Surgery Plastic Surgery Facial Procedures Facelift Before and After Photos By Blyss Splane Blyss Splane LinkedIn Blyss Splane is a certified operating room nurse working as a freelance content writer and former travel nurse. In 2020, Nurse Splane Writes, LLC, was created and Blyss continues to work as an OR nurse while writing articles for healthcare blogs as a freelance writer. Learn about our editorial process Updated on August 22, 2022 Medically reviewed by William Truswell, MD Medically reviewed by William Truswell, MD Facebook LinkedIn William Truswell, MD, is a board-certified facial plastic surgeon and otolaryngology (head and neck) surgeon. He is president of the American Board of Facial Plastic and Reconstructive Surgery and treats skin cancer patients as part of his practice. Learn about our Medical Expert Board Print Today, many surgical and non-surgical techniques are used for facial rejuvenation, some of which are less invasive and require no more than a trip to your healthcare provider's office. As plastic surgery advances, procedures that were once innovative are quickly becoming outdated. This highlights the need to keep on top of current techniques, particularly regarding facelift surgery. If opting for a surgical facelift, it is essential to understand some of the more traditional techniques used by surgeons and possible results in appearance. Choosing the Right Facelift Facelift surgery is individualized to a person's needs. Therefore, when starting, it's always a good idea to schedule consultations with multiple surgeons and ask as many questions as needed to determine if the recommendations suit you. It is equally important to have a clear idea of the costs you are willing to bear and the amount of time recovery takes. If the healthcare provider understands these constraints, they can usually work with you to find a solution that fits your budget without skimping on the results. In some cases, newer, non-surgical techniques can be used in tandem with surgical ones. Managing Expectations When exploring cosmetic surgery, always take your time, keep an open mind, and do your homework. These three things will help keep you on track and avoid disappointment. SMAS Facelift Plastic Surgery Arts of New Jersey This 46-year-old woman sought plastic surgery for facial rejuvenation, stating that she wanted a "fuller" look to her face. This required the combination of a facelift, endoscopic eyebrow lift, upper and lower eyelid lift (blepharoplasty), and fat injections to the upper lip and nasolabial folds. Facelift surgery of this sort requires an in-depth understanding of the face's sub-muscular aponeurotic system (SMAS). These facial expression muscles are covered in their envelope of connective tissue and lie beneath the immediate sub-dermis. Surgically elevating the SMAS helps to reposition the tissues to achieve a more youthful point, lifting and tightening the jowls, neck, and cheeks. This produces a more natural and long-lasting result than a "skin-only" facelift, a procedure considered archaic by most plastic surgeons. How an SMAS Facelift Is Different Full Face Rejuvenation Plastic Surgery Arts of New Jersey This 54-year-old woman similarly sought plastic surgery for facial rejuvenation. The procedures used included a facelift, endoscopic brow lift, blepharoplasty, and submental (under the chin) liposuction. When searching for a surgeon qualified to perform these procedures, never hesitate to ask about their training, experience, and credentials (including how many times they may have performed a particular technique). You can confirm board certification by contacting the American Board of Plastic Surgery and the American Board of Facial Plastic and Reconstructive Surgery. Facelift with Liposuction and Fat Transfer Plastic Surgery Arts of New Jersey This 52-year-old woman underwent a combination of procedures, including a facelift, endoscopic brow lift, blepharoplasty, submental liposuction, and fat transfer to the area around the mouth. To achieve the best results and minimize scarring after surgery, follow your surgeon's care instructions and limit physical activity as much as possible for the first several weeks. Moreover, avoid sun exposure during the healing process and apply extra sunscreen if you must be outdoors. Facelift and Neck Lift Plastic Surgery Arts of New Jersey This 59-year-old woman sought plastic surgery to achieve an all-around "freshening" of her features. The procedures included a lower and mid-face lift, endoscopic brow lift, blepharoplasty, and neck lift. Note the dramatic improvement in the drooping jowls and hooding of the eyelids. This is something you cannot achieve with a facelift alone. For this, you would need a brow lift and an upper and lower blepharoplasty, sometimes enhanced with Botox injections. Deep Plane Facelift Jacob Steiger, MD This woman received a deep plane facelift, which is similar to a traditional facelift but takes the extra step of repositioning the person's cheek fat to a more youthful height. A traditional facelift mainly addresses the neck and jawline areas. However, the deep plane technique also lifts the mid-face area to retain the face's natural balance. If you're not ready to undergo elective surgery, explore non-surgical options such as injectable fillers, laser resurfacing, and non-surgical skin tightening using laser, infrared, or ultrasound technologies. Deep Plane Facelift With Dermabrasion Jacob Steiger, MD This woman received a deep plane facelift and dermabrasion around the mouth. Dermabrasion changes the appearance of the skin by injuring it in a controlled manner, often to treat scarring or older, sun-damaged skin. Only dermatologists or plastic surgeons can perform dermabrasion. What Is Microdermabrasion? Facelift With Lip Augmentation Kirk Brandow, MD The woman received a facelift, neck lift, and fat transfer lip augmentation with injections of the individual's fat. Lip augmentation is a relatively simple procedure to define and volumize the lips. While extracted body fat can be used for this, healthcare providers commonly use fillers today, including Restylane, a hyaluronic acid-based filler. The procedure can be performed in the healthcare provider's office when fillers are used. It is most commonly injected into the upper and lower lips to ensure a more balanced look. 3D Facelift Jacob Steiger, MD This woman received what some surgeons call a 3D facelift. It differs from traditional facelifts in that the deep facial muscle is elevated in a straight vertical direction to treat the jowls and neck. Moreover, the person's fat is used to re-contour the cheeks and areas around the eyes. The vertical lift method is said to give longer-lasting, more natural results and with less extensive incisions. In addition, the woman underwent upper and lower blepharoplasty to tighten the lower lid and create a more "awakened" appearance in the eyes. Platysmaplasty Kirk Brandow, MD This woman received a lower facelift, lip augmentation, and a neck lift with neck muscle tightening called platysmaplasty. Platysmaplasty is a procedure that involves the surgical reconstruction of neck muscles (the platysma). Two separate sides of the platysma connect in the center of the neck. The tissues that connect the sides weaken and lose their elasticity as we age, creating the characteristic "turkey wattle." Platysmaplasty re-attaches the sides and reconstructs the internal muscles to tighten the chin and neck areas. What to Know Before You Have Platysmaplasty Surgery Summary There are a variety of cosmetic surgery options that can be used to rejuvenate the appearance of the face and neck. The procedures and injections used in cosmetic improvements are constantly changing and improving techniques. These before and after photos are only a sample of the possibilities for cosmetic facial enhancements. A Word From Verywell A facelift or neck lift can dramatically improve the appearance of the face, giving a more youthful look. However, it's important to thoroughly research the surgeon or dermatologist before pursuing any procedures. Be sure to ask questions ahead of time to appropriately manage your expectations of the results following the procedure or injections. Frequently Asked Questions What is a facelift? A facelift, or rhytidectomy, is a surgical procedure meant to reduce signs of aging in the face or neck. After someone receiving a facelift is administered anesthesia, the surgeon will make precise incisions, tighten underlying tissues, and remove excess fat to achieve the desired results. Facelifts are a very common cosmetic surgery. Every year, more than 130,000 people in the U.S. receive one. Learn More: Traditional Face Lift Step-by-Step Are there different types of facelift? Yes, there are different types of facelift surgery. The following are just a few examples.Traditional facelift: Facial muscles and any supporting structures are tightened, and excess fat and skin are removed from the jowls, neck, and face.SMAS facelift: Superficial musculoaponeurotic system (SMAS) facelifts lift the lower two-thirds of the face and the neck. The platysma muscles are part of the SMAS, and a platysmaplasty is often done as part of the operation.Cutaneous (skin) facelift: This procedure exclusively focuses on removing excess skin, usually in the neck and face.Mid-facelift: In this version, fat in the cheek is repositioned, and the skin is tightened. What is a neck lift? A neck lift, or platysmaplasty, is a procedure that removes excess skin and fat from a person's neck. It can be done on its own or in conjunction with other cosmetic surgery procedures, such as a facelift. Is 60 too old for a facelift? No. By itself, an older person's age shouldn't restrict them from having a facelift. That said, the procedure does have risks that should be discussed with your plastic surgeon before moving forward with the surgery. These risks can include bleeding, scarring, persistent pain, infection, facial nerve injury, and more. How long does face lifting last? In general, it's expected that a facelift will last about 10 years because as the person continues to age, skin will start to droop again. 5 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. American Society of Plastic Surgeons. Dermabrasion. Narasimhan K, Ramanadham S, O’Reilly E, Rohrich RJ. Secondary neck lift and the importance of midline platysmaplasty: review of 101 cases. Plast Reconstr Surg. 2016;137(4):667e-675e. doi:10.1097/PRS.0000000000002003 American Board of Cosmetic Surgery. Facelift guide. Johns Hopkins Medicine. Neck lift. American Society of Plastic Surgeons. What are the risks of facelift surgery? By Blyss Splane Blyss Splane is a certified operating room nurse working as a freelance content writer and former travel nurse. She works as a freelance content writer for healthcare blogs when she's not spending time with her husband and dog. Originally written by Natalie Kita See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit