Facelift Surgery

Facelift Portland Oregon – Top Face Lift Surgeon

The goals of a facelift procedure include lifting the jowls, tightening loose facial and neck muscles and tightening loose facial and neck skin. For the facelift procedure, it is very important to achieve a natural looking result so that the face looks naturally refreshed and rejuvenated. Excellent candidates for a facelift include both men and women in their 50s and 60s who want to look more refreshed and rejuvenated because their face and neck areas are starting to show the signs of aging. The consultation with a top facelift surgeon like Dr. William Portuese or Dr. Joseph Shvidler in Portland Oregon lasts approximately 30 minutes to review concerns and the procedure to address those concerns, as well as an additional 30 minutes with the patient care coordinator to discuss fees, additional questions and scheduling for the facelift procedure. One of our doctors meets again with the patient before surgery to review the anticipated results and to answer any additional questions. Patients will also meet with the board certified physician anesthesiologist before the surgery. The procedure itself takes approximately 3 hours and for patient safety and comfort, will be performed under general anesthesia. Patients wake up in the recovery room for a couple of hours and then are discharged to home with their responsible caretaker.

facelift surgery

What can a facelift do for me?

The goal of a facelift is to improve the facial changes of aging which includes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, tightening the SMAS and removing the fat deposits in the neck which also includes a platysma-plasty to significantly improve the jawline. A properly performed facelift accomplishes significant rejuvenation to the face and neck, and is usually done for patients over 50 years of age.

How does a facelift work?

A Facelift works by placement of discrete incisions in front and behind the ears. It is important to not shift the hairline during the procedure, otherwise patients will look wind- tunneled and ladies will not be able to put their hair up in a ponytail. Once the skin is elevated in front of the ear, then the SMAS is elevated and tightened and the jowls are lifted and re-suspended towards the sideburn. The extra skin in the neck is tightened from a behind the ears. Tightening the SMAS offers a more permanent result, and is always done as part of a surgical facelift procedure. The fat deposits in the neck are located both above and below that platysma muscle in the neck. Liposuction accomplishes removal of the fat deposits above the platysma muscle, while surgical extraction is required to remove the fat deposits below the platysma muscle. A platysma-plasty is routinely performed as an integral component of a lower face and neck lift surgical procedure. The excess skin is re-draped and then surgically removed, and the incision meticulously sewn together with very fine suturing techniques to minimize detectability of the incision itself

What are my options for a facelift?

The non—surgical options simply cannot perform what a lower face and neck lift can accomplish. None of the non-invasive procedures can accomplish fat removal, tightening neck muscles, tightening facial muscles, and tightening loose facial and neck skin.
A neck lift procedure accomplishes improvement of the jawline by de-fattening the compartments of fat above and below the platysma muscle in the neck as long as the skin tone is fine, and is usually performed on patients less than 50 years of age who don’t need any skin tightening. A min- lift is performed on select individuals who have jowls, but do not have any neck changes of aging. It’s usually performed on patients in their 50s to rejuvenate the face, and not the neck

What the difference between a facelift and a neck lift?

A standalone neck lift procedure rejuvenates the neck by removal of the fat deposits above the platysma muscle with open liposuction, and surgical removal of the fat deposits underneath the neck muscle which is also considered a deep neck lift. A corset platysma-plasty is also performed to significantly improve the new jawline. No skin removal is required, since this procedure is usually performed for patients less than 50 years of age. When there is significant laxity and inelastic skin in the neck, a lower facelift and neck lift combination is going to be required. In addition to the neck lift, the SMAS is tightened in the cheek as part of a lower face and neck lift which also includes lifting the jowls. This offers a comprehensive facial rejuvenation on patients over 50 years of age who have poor skin tone in the face and neck in addition to jowls and significant fat deposits in the neck

What is a non-surgical facelift, or a liquid facelift?

Some patients wish to not undergo a surgical procedure, so fillers can be placed along the jawline which gives a small amount of temporary improvement to the jawline. The amount of filler required is pretty significant, and becomes cost prohibitive in the long run. None of the fillers need to be reversed before undergoing A permanent surgical facelift procedure

How should I prepare for a consultation for a facelift?

It’s very important to make sure that patients are in excellent medical health, and any significant medical condition requires clearance from their primary care physician before undergoing a cosmetic facelift procedure under general anesthesia. It’s also important to study your prospective surgeon’s facelift photo Gallery and study the after photos to make sure they look very natural. The postoperative results should have the women with their hair pulled up above their ears, so that you can study placement of the incisions. Your prospective facelift surgeon should have demonstrated lots of excellent results. It is also important to ask about any risks, complications, and expectations regarding the facelift procedure by your surgeon. Some surgeons perform in-person consultations, while other surgeons are doing them virtually on Zoom calls or on Facetime calls, especially when patients are from out of town.

What steps could a facelift entail?

The first step for a facelift procedure is to make sure you’re in excellent health and with a BMI of less than 32 before embarking on an elective surgical procedure such as a cosmetic facelift. At your preoperative appointment, it’s important to review all medications, allergies to medications, and past medical history. Next will be important not to take any blood thinners for two weeks before and after the surgery. It’s also important to have a caretaker lined up to be responsible for the patient for the first two days after the surgery. Patients flying in from out of state are required to spend at least a week close to the office. On the day of the surgery, patients again meet the surgeon, administrative staff, and the nursing personnel, and the anesthesiologist. A preoperative consultation is done over the phone by one of our nurses three weeks prior to the surgery.

What is the recovery like for a facelift?

The surgery itself takes approximately two and a half hours under general anesthesia performed in our Medicare Certified outpatient surgery Center located on First Hill in Seattle Washington. Board certified physician anesthesiologists place patients to sleep under general anesthesia. Patients are discharged from the surgery center with their responsible caretaker to help with the two Jackson Pratt drains that are placed underneath the skin to evacuate blood out from underneath the skin itself. There are no painful mummy wraps or bandages used. The drains usually stay in for approximately 2 days after the surgery. Several Postoperative visits occur within the first 10 days after the surgery which also includes removal of the drains and sutures themselves. Anticipate two weeks of visible bruising and swelling. Full healing is usually 4 to 6 months after the surgery when the incisions themselves have matured, and are minimally detectable

What is the cost of a facelift?

The cost of a facelift is determined by many different factors, which include surgeon’s fee for performing the procedure, the anesthesiologist fee for placing the patient under general anesthesia for 2 ½ hours, and the facility fee itself otherwise known as the operating room charges. The fees vary by geographic location and by experience of the surgeon.

Face/Neck Lift:
$15,300 – $16,300 (Surgeon & Operating Room) + $1,862 (Anesthesia)

What are the risks of having a facelift procedure?

An experienced surgeon can reduce the risks during the facelift procedure, so choose your surgeon wisely based on extensive experience. A Hematoma is a puddling the blood that accumulates underneath the skin and can happen in the first 48 hours after the procedure. It will need to be evacuated and removed. Seroma formation can occur within the first 10 days of procedure and user requires repeated aspirations. Patients do experience some numbness around ears, earlobes, and in the neck. This almost always completely resolves over the first few months after the procedure and is rarely ever permanent. A temporary paralysis of the lower lip can sometimes occur with the deep neck lift procedure, but in our practice for over 30 years they have always resolved at six to eight weeks. Infection is very rare and we do place patients on antibiotics to prevent infection

Details about a Face Lift

We do not use any pressure wraps or bandages; however he does use small drains which are removed within one to two days after the day of surgery. Using drains removes blood from underneath the skin and allows for faster healing and recovery. Sutures will also be removed in the first few days after the procedure. Patients will have post op appointments 2-3 times in the first 10 days after the procedure, and at one month, 3 months and 6 months.

Facelift FAQ’s

What is a facelift?
A facelift is a surgical procedure that aims to address signs of aging in the face, such as sagging skin, wrinkles, and jowls. It involves lifting and tightening the facial tissues to create a more youthful appearance.

How long does a facelift surgery take?
The duration of a facelift surgery can vary depending on the specific case and the techniques used. On average, the procedure can take anywhere from 2 to 5 hours.

What is the recovery time for a facelift?
The recovery period for a facelift typically lasts around 2 weeks. During this time, swelling and bruising may occur, but they gradually subside. It’s important to follow your surgeon’s post-operative instructions for a smooth recovery.

Are there any risks or complications associated with facelift surgery?
Like any surgical procedure, facelift surgery carries some risks and potential complications. These can include infection, scarring, bleeding, anesthesia-related issues, and temporary numbness. However, with an experienced surgeon and proper post-operative care, these risks can be minimized.

How long do the results of a facelift last?
The results of a facelift are long-lasting but not permanent. While the aging process continues, the procedure can turn back the clock by several years. Maintaining a healthy lifestyle, skincare routine, and considering non-surgical treatments can help prolong the results.

How much does a facelift surgery cost?
The cost of a facelift surgery can vary depending on factors such as the surgeon’s fees, facility expenses, anesthesia costs, and geographic location. It’s best to consult with a surgeon who can provide you with an accurate estimate based on your specific needs.

Will health insurance cover the cost of a facelift?
In most cases, health insurance does not cover the cost of facelift surgery. This is because it is typically considered an elective cosmetic procedure. However, it’s always worth checking with your insurance provider to understand any potential coverage limitations.

For facelift surgery in Portland Oregon, contact a top face lift surgeon at The Portland Center for Facial Plastic Surgery today at (503) 899-0006. Seeing patients from Multnomah County and Washington County Oregon. Other related procedures include rhinoplasty and eyelid surgery.

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