4-6 hours (depending on extent of surgery)
Usually an overnight stay is required
Temporary swelling, bruising, and some pain
Pain, bleeding, infection, rare damage to nerves, incomplete improvement
1 - 2 weeks back at work
2 - 3 weeks more strenuous activity:
4 - 8 weeks for swelling to completely resolve
DURATION OF RESULTS:
About 10 years
DALLAS FACELIFT, MID-FACELIFT & NECKLIFT SURGERY
A facelift surgically addresses the changes that have occurred during the aging process. There is no single procedure that is performed on all patients, Rather, the technical details are tailored to the specific needs of the patient. This often includes tightening the deeper tissues of the face. This process helps shape the facial fat we have restoring it to a more youthful shape and contour. The skin is redraped over this to yield your result. It is never pulled too tight!
Facelift procedures may be performed simultaneously with brow and/or eyelid surgery. Additionally, Dr. Kenkel may recommend fat grafting to help replace volume loss in your face at the same time.
Dr. Jeffrey Kenkel is a *Board-certified plastic surgeon specializing in cosmetic surgery. He is Vice-Chairman of the Department of Plastic Surgery and Director of the Clinical Center for Cosmetic Laser Treatment at UT Southwestern Medical Center at Dallas.
* Board-certified by the American Board of Plastic Surgery
Am I a good candidate for facial surgery?
At your consultation, Dr. Kenkel will not only evaluate your facial features but perform and detailed medical history review. In general, patients who are in good general health and have realistic expectations are ideal candidates for surgery. Dr. Kenkel will ask you questions about things such as your blood pressure, risk of blood clots, and whether you have a tendency to develop excessive scarring. It is important that you come to your consultation with a list of your medical problems, past surgeries, and your current medications and allergies. We have your safety first and foremost on our mind. If you decide to proceed, Dr. Kenkel may have you see your primary care physician for appropriate medical clearance prior to surgery.
There is no ideal age for a facelift. It should be considered in patients starting to experience what has been described above. This mostly commonly occurs in patients in their forties to sixties but facelifts can successfully be done on people in their seventies and eighties as well.
Our goal is to create a change that doesn’t alter your “ look “ but rather make you feel…younger and fresher. It is essential that you carefully review your expectations and goals and review them with Dr. Kenkel. Dr. Kenkel will be able to provide you with what he realistically can achieve and make sure your goals are met.
What should I expect from my consultation?
After your are examined by Dr. Kenkel, he will review the options you have. He will discuss their potential benefit and any associated risks they may carry. He will help you understand how these options can allow you to achieve your goals. He will review what he feels would be the best approach for you, the recovery involved, and what the risks and benefits are. After your consultation a photographer will take photographs for your medical record and then will meet with Dr. Kenkel's coordinator to discuss the cost of the surgery and scheduling dates.
How is the surgery performed?
Facelifts can be done many ways. In general, they begin just at the top of the ears and follow the contours of the ears, where there are natural transitions to conceal the incisions. They continue down the ear inside the cartilage of the front of the ear (tragus) and around the lobule. Behind the ear they extend along the groove of your ear into your hair behind your ear. A small incision in the neck may be utilized in some cases.
Dr. Kenkel will then separate the skin from the fat and muscle below. Fat will be shaped around the neck and chin to improve the contour. The strength and longevity of the surgery comes from tightening what is called the muscle “fascia”. This structure lies on top of the muscle. Finally, the skin is redraped and trimmed prior to closure. It is important that the skin removed not be overly tight to avoid the “operated on” appearance. Sutures are then used to close the skin.
A small thin drainage tube is placed under the skin, behind you ear to drain any fluid that may accumulate while you are healing initially. The drain will stay in from 1-4 days after your surgery. Dr. Kenkel will wrap your head in a dressing that he will remove the following morning. He prefers that you wear a “chin strap” support on your neck during the first week after your surgery.
What happens the day of your facelift surgery?
Your facelift surgery will be performed in a hospital or our outpatient facility under general anesthesia, given by a board-certified anesthesiologist. Oral medications are administered for your comfort and to lessen the anxiety if need be. We require you to stay overnight in the hospital or our hotel facility. The surgery generally takes 3-6 hours to complete depending on the specific nature of your procedure. We prefer you to have someone spend the night with you the first several days, including your night in our hotel. The "Patient Care" link provided will give you instructions to prepare for surgery, including guidelines on eating, drinking and smoking. If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery.
What is the recovery like?
Pain is very subjective and patient specific. That being said, you will likely require some pain medicine in the early part of your recovery. Most patients have stopped their pain medicine by the end of the first week. You will experience some numbness in the cheek and neck area after your surgery. You will be required to sleep with your head elevated. We prefer to keep you head and neck straight and not flexed to avoid bunching of your skin.
You should be up and about on the first day of surgery, but plan on taking it easy for the first week after surgery. Be especially gentle with your face and hair since your skin will be both tender and numb and may not respond normally at first. At the beginning, your face may look and feel strange. You face may have swelling that is not uniform or even. Your movements will be stiff and will make you a bit self-conscious about your appearance around others.. You may experience some bruising that could persist for a few weeks. Surgery often makes you intermittently tired. Taking a nap during the day is common and not a concern. Many patients experience disappointment and/or depression after surgery. Reassurance and gradual improvement leads to more excitement and anticipation. By the third week you'll look and feel much better. Most patients are back at work two to three weeks after surgery.
What should I know about my results?
Once your swelling and bruising has resolved their may be some ongoing changes. The incisions will continue to mature but may take as long as 6-12 months to completely fade. Facial scars tend to do very well and often are difficult to perceive. The hair in your temple area may be a bit thin from the surgery but gradually grow back. Your skin may feel dry and even rough for some time. Men may find that they have to shave in new areas such as behind the neck and ears where some of their hair baring skin has been repositioned.
A well-planned and executed facelift should last you a good 10 years or more.
How many visits do I have after surgery?
If drains are used, you will return within two to four days following surgery. Then you will return in 7-10 days following surgery for suture removal. During your postoperative visits, Dr. Kenkel will discuss further postoperative activity and any concerns you may have.
How many visits do I have after surgery?
IIf drains are used, you will return within two to four days following surgery. Then you will return in 7-10 days following surgery for suture removal. During your postoperative visits, Dr. Kenkel will discuss further postoperative activity and any concerns you may have
What does the surgery cost?
At the time of your initial consultation, you will be quoted a price that will include Dr. Kenkel's fee as well as surgical facility and anesthesia fees. Fees are due at least three weeks prior to your surgery. Checks, money orders, cash and credit cards may be used for payment. A $500.00 deposit will reserve a specific time and date for your surgery.
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