper lids done. How did you feel the day after surgery? Was your head wrapped and were you able to eat? It sounds like you still have stitches. Are they small and even?
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August 2, 2010
I don't know how to add more text and photos to my existing post, so I'll just continue in this comment. Day 3: Yea! From now on I only need to wear the bandages and ace wrap while sleeping. Day 4: Not enough pain left to justify taking more Vicodin, although the discomfort from the tight sutures is unpleasant. Still lots of bruising evident, the worst of it in my neck, but a scarf (in the middle of summer?) would cover that. One ear lobe looks a bit messy. Also, there is considerable fluid accumulation under my eyes, which is similar to what I had with my upper eyelid blepharoplasty one year ago. One thing that is disconcerting is that you have very little touch sensation around the ears and jawline. I understand that will come back in due time. I get the sutures removed on day 12, so I’ll write more after that happens. Note to 140Sanon: The upper lids by themselves are not a big deal (I had that done one year ago), but added to the rest of the surgery may just make you feel that much worse. After surgery, all I wanted to do was sleep, but even that is not easy because you must keep your head elevated. After the face/neck lift, only the scalp, ears, and neck were bandaged. You can eat, but not anything too chewy because chewing pulls uncomfortably on the sutures by the ears. The stitches are relatively small, but you can see a crusty-looking red line connecting them, and for the first three days the bandages have to stay on 24/7.
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August 2, 2010

Thanks for sharing your recovery progress. You can update your original review by clicking the "Edit" link at the top (near the title). Good luck with the rest of your recovery!

UPDATED FROM JohnRich

Please see updates published as comments.

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JohnRich
Please see updates published as comments.

Replies (3)

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August 2, 2010
Hi Rich. Did Dr. Gray also do your upper lids? How old are you. You mention bandages at night. The requirement for those were crossed off my list and am now thinking I need to buy some. I decided I only wanted to feel "bad" once and that's why I am doing everything at the same time. I have a fairly high tolerance for pain, although this is my first elective. I am enjoying your progress and it sounds like you are doing well. Thanks for the continued information.
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August 2, 2010
Forgot to mention, I am a 67 year old male. I wouldn't be bothering with the cosmetic surgeries, except that I became widowed a few years ago, and am now actively trying to attract a new lady companion. :-)
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August 2, 2010
No, my upper lids were done by a different doctor. They look nice enough, but now I have a problem with Dry Eyes, requiring frequent application of lubricant drops. Then again, who knows if the blepharoplasty caused it since it didn't become apparent until four months later. When the nurse changed out my bandages the first time (the day after the face lift), I remarked that I didn't have any on hand, so she gave me a full pack of them. I don't know if that is standard practice. I don't think gauze bandages or elastic wrap are on the list of things we were told to get.
UPDATED FROM JohnRich

Day 12: I just had all the stitches removed. It...

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JohnRich
Day 12: I just had all the stitches removed. It was a fairly painless process. I took my last Vicodin this morning, but I didn't really need it. They replaced the stitches with skin-colored band-aid-like strips; not too swift looking. Women with long hair can easily hide these, but us short-haired guys can't. They're designed to come off in the shower in 4-7 days. Meantime I'm to avoid any strenuous activity or jerky head motions. I still have a few discolorations: a red one under one eye and a blue-green one on my neck, but these are getting less noticeable every day, and can be easily covered with makeup.


Replies (15)

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August 10, 2010

I wasn't truthful about the timing of my surgery. I had it done on 8/5. I consider the upper eyes a breeze. No pain and hardly no swelling. I didn't feel that I was told the truth in terms in incisions in the front and back of my ears / head. I was told that it was small and would heal nicely. The stitches are micro and am certain that they will heal well, although I look like someone tried to reattach my ears. The suture under my chin from my neck is not micro, although will not be noticeable once the swelling has dissipated. My concern is that I have a "ligature" on my neck and it is raw. It's from surgery / re-wrap the following day. The wrap was too tight both times. Icould hardly swallow. I called on Sunday and was told to massage it. I think I will try to get in today. Would hate to have a scar for something not even within my control. It also makes putting the strap on at night very tricky (need to pad and avoid) and perhaps not very effective.

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August 11, 2010
I too was surprised over the extent of incisions around the ears. Not sure what a ligature looks like, but I had considerable bruising in the neck area, which is still noticeable on day 14. I also have some skin 'bunching' behind one ear, but was told it will disappear with time and massage. Surprisingly, the incision under my chin is the only spot that is still sore and irritated; it is not noticeable because mine is in the bottom margin of my goatee. Also somewhat disturbing is the loss of touch sensitivity along the jaw line and lower cheeks. I'm told those nerves will regenerate after a few months.
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August 12, 2010
I saw Dr. Gray on Tuesday. I wanted some advice to prevent further scarring. A ligature (a broad raw skin line around the neck looking similar to having been hanged) was part of the swelling process and could have also been part of the lipo. I was surprised I had lipo as I hadn't signed up for it, although was told that everyone has some fat around their neck and he deemed it necessary. He told me to eat pineapple (natural enzyme to dissipate bruising) and also try some Arnica (natural plant) tablets to also aid in bruise reduction. I did some research on the web and found that at this point I could use warm compresses and topical application of vitamin E would also be helpful. I do not have any Arnica tablets, but gel instead. I am using the antibiotic cream on the open areas and vit E and warm compresses on the rest. My ears are a bit numb in the front although are resolving and my stitches in the back of my head are the only ones that are really bothersome (tight and still crusty). I keep all of them moist. Unfortunately I have very neon yellow beyond my ligature which is still scarlet although smaller in size than it was on Sunday. I am at day 7 today, although the healing process has not been as easy or quick as I had hoped. I get my stitches out on Monday. I have a function on 8/21 and hope not to look like a member of Frankenstein's family. I hope that it has been worth it to you...
August 24, 2010
Were you able to go to your function. I am post op day 12
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August 24, 2010
I'm on day 27. The last of my bruising and discolorations was gone by day 23. What I don't like is that some of the hollowness in my cheeks has returned, now that all the swelling is gone. Oh well, it still looks better than before, and my jawline is amazing. I still have some pain in my throat area whenever I yawn. Also, I found two stitches that they missed. I'll see if my daughter can pull them out with tweezers. When I went to church service on Sunday, people kept asking me, "Did you loose a lot of weight? You look skinnier." I guess that's a compliment of sorts.
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August 26, 2010
I did go to my function, although had steristrips on the front of my ears and a big bandage on the gaping hole in the front of my neck. I fluffed a scarf and wore my hair over my ears. Unfortunately it was windy. Nobody asked...and I didn't volunteer anything. I am today at day 21. All steristrips are off. I still have a gaping hole in my neck at my throat although it is not as large. I keep it moistened and massage the lipping skin 4x daily so it doesn't scar with a lump. I also pad the wrap all around my jaw and at my throat before bed at night. The blood blisters(?) behind my left ear are still oozing although the ones across my left cheek in the hollow are now healed. It is truly amazing how much your face can swell. I am glad to see my cheekbones again and the hollows that weren't... With the heat the other day I was just absolutely miserable. Salt in the wound? You betcha... Perspiration, swelling, healing made everything itch. My lipo "holes" are almost healed. The scarlet band around the top of my neck under my jaw are diminishing. My ears look pretty good. My skin still feels hard and leathery near the ears. I hope that too will go away soon. I think that you would have had to have had fat injected into your hollows if you wanted to plump them. Remember Geraldo Rivera did that a number of years ago. I do recall that he did very gaunt prior to his surgery. Wishing everyone the best and looking forward to getting on with my life.