PORTSMOUTH PLASTIC SURGERY & MEDSPA

Facelift

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Every face—like every individual—is unique. That’s why there’s no “one size fits all” approach to facelift surgery. The aging process affects each of us differently, creating the need for personalized surgical rejuvenation.

Board-certified plastic surgeon Dr. Anthony Wilson, therefore, takes a comprehensive approach to each facelift he performs: Through combining surgical and nonsurgical techniques, he can create subtle, graceful results that work in harmony to enhance your distinctive features.

What is a Facelift?

In the past, facelift surgery involved the tightening of loose facial skin. The patient’s skin was pulled firm over the underlying bones, then excess skin was carefully removed. While this process effectively eliminated wrinkles, jowls, and other signs of aging, it tended to produce a “windswept” look. The results of past techniques in facelift surgery were also relatively short-lived and needed to be repeated every five to seven years.

Over the last decade, the surgical approaches to a facelift have improved tremendously. Modern facelift methods correct the signs of aging where they start, in the superficial muscular aponeurotic system (SMAS). Adjusting the muscles that support the face can raise and refine a patient’s features without distorting them. This technique also produces very long-lasting results with most patients enjoying the results of their SMAS facelift for ten to fifteen years.

PATIENT TESTIMONIALS

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Cathleen O.

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I was referred to Dr. Wilson for a lower facelift. The combination of skincare and a lift is not only what I needed, but is truly far better than I expected. I will absolutely and happily continue to work with these skilled, experienced and kind professionals going forward. Highest recommendation.

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Brandi A.

Star
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They never make you feel like an inconvenience for reaching out and encourage questions. I’ve received a lot of great advice and tips at each post op appointment. The office is calm, inviting and clean. I would recommend this practice over and over again.

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Melissa T.

Star
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Dr. Wilson's attention to detail and commitment to excellence are evident in every aspect of his work. I HIGHLY recommend him! His nurses and staff are very attentive, responsive, and genuinely caring, making the recovery process smooth and stress-free. I'd give more than 5 stars if Google reviews let me.

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Who is a Good Candidate for a Facelift?

Candidates for a facelift must be in good overall health and be current nonsmokers. The surgical procedure is also best suited to patients who have at least some skin laxity and have realistic expectations. Patients under 40 who have very minimal skin laxity might wish to consider a “liquid facelift” instead.

During a liquid facelift, completely noninvasive injectable treatments are used to subtly lift the soft tissues and minimize the appearance of creases.

The Facelift Procedure

One of the primary advantages of modern facelift surgery is its flexibility. It can be completely tailored to each patient. Patients can choose to have full facial rejuvenation or even a “mini” facelift for moderate aging. We offer two different types of this cosmetic surgical procedure.

SMAS Facelift

During the traditional facelift surgery, incisions are made along the patient’s hairline and around his or her ears. (Placing incisions in these areas creates little visible scarring as scars are hidden by the patient’s hair and ear folds.) Dr. Wilson then repositions the patient’s deeper tissues, simultaneously raising facial fat pads and the connective tissues that support the skin.

Once these supportive tissues are fastened in place with self-dissolving sutures, Dr. Wilson carefully drapes the skin over the patient’s face, creating a naturally smooth appearance. Excess skin is removed, but the skin is not pulled artificially tight at any time during this process. This ensures it will remain supple and elastic after surgery.

Full Face Rejuvenation

Dr. Wilson can combine standard SMAS lift techniques with a neck lift and/or eyelid surgery (blepharoplasty) for a full face rejuvenation This is generally recommended for mature patients who exhibit a higher degree of skin laxity. Lifting the skin on the neck and contouring the eyelids creates much more transformative results for these patients than a facelift alone.

Facial fat grafting is also frequently performed for patients interested in full facial rejuvenation. To perform facial fat grafting, Dr. Wilson uses liposuction to harvest a small amount of fat from the patient’s body. This fat is then processed in a centrifuge and injected into precise locations of the face, where it fills in hollows around the eyes and cheekbones. This will give you a fuller, more youthful appearance.

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BOARD-CERTIFIED PLASTIC SURGEON

DR. ANTHONY WILSON

When you are seeking a qualified and talented plastic surgeon, look no further than board-certified Dr. Anthony Wilson with AW Plastic Surgery. Dr. Wilson has a passion for both aesthetic and reconstructive surgery of the face and the body. He takes deep satisfaction in giving his patients the tools they need to feel confident, whole, and beautiful, no matter where they are in their aesthetic journey.

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Enhanced Recovery for Complementary Nonsurgical Procedures

Patients who elect to have mini facelift surgery, or a standard SMAS lift without facial fat grafting, may benefit from injectable treatments like Botox®, Dysport®, and Restylane® as well. Neuromodulators like Botox® can smooth the patient’s forehead and orbital region, erasing crow’s feet and frown lines. Dermal fillers, on the other hand, can be used in place of facial fat transfer to fill in deep lines and hollows.

Though this cosmetic surgery effectively addresses the structural aspects of facial aging, it does not correct the superficial signs of aging, such as discoloration or variations in skin texture. For this, you will need to consider other aesthetic treatments. Dr. Wilson frequently recommends laser therapy or dermal peels for the treatment of age spots, fine lines, and areas of dull or rough skin on the face.

Recovery

Recovery time varies depending on the type of facelift you have. Patients who have a standard facelift generally need to rest in bed for three to five days after their surgery. Then they can resume light activity. Most patients choose to take at least two weeks off of work because symptoms of swelling and bruising can last for up to 14 days.

Patients who have mini facelift surgery usually only need to rest in bed for 24 to 48 hours, and they can return to work within seven to ten days.

All forms of facelift surgery take a while to fully “settle.” The facial support and skin gradually adjust to their new position over a period of six months to a year. Patients can therefore expect their initial results to improve further over time.

FREQUENTLY ASKED QUESTIONS

Does a facelift make you look younger?

A facelift corrects jowling and neck laxity generally improving the overall appearance of a patient from the aging perspective.

How can I tighten loose skin on my face?

The most effect way is through laser treatments or deep chemical peels. You should not rely on a facelift for tightening. A facelift is used to improve the overall structure of ones face.

How do I get rid of my double chins?

Depends on the degree of the double chin related to fat, skin and muscle. Some can complete just liposuction and some need a more aggressive procedure such as a necklift.

How do I prepare for a facelift?

You can prepare for a facelift by adequate nutrition, assuring no high energy treatments (radiofrequency or ultrasound) 6 months prior to surgery and no smoking.

How do I reduce swelling in my face?

You can reduce swelling by avoiding fillers.

How do I tighten my jawline?

You can approve the appearance pf the jawline, by reducing the fat around the jawline and tightening the skin. This is most achieved by a facelift/neck lift in extremes cases, liposuction is moderate cases and radio frequency in minor cases.

How do you reduce swelling after a facelift?

The most effective way to reduce swelling after a facelift is to avoid salty foods, keep your head elevated and keeping blood pressure to a minimum.

How do you take care of your face after a facelift?

We highly recommend lymphatic massage with a professional following a facelift.

How long after a facelift can I exercise?

We recommend a two week downtime and after the two weeks, light exercise such as walking.

How long do ears hurt after facelift?

Ear pain can vary following a facelift but in general patients complain for 48 hours to 1 week post facelift and slight numbness for about 3 months.

How long does facelift last?

Facelifts have different durations but they typically last around 10 years. After 10 years, patients may need a secondary facelift.

How long does fat transfer face last?

Fat transfer to the face is a permanent change that can fluctuate with weight gain and weight loss.

How long does it take for bruising on the face to go away?

Bruising can vary depending on skin tone. Fair skin patients can be bruised for about 2-3 weeks where darker skin can be anywhere from 1-2 weeks.

How long is recovery from a facelift?

Recovery from a facelift is around 2 weeks.

How many times can you get a facelift?

A patient should typically have no more than three facelifts in their lifetime due to scar tissue build up and nerve damage.

How much is a face lift and neck lift?

A facelift and/or neck lift is typically between $15k-$25k depending on the degree of the correction.

How much is a facelift?

The average price of a facelift can range between $15k-$25k depending on the degree of the correction.

How painful is a facelift?

Believe it or not, a facelift is not that painful. Patients typically utilize pain medication for the first 24 hours and then are mostly pain free.

Is a facelift permanent?

A facelift is a permanent change but patients still age over time and may need a secondary facelift 10 years later.

What can I expect from a facelift?

You should expect correction of the jowls and improvement of jawline following a facelift. You should NOT expect a change in the lips or lip lines.

What is a facelift called?

The formal name for a facelift is rhytidectomy.

What is a non surgical facelift?

A non-surgical facelift typically refers to the use of fillers in order to volumize the face but can also refer to using radiofrequency to help tighten the skin. In general, these procedures are underwhelming to patients and can be quite costly.

What is best age for facelift?

There is no perfect age for a facelift, however, most patients who pursue this are around the age of 50 or older.

What is the average cost of a full facelift?

A full facelift incorporates a brow lift which can increase the overall cost by around $5k.

What is the difference between a deep plane and SMAS facelift?

A deep plane facelift mobilizes the skin and SMAS together as a composite as where a SMAS facelift moves the deep tissue separately from the skin.

When should you get a facelift?

You should get a facelift when you are bothered by jowls or jawline. There is no specific age where this makes sense, although most patients who pursue this are around the age of 50.

Schedule a Consultation

Are you ready to look years younger than you are? A facelift can be the perfect treatment option to turn back the clock. To start your journey to facial rejuvenation, schedule a consultation today! Call our Portsmouth, NH office, or use our online contact form.

Experience the best of the best in facial rejuvenation with The W Lift—where science meets artistry to create a youthful, radiant, and natural transformation. Schedule your consultation today and discover how this signature procedure can help you look and feel your absolute best.

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