A facelift, or rhytidectomy, surgically rejuvenates signs of aging on the face by removing lines, wrinkles, sagging skin, deep creases, as well as excess skin, fat, and tissue. A facelift can only be performed surgically; non-surgical rejuvenation treatments cannot achieve the same results, but may help delay the time at which a facelift becomes appropriate and complement the results of surgery. The surgeons at PeaceHealth Medical Group perform facelifts to address sagging in the midface, deep creases below the lower eyelids, deep creases along the nose extending to the corner of the mouth, fat that has fallen or is displaced, loss of muscle tone in the lower face that may create jowls, and loose skin and excess fatty deposits under the chin (which can make even a person of normal weight appear to have a double chin).Patients in Southwest Washington and the Portland area may have another rejuvenation procedure performed in conjunction with a facelift, such as a brow lift to correct a sagging or deeply furrowed brow or eyelid surgery to rejuvenate aging eyes.
"This review only contains a rating"- A.B. / Facebook / Oct 02, 2015
"Definitely recommend - Dr. Gabriel is amazing. Breast augmentation is a surgery I have been wanting for over 10 years, but was afraid my results would not look great on my small frame. Dr. Gabriel was very accurate with his advice of what would look good. His bedside manner is excellent amd I always feel comfortable during my appointments. His team is friendly and helpful. The office offers a 3d camera to predict..."- J. / RealSelf / Aug 19, 2017
"Feeling like I'm completely satisfied - I had my first surgery almost 2 years ago I wasn't really happy with my size and Dr Gabriel and his amazing team of LPNs and RNs took me under there wing and did an implant exchange he not only did the exchange at no charge but upgraded my implants. I couldn't be more pleased with my results there everything I want and more His bedside manner goes above and beyond. He's truly a sincere and genuine person that cares about his patients. He has a client for life here and I will recommend him to everyone"- L. / RealSelf / Aug 18, 2017
"Hello.I had my breast augmentation with Dr.Gabriel 6 month ago and i am so happy with everything.He is amazing doctor,he will help you with choice and recommendations.He is very knowledgeable,i felt like i am in good hands,and my intuition was right.I went to see other 2 doctors and i am glad i did made choice on Dr.Gabriel.I do recommend him for breast augmentation.As i read alots reviews on different sites ,he is really good in all his opinions not just breast augmentation or reconstructions."- O.G. / Healthgrades / Aug 17, 2017
"Dr. Gabriel and his team are skilled, talented, and hands down the best! He's very honest and forthcoming, and will only do what he feels is right for you and your body. I recently had him perform a tummy tuck, breast lift and augmentation. I'm beyond happy! He by far exceeded my expectations. I am a weight loss patient so my case was a hard one and he not only did a great job, but all my friends and family are blown away by my results. Make a consult! You will know by your... first appointment with him if he is the docter for you. His personality is very friendly, down to earth and direct. He is eager to explain things in layman terms so that you can make an informed decision. I personally will never go with another plastic surgeon. He is a perfectionist and if there is something that he can improve or change about his work he will so without adding extra fees and charges. He takes pride in his work as he should he is very skilled! I highly recommend him over and over again. 5 stars for sure! If you are in the process if choosing a docter and want to see real life personal results, feel free to private message me! Thank you Docter Gabriel you have forever changed my life."- D.D. / Facebook / Aug 11, 2017
The technique used during a facelift is dependent on the patient’s facial features and conditions. Most surgeons will always aim for the less invasive technique, but some patient cases are severe and will require internal tissues, fat and skin to be manipulated. Patients must also understand the procedure in detail, including the level of invasiveness, placement of incisions, what layers of tissues will be corrected, and what risks may be associated with the surgery before moving forward.
Also referred to as the cutaneous facelift, this technique removes excess and loose skin to create a tightened look. The remaining skin is repositioned to lift sagging cheeks and jowls. It also improves the profile along the jaw line. With this facelift technique, the muscles or fat tissues are left untouched. As the treatment focuses on the skin only, recovery is quick. This is ideal for those who still have good tone muscle and distribution of fat, but find the skin losing elasticity in some areas.
Traditional Facelift (SMAS)
SMAS is the superficial musculo-aponeurotic system, which is a muscle complex that is primarily active when it comes to facial expression. With normal wear-and-tear due to age, gravity and personal habits, muscle tissue loses its form and becomes displaced significantly for those over 50. This particular facelift is considered the standard when it comes to this cosmetic procedure. With lengthy incisions on the side of the face, from the temple to the lower hairline behind the ear, the skin will be peeled and lifted to reshape contours. If there is excess fat and skin, these will also be removed.
Deep Plane Lift
For those who have severe cases of drooping and skin folds that are normal with aging and extensive sun exposure, a deep plane lift may be the best approach. This is especially true for those whose facial profiles need extensive reshaping on areas that typically have the volume and tight contours. This involves a highly specialized skill set and the plastic surgeon must be carefully selected as the nature of procedure has a high chance of damage to the facial nerves.
Also called as a short-scar facelift because of the shorter incisions made, a mini lift is a quick treatment that corrects the middle and lower face. Many patients initially consider this technique, but this doesn’t correct any severe issues and usually renders short-term results. Patients who undergo this procedure are most likely to also stage a full facelift as a final step to fully rejuvenate and reshape the face to its youthful curves.
All facelift procedures are performed in an accredited surgical facility with general anesthesia. Even though this is considered an outpatient procedure, there are some cases where the patient stays overnight for monitoring. It is normal to experience bruising and swelling after the surgery, and patients will feel as if their face is being pulled tight. This subsides within a couple of weeks. Optimal results will be evident after several months. It is important that activities are limited to help create a safe and quick healing.
Plan Your Procedure
- Recovery Time
- 4 Weeks
- Average Procedure Time
- 4 Hours
- Post-op Follow-up
- Procedure Recovery Location
Cosmetic surgery is constantly evolving and always finding ways to minimize the invasiveness of procedures. There are countless options that are considered less invasive than a facelift, including wrinkle relaxers such as BOTOX®, injectable fillers, microdermabrasion and chemical/laser peels. These alternatives aim to correct signs of aging such as wrinkles, as well flatten and soften folds and contours. The effects, while effective, are often short-term lasting about 6 months to a year. Although these procedures can be safely repeated, for some, a facelift may be a better, more permanent option.
Immediately following a facelift procedure, the patient will feel tightness and a pulling sensation. This is normal as the facial tissues, skin and muscle adjust to their new positions. It is important to choose a reputable plastic surgeon that has years of experience in facial cosmetic surgery. A doctor with experience in facial surgery will create natural, smooth results that will last for years to come.
A tradional facelift requires a long cut from the temple to the lower hairline, but the scars will be well concealed within the hairline and natural creases on the face. With the lesser invasive techniques, the scars heal pretty well and will almost be completely invisible to the naked eye.
Anyone can consider a facelift as soon as evidence of aging starts taking a toll on the skin. Generally, patients who are age 50 to 70 consider a facelift. Personal habits and environmental conditions can impact the skin and there are patients who are only 40 that are also good candidates for a facelift.