Facelift

A facelift by Cosmetic Surgeon Dr. Michael Warner can correct wrinkles, drooping skin, and draping of the jowls and neck. A facelift addressed the lower 2/3 of the face. Facelift surgery is performed by Dr. Warner at his practice’s Arlington, Fort Worth and Weatherford locations. Dr. Warner has provided facelift surgery for his patients for more than 10 years. Your facelift will be performed personally by Dr. Warner in the comfort of our on-site surgical suite. The benefits of facelift surgery are a more youthful and rested appearance and improved self esteem. Many of Dr. Warner’s patients elect for facelift surgery with other facial cosmetic procedures performed at the same time.

Dr. Warner can perform your facelift surgery in just two appointments. At your first appointment, he will examine the health of your skin and discuss the goal you want to achieve; answer your questions and discuss pre-operative instructions. Dr. Warner will perform your facelift on your second visit.

About Face Lift Surgery (Rhytidectomy)

Definition. Rhytidectomy (facelift): a cosmetic surgery in which the skin of the face is tightened, wrinkles are removed, and the skin is made to appear firm and smooth.

Your face makes your first impression; it is what people think of when they call your name. It is the primary feature which gives you an inner perception of your physical appearance, and is therefore a major factor in determining your self-confidence and inner happiness. But as we age, wrinkles, drooping skin, and a draping of the jowls and neck skin appear. Deep folds become apparent around the mouth and nose. Jowls and a double chin may result from the loss of muscle tone. Fat deposits develop in the eyelids that contribute to a puffy and tired look. The eyebrows sag creating a sad look, and crow’s feet form at the corner of the eyes. This process does not happen all at once, but over years.

The facelift rejuvenates the face. It is an outpatient procedure taking two to five hours, performed in a surgery facility or hospital. This surgery does not correct forehead wrinkles, sagging eyebrows, excessive skin and fatty deposits in the upper and lower eyelids, nor does it affect the bone which gives your face its understructure. Procedures to correct these issues should be discussed with your surgeon and may be performed at the same time.

Candidates. Anyone who has experienced loss of elasticity, dehydration and atrophy, with increasing laxity of the skin, may be a candidate for a facelift. While most patients are in their early 40s to late 60s, facelifts are successfully done on healthy patients through their 80s.

Candidates must be in good general health, and the health of the skin is also taken into consideration. If you smoke, your doctor will probably ask you to stop for several months before and after having surgery, as smoking robs your body of oxygen it needs for healing, as well as attack the collagen beneath your skin. Your doctor will assess your candidacy for this procedure.

Outcome:
  • Increased self-confidence
  • Improved self-esteem
  • Younger, friendlier appearance
  • Happiness
  • Improved outlook
  • Career advancement
Causes:
  • Aging and gravity
  • Exposure to sun and wind
  • Heredity
  • Tobacco and alcohol use
  • Weight gain
  • Acne

Procedure. Facelift surgery is performed as an outpatient procedure, either in the physician’s surgical suite or at the hospital. A sedative may be administered to relax the patient. The procedure is usually performed with the patient asleep under general anesthesia administered by an anesthetist or anesthesiologist.

Your surgeon will carefully plan the incision line using a marking pen. The incision begins in a horizontal direction in the temple sideburn area and turns southward in the natural crease at the junction of the ear and face. It continues around the ear lobe and northward behind the ear into the hairline. The skin is gently lifted and pulled tightly across the cheek and neck, and the surgeon repositions the underlying muscles and tissues. Excess skin at the hairline and ears is trimmed away. The tightened skin is sutured at the ear and hairline. Most of the incisions are hidden in the hairline. After surgery, a sterile dressing is applied and the patient is moved to a recovery area.

Recovery. You should arrange for a loved one to drive you home following surgery. Plan to rest with your head elevated for about two days. Most patients experience only minimal pain, easily controlled with oral medication. Your surgeon will remove your bandages a day or two after surgery. You may shampoo your hair after the first sutures are removed, usually within five days following surgery. A numbness in the face is usually experienced, and feeling will return within six to twelve weeks as the nerve fibers regenerate. The face and neck will appear swollen and bruised for about fourteen days. Healing is a gradual process. It is best to slowly build up your daily activity. Your surgeon will probably recommend that you wait two weeks before returning to sedentary work or school. Strenuous activities should be avoided for at least a month, and direct exposure to the sun avoided for several months. Once healed, your skin will drape softly and gently over the facial contours in a natural fashion, resulting in a face that may look years younger.