FACELIFT

Dr. Lesley performs a deep plane face lift, which lifts the muscular substructure in the face to restore the beautiful bone structure of the jaw, cheeks, and neck. In patients with younger tissue who may not be surgical candidates, Dr. Lesley and Dr. Morgan offer the following treatment options: chemical peels, Ultherapy ultrasound lifting, Microneedling, Botox, and Fillers. 

I am very happy with my results and highly recommend Dr. Rabach. Dr. Lesley answered all my many questions patiently and thoroughly. She and the staff at LM medical have been responsive and kind throughout. Highly recommend!
– kbrussell

What are the credentials of my facial plastic surgeon?

Dr. Lesley is a world-renowned, double-board certified facial plastic surgeon, one of the few elite surgeons who specializes specifically in operating on the face and neck. She completed her internship and residency in Head & Neck Surgery at Yale New Haven Hospital followed by an ABFPRS accredited Fellowship in facial plastic surgery. With the most advanced surgical technique, an artistically trained eye and a gentle bed-side manner, Dr. Lesley re-sculpts the face and neck area to achieve a natural, youthful look.

What is the recovery like?

A facelift is a gentle procedure. Minimal bruising and swelling should be expected, but will only last 7-10 days. After 7 days, all sutures are removed, and most patients feel comfortable to go out in public.

Where is the procedure performed? Will I get general anesthesia?

All deep plane face and neck lifts are performed in a Quad A accredited surgical suite under twilight sedation with local anesthesia and occasionally general anesthesia. Safety is the utmost importance to our patients so we work closely with the board certified anesthesiologists who optimize each patient’s procedure for them.

What are common side effects and complications?

The most common side effects are bruising and swelling. These typically are resolved in 7-10 days. Rarer side effects include: infections, bleeding, hematomas, and nerve damage.

How much pain is expected following a facelift?

There should be relatively little, if any pain, associated with this surgery. Dr. Rabach carefully follows the anatomic planes of the face, repositioning it to provide a more youthful look. During the first night after surgery, patients will wear a firm dressing under the chin, along the check and neck. Some patients find this uncomfortable, but never painful. This dressing is designed to hold the skin and underlying tissues in place. No drains are placed!  Sutures are removed after 7 days and most patients notice that their neck feels tight, but not restricted in any way.

How do you make a facelift look natural, and not “tight”?

It is best to seek out a board certified facial plastic surgeon that is intimately aware of the anatomical layers of the facial tissues. The deepest layer of the face contains the muscles that give your face expression and allow you to speak, eat, and drink. Above this, a thinner muscle, called the platysma, starts on the collar bones and travels up the neck and then over the face. Above the platysma is SMAS fascia. In a deep place face lift, the plastysma layer, instead of the more superficial fascial layer (the SMAS) is pulled up. Thereby the tension is on muscle which is more sturdy, natural and long lasting.

Where are the incisions for a facelift and will they be visible?

Incisions for the facelift are dependent on the patient’s anatomy. Most incisions are located in a hidden crease just in front of the ear curve around the earlobe and then along the back of the ear straight to the hairline. This scar is almost completely hidden since Dr. Rabach performs a deep plane face and neck lift, thereby the tension is on the muscular layer, not the skin, as is in a SMAS lift.

Do facelift techniques differ between men and women?

There are major differences between  female and male facelifts based on the varied anatomical structure. Lifting the deeper tissues of a man’s face should be performed in a more vertical fashion since a man’s face is typically squarer in appearance. A female’s facial shape is generally more oval and almond shape and a woman’s skin is much thinner than a man’s skin, which makes bleeding, bruising, and swelling much less.