What is a Facelift?
A facelift is a surgical procedure intended to improve the visible signs of aging in your most noticeable features—the face and neck. In general, a facelift targets the lower two-thirds of the face, and the brow lift is used for the upper one-third. The main reason for a facelift is to resculpt the underlying tissue of the skin, allowing our surgeons here at Boulder Plastic Surgery to redrape the skin while removing any excess tissue. A facelift is a popular cosmetic surgery because it’s customized to your particular features. Our doctors work with each patient individually to determine which aspects of the face need to be transformed for optimal results.
About the Procedure
The facelift has evolved over the past 5-10 years, and Boulder Plastic Surgery takes extensive steps to ensure each facelift procedure produces long-lasting results. While each facelift case is slightly different from the next, the following details will give you a good idea of what to expect from yours.
- Length: 4 hours
- Anesthesia: General anesthesia, usually outpatient. Some patients may require short inpatient stay.
- Side Effects: Temporary bruising, swelling, numbness, tenderness, tightness, and dryness of skin. For men with facial hair, they may need to shave behind the ears, where skin with facial hair is repositioned.
- Recovery: Patients may go back to work after 10-14 days, and the appearance of skin may heal in the first 2-4 weeks. Subtle improvement in the skin’s appearance can be seen in the first 6 months.
- Exercise: A patient may resume low-intensity exercise in 3 weeks and moderate-intensity activity around 6 weeks. Patients may start full-intensity exercise closer to 8 weeks.
- Fading & Scar Improvement: 6-12 months.
- Swelling: Moderate swelling within the first 4 weeks. Mild swelling 2-3 months after the facelift. However, swelling depends on the extent of the facelift procedure.
- Duration of Results: Usually 5 -10 years.
- Office Visits: The first office visit 24 hours after the procedure. The second visit should be within five days of the procedure. In total, there should be 7-10 appointments in the first 3 months, and then six months to yearly.
- Garment Worn: Wear a neck strap for 4 -6 weeks.
- Pain Meds: Take ibuprofen or sedatives as directed.
First Consultation: Developing Expectations For a Natural Facelift
Here at Boulder Plastic Surgery, our surgeons strive to find the best procedure for each patient. To help a patient decide on a facelift procedure, there are certain things the surgeon and patient need to do during the consultation, including:
- Review of medical history (including hereditary health issues and hormonal changes).
- Discuss patient’s desires regarding facial rejuvenation.
- Examine the patient’s general health.
- Note the condition of the skin (number and types of wrinkles).
- Study the face’s bone structure.
- Discuss surgical plan and anticipated outcome.
- Take preoperative photographs (once a patient decides upon a facelift) to assist with planning and executing the facelift procedure.
- Discuss surgical fees and payment options.
We want to establish trust with our patients, which is why we will always be honest with our opinions regarding a certain procedure. If we believe you will benefit more from another procedure, we won’t hesitate to let you now. In terms of achieving a successful facelift, a patient with a healthy body and mindset can improve his or her facelift results.
In a consultation, you are encouraged to express all of your concerns and questions. To proceed with a facelift procedure, you need to be certain this is what you want. Our surgeons want to ensure they understand your specific needs regarding cosmetic surgery.
Preparing For Your Facelift
To provide a problem-free and predictable recovery, Boulder Plastic Surgery takes the appropriate steps to prepare patients for cosmetic procedures. Here is how we prepare patients for facelift surgery:
- Make arrangements to schedule surgery
- Provide specific instructions to confirm a patient’s surgery time and facility, as well as anesthesia schedule
- Ensure patient is following a proper diet and exercise plan
- Schedule timely medical evaluations to check on patient’s general health and wellness (this is necessary for faster recovery)
- Run routine blood counts, blood chemistries, electrocardiogram (if the patient is over the age of 50), and pregnancy test (if applicable)
- Use preventative medicine as needed, also providing vitamin and herbal supplements a week or two ahead of time to boost the body’s immune system and detox the system of anything that could interfere with anesthesia or prescribed medications.
Boulder Plastic Surgery focuses on a holistic approach to maintaining good health and wellness for positive surgery outcomes. For a safe procedure, patients must disclose all medications and supplements they are taking.
Before surgery, do not do the following:
- Smoke
- Take any aspirin or drug containing aspirin at least two weeks prior to surgery – it can interfere with blood clotting mechanisms
- Eat or drink anything 8 hours prior to surgery – safety in the administration of anesthesia or sedation requires that your stomach be absolutely empty for this interval of time before surgery
Before the facelift procedure, we recommend patients shower or bathe the night before and wear loose fitting, comfortable clothing the day of surgery. Also, you should arrange for someone to drive you home at the appropriate time following the facelift procedure.
During Your Facelift Surgery
We will mark your surgical site(s), depending on the approach, to use as guidelines during your surgery. Boulder Plastic Surgery customizes each facelift surgery to accommodate a patient’s specific needs, because facial structures and severity of sagging skin and wrinkles differ. We prefer to make shorter incisions and alter specific anatomic areas to produce a natural-looking fresh, bright, and smoother appearance.
Surgical time usually ranges from 3-4 hours, depending on the technique chosen. In terms of the actual facelift procedure, there is a set of operational steps, such as:
- Create incisions at the hairline (near the temple), a crease in front of the ears, around the earlobe, behind the ear, and then extend into the hairline behind the ear.
- Elevate the skin from the underlying tissues of the face and neck.
- Tighten, reposition, and sculpt tissue to give better definition to the jaw line and neck. The surgeon will make sure less tissue weight and tension is redistributed to the skin, so this lessens the chance of skin loosening at a faster rate.
- Remove excess skin.
Once the procedure is completed, you will be transferred to the designated recovery area until anesthesia wears off. Once you are in a comfortable state, the surgeon will examine the results and then let you rest in the recovery room for a few hours.
Note: Patients are prescribed pain medication and antibiotics to alleviate discomfort and reduce the risk of infection—instructions will be given for each.
Facelift Recovery
In the days and early weeks after the facelift, areas of your skin, specifically behind the ears and the neck, may feel tight. Post-procedure swelling causes this tightness, as well as tension in the tissue, which is intended to help you achieve a younger appearance. Once the swelling goes down, your facial muscles will be able to move more freely.
Besides a tight feeling, numbness will reside in other areas of the skin, lasting for a matter of weeks to months—and a tingling sensation may follow. Numerous areas of the face and neck might also feel lumpy or like they retained fluid, which is normal and will resolve in the first 4-6 weeks.
The sutures beneath the skin won’t require removal but will reabsorb in a matter of weeks or months, unlike the outer sutures that will be removed at different intervals.
Since results aren’t seen right away, many patients tend to feel self-conscious of their faces. This feeling is quite normal, and we encourage you to express your concerns so we can provide the appropriate answers. Results will take time but can been seen in the following months after a facelift procedure.
Facelift Risks, Limitations, & Possible Limitations
With any surgical procedure, a very small percentage of complications can occur. Many of these effects are very rare, but it’s important to be informed of all risks before a procedure no matter how unlikely.
- Minimal pain: Prescription pain medication can be provided to alleviate any discomfort.
- A feeling of tightness: This is usually in the area behind the ears – this is the area where the skin tension is distributed to correct laxity and improve the facial wrinkles.
- Slightly red scars: The surgical scars usually heal and fade around 6 to 12 weeks. Try to avoid too much sun exposure.
- Significant bleeding: This can occur postoperatively in 2-5% of patients and is recognized by a significant increase of swelling in a single isolated area or the side of the face. Swelling is usually accompanied by an increase in bruising in the same area, as well as increased pain. Please contact our office immediately if these problems arise.
- Facial muscle weakness: When more extensive procedures are required to achieve the desired facelift results, branches of the facial nerve, which control movement of facial muscles, may be bruised or injured. In the vast majority of cases, facial muscles weakness is temporary. The possibility of permanent damage with permanent weakness exists, but is extremely rare.
- Delayed healing or partial loss of skin: If areas of circulation to the skin are compromised, delayed healing or partial loss of skin may occur. This issue is usually apparent by the appearance of crusting or blistering on the skin’s surface. Most cases are easily treated with wound care, and if larger areas of skin are affected, we may recommend additional procedures.
- Non–symmetry: To correct excessive wrinkling and sagging with a facelift, our surgeons will resculpt and remove excess skin exactly to the same degree on both sides, but the operation does not achieve perfect symmetry, which is also not present preoperatively either.
- Infection: It is rare, but infection can occur. Infection is easily treatable with antibiotics, which are prescribed beforehand, or the surgeon can drain the localized area of infection.
- Reaction to drugs administered during surgery: Severe side effects are extremely rare, but can be life threatening. It is for this reason that our staff performs your surgery in the best medical setting where all conceivable equipment and medical backup are available in case of a severe reaction.
Estimated Facelift Cost
The average estimate for a facelift is $11,000 – $12,500, which includes the surgeon, operating room, and anesthesia. This price can fluctuate depending on the extent of surgery for the particular case. In some cases, a facelift will be combined with related procedures. For example, if excess fat is present beneath the chin, a separate procedure for removal (submental lipectomy) may be necessary for optimal correction.
To get specific details and pricing for a facelift procedure, contact us at Boulder Plastic Surgery by calling (303) 443-2277 or stop by our office at 2525 4th Street in Boulder, CO. Our staff will set you up with a consultation so you can ask our doctors all of the questions you have in person.
Testimonials
- “Thank you for my perfect reflection, for being you and taking such good care of me.” — MW
- “Thank you for all that you have done for me. I admire you work ethic and how much your practice has grown. You are a credit to your profession, and a man with tremendous charisma! I feel very lucky to have you as a surgeon.” — DM
Thanks to Dr Rouch and BPS for such a great surgery experience
by Joan Heron
Category: reviewsI am very glad that I had my procedure done at Boulder Plastic Surgery. I am also very glad that Dr Rouch was my surgeon. He is naturally warm and personable. It is obvious that he really loves his work. When I made an appointment to ask about a surgical procedure that I felt uncertain about, he immediately began a relaxed conversation with me about what he was seeing and what my options might be. He was so at ease that I began to feel at ease and I made my decision. Having surgery at Boulder Plastic Surgery was a high- quality experience. Everyone who was part of my care was responsive and supportive, giving me the information that I needed to make a good recovery. My thanks to everyone involved. Special thanks to Lana for helping me with wound care. It made all the difference. I felt very taken care of by Dr Rouch who was responsive and supportive from start to finish. I really appreciate his skills, his kind demeanor and his thoughtful reassurances. He is a great surgeon. After my surgery, a close friend said, "You look like yourself, but better." I am very happy with my experiences at BPS.
The Best Aesthetician, Heather!
by Carol Semple
Category: reviewsI have been going to IV Seasons Skin Care for over 20 years. From the beginning I have always received top notch skin care and friendly, professional treatments from everyone! For the last 9 years I have been seeing Heather. Heather brings the art of skin care to a whole new level. Her expertise in designing exactly what is right for your skin is beyond compare. She listens to your needs and treats your skin with the utmost professionalism. I trust her advice and the procedures and products she recommends. On top of that, she is super friendly and a joy to work with. If you're looking for the best aesthetician around, I'd highly recomment Heather! Everyone thinks I look 10 years younger than my actual age. Thank you Heather and thank you IV Seasons Skin Care!
Love Love Heather
by Valerie
Category: reviewsI have been seeing Heather for over three years and have been going to the Clinic for over six years. Heather is the ultimate professional. She listens to any concerns I may have and makes recommendations to help me achieve the best skin results. We have a great time together and I love seeing her. The products made especially for the clinic are fantastic and they are always happy to provide trial samples to make sure you are pleased with them. Thank you Heather and look forward to seeing you next month!
8 years of positive and high impact treatments with Heather
by Kimberly
Category: reviewsHeather’s treatments have transformed my skin and appearance. 8 years ago having never done professional skin care, I went in for a free initial consult with Heather. She gradually introduced me to quality skin care and treatments. She takes your lifestyle and goals and develops a high impact, personalized plan for you. No cookie cutter recommendations or high pressure. Genuinely, Heather cares about my personal progress and helps me reach my goals. My skin immediately transformed. And I am still keeping up the facials and peels. My before and after is amazing! Thanks Heather! Finally, I should mention that over the years, she has done many extractions and teen facials for my teens and now continues caring for their skin in their 20’s. Heather cares about her clients and I feel very lucky to have found a rock star skin care expert!
Say Yes to Dr. Maxhimer!
by Linda Connelly
Category: reviewsThere are so many amazing things that I want to convey that I am afraid I won't do this review justice. Dr. Maxhimer and Claudia are a dream team. They are so good at tag-teaming and keeping each other up to date on patient needs and progress that it boosted my confidence in my results during each weekly visit. I had quite a bit of work done - abdominoplasty, blepharoplasty, breast lift and augmentation. Claudia's ability to understand where I was at and what I was feeling at each stage of recovery was so helpful. She was ready with whatever I needed, anticipated each question, but let me ask it anyway, and helped me transition from post-op to healed with such ease that honestly, I was sad at the thought of not having our weekly chats anymore. She is a gem! I have had a substantial number of surgeries in my lifetime - all non-elective, so while I was not scared of surgery, I was very nervous for the outcome. I should never have been concerned. Dr. Maxhimer is smart and super down to earth. He has a sense of humor, he treats you like you are his friend, and he cheers right along with you as you start to see the results during recovery. He is encouraging by nature, so easy to talk to, and I needed that when contemplating massive overhaul at 52! I am now at week 7 post-op and feel amazing. I am so impressed with their servant hearts, their incredible skills and the results that I would not hesitate to recommend Dr. Maxhimer to anyone looking for a surgeon. If I could have a pre-op call with any prospective patient, I would say this: Say YES to yourself. Say yes to Dr. Maxhimer and let he and Claudia take you under their wing for a few weeks of your life. You will not regret it.
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