Beverly Hills, CA
Facial Plastic Surgery

Facelift / Necklift

The Mini Facelift, the Micro-Lift, and the Standard Facelift

Facelift surgery is commonly performed to correct sagging along the jaw-line (known as jowls) and neck region (commonly referred to as the turkey-neck). Progressive drooping of our facial skin and muscles causes these deformities. Traditionally a facelift would involve tightening only the skin component of the face and neck. The biggest drawbacks of skin only facelifts are somewhat unnatural appearing results with a “pulled back look”, poor scars, and shortly lived results. More advanced facelift techniques involve repositioning the deeper layer of tissue, known as the SMAS (Superficial Muscular Aponeurotic System), which tightens the muscular layer beneath the skin. The benefits of a SMAS facelift are longer lasting results, a more natural appearance, and minimal scarring. Additionally, when a SMAS layer is used in a facelift, it can be repositioned separately from the skin, allowing us to perform a bidirectional facelift. This serves to correct different deformities, and provides optimal results. Due to the complexity of a SMAS facelift, many surgeons are not comfortable performing this type of procedure, and nor do they have the appropriate training to do so. In addition to his training in plastic surgery, Dr. Kapoor has had an additional year of fellowship training in SMAS facelift surgery by Dr. John Owsley, one of the pioneers of the SMAS facelift. He is one of the few surgeons in Southern California who performs the SMAS Bidirectional facelift.

Considering Facial Rejuvenation in Los Angeles?

Facelifts are often performed in conjunction with eyelid and eyebrow surgery as part of a complete facial rejuvenation procedure. At the initial consultation, we will review several factors including:

  • Patient medical history   
  • Patient goals
  • Patient age
  • Degree of laxity along the jaw and neck
  • Degree of skin excess
  • Depth of nasolabial folds from the nose to the corners of the mouth
  • Presence of platysmal (muscle) bands in the neck
  • Review applicable alternatives such as injectibles or laser treatments

Facelift Surgery: The Procedure

There are three types of facelifts that Dr. Kapoor performs: the mini facelift, the micro-lift, and the standard facelift. All involve deeper layer techniques involving the SMAS layer and bi-directional repositioning of the skin and SMAS layer. The choice of which procedure to perform will depend on patients goals and anatomy. After a consultation with Dr. Kapoor and his staff, we will be able to appropriately recommend a treatment plan.

For patients in their late 30’s to early 40’s, a mini facelift is an appropriate treatment that will address sagging of the cheek and along the jawline. This usually involves a small incision along the front of the ear, through which the cheek and sagging tissue are lifted. This procedure takes approximately 1 and a half hours and is performed under local anesthesia with intravenous sedation or general anesthesia if preferred.

For patients in their 40’s to early 50’s, a micro-lift will correct sagging of the cheek, the jawline and neck. This usually involves a small incision along the front of the ear that into groove behind the ear, through which the cheek, jawline and neck tissues are lifted. A micro-lift provides the same benefits of a full facelift, but with smaller incisions and shorter recovery period. This procedure takes approximately 3 hours and is performed under local anesthesia with intravenous sedation or general anesthesia if preferred.
For patients with significant neck laxity and excess skin, a standard facelift will address all the visible signs of aging, but with a slightly longer incision that extends along the posterior hairline. This procedure takes approximately 3 and a half hours and is performed under local anesthesia with intravenous sedation or general anesthesia if preferred.

Facelift Recovery

Facelift surgery patients usually do not experience significant discomfort following surgery. Pain medication may be used, if required. Patients usually return to work within five or more days of the procedure. For the first few days after surgery, you will be directed to follow post operative instructions which may include, but not be limited to:

  • Keep the head in an elevated position
  • Refrain from activities that put pressure on the head such as bending over and exercise
  • Do not go in the sun, use SPF 15 sunscreen thereafter
  • Follow all other post operative instructions provide to you 

Facelift surgery, like any medical surgery, may result in a complication. While the risk of complications is very low, it is important to report any possible complications to our office and seek treatment. Some complications may be: infection, excessive bleeding, poor scarring, hair loss, elevated hairline, temporary or permanent numbness in select areas, eye irritation, the requirement of revision surgery. Most complications can be medically managed when treated in a timely fashion.
When you come in for an initial consultation, you will have the opportunity to view before and after photographs of facelift patients to compare the type of results you might expect to see. These photos will help set reasonable expectations for your procedure through a highly skilled board certified plastic surgeon that focuses on facelift surgery.

If you would like to work with Dr. Kapoor, contact the practice of Dr. Kapoor today.

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