Facelift | Facial Rejuvenation
The regions of facial rejuvenation can be divided into the upper face or brow, the mid-face, lower face (jowl and marionette folds), the neck, and the eyes. Many patients choose to have several regions rejuvenated at the same time. However, some patients may only need one region corrected. Often, patients will also have volume restoration performed at the same time of a facelift procedure to produce a very natural, vital appearance. Dr. Schneider will discuss with you at your consultation the facelift options and what is right for you. Learn more about volume restoration…
Aging in the Face | Facelift | Browlift | Necklift
Three factors contribute to the aging changes that are seen in the face: loss of volume, sagging of the skin and underlying tissues, and wrinkling in the skin.
If you look at young people, their faces are very full and usually larger than those who have reached middle age. In the younger face the facial fat pads and facial bones are very full. As we age, the facial fat pads begin to shrink and some of the facial and jaw bones begin to be resorbed (shrink). Thus as we hit our late 30’s and 40’s our faces become less round and more angular. As we hit our 40’s and 50’s our faces may start to become more hollow. This loss of volume eventually leads to the sagging of the outer skin that has not shrunk with the underlying tissues.
Lifting procedures (facelift, browlift, necklift) are designed to elevate and reposition the tissues that have fallen. Many different types of facelifts exist. Dr. Schneider prefers a facelift approach that lifts and repositions the sagging muscle, tissues and skin as a unit to produce a natural and vital appearance. We avoid the “quick lifts” that either incompletely rejuvenate the face or leave a pulled appearance.
The facelift is designed to lift and rejuvenate the mid-face and lower face. A facelift should be designed and implemented with incisions that are hidden and not noticeable to the eye. In most patients, Dr. Schneider includes fat transfer to also restore the facial volume. Many of our patients are referred from hairdressers who have the opportunity to see many facelift results. There are two basic types of the facelift that Dr. Schneider performs: the Mid-facelift and the M.A.R.C facelift.
The Mid-Facelift is performed through minimal incisions and is designed to elevate and correct the mid-face (that region of the face located from below the eyes to the angle of the mouth. Often as we age we develop some bulging of the lower eyelids and then a deep hollow below this. The mid-facelift is designed to correct both of these issues. Performed in about 1 hour, the mid-facelift leaves only a small incision underneath the eyelashes that sits in a natural skin fold. Patients go home following the facelift procedure without any dressings on. We remove their sutures 3-4 days following the facelift.
The M.A.R.C. Facelift (musculo-aponeurotic repositioning and contouring) is ideal for the patient requiring rejuvenation of the mid-face, lower-face and neck. This facelift is designed to decrease the parenthesis lines (naso-labial folds), marionette lines, jowl and sagging in the neck. It is performed by incisions in front, inside, and behind the ear and under the chin. “The key to a great facelift besides producing a natural lift, is that no one should be able to identify the facelift scars” said Dr. Schneider. The M.A.R.C. facelift takes about 3 hours to perform and patients return to the office the next day for dressings to be removed. Stitches are removed on the 6th day following the procedure. Most people have a social recovery (return to work or be seen by friends without noticeable signs) of about 7 to 14 days.
Many of our facelift patients fly into Fort Myers, have their procedure, and then they are able to return home 1-2 weeks following their surgery. Both men and women have seen great benefit from our facelift technique and enjoy their natural appearance. For more information about having a facelift in Fort Myers at our AAAHC certified surgery center, contact us today.
As we age, our eyebrows tend to sag. In addition to causing a lower eyebrow, it may also cause the appearance of excess skin in the upper eyelid and a hooding appearance to the outer eye. Restoring the eyebrow’s height by performing a browlift opens and brightens the face.
There are two basic browlift procedures that Dr. Schneider performs: the endoscopic browlift and the open browlift.
The endoscopic browlift is performed through small incisions that are located within the hairline. Through these browlift incisions, a camera on a tube called an endoscope is inserted and tissues of the brow are elevated. Dr. Schneider has pioneered a browlift technique where no internal hooks, screws, or bone holes are necessary to elevate and maintain the brows elevation.
The open browlift involves an incision that runs across the hairline and is created in such a way that the hair follicles will grow through scar thus camouflaging the scar so it can not be seen. The advantage of the open brow browlift technique is that Dr. Schneider can actually use the procedure to not only elevate the eyebrows, but he can also lower the hairline that tends to recede with age.
Each browlift procedure takes about one hour to perform under IV anesthesia and patients are able to go home the same day. Dressings are removed the next day and sutures are removed a week following the operation. Most browlift patients are able to return to work in about a week.
The necklift is designed to eliminate sagging or fullness in the region below the jaw line and chin. The necklift may be performed as part of a facelift, or, it can be performed alone by patients who are only bothered by the area below the jawline. There is a thin, broad sheet of muscle that spans each side of the neck and it is called the platysma. As we get older, the platysma begins to sag in the front of the neck and this becomes visible as a band on each side of the neck. Often there may also be excess fat that hides a nice jawline.
The necklift procedure is performed a number of ways and may involve either an incision under the neck, an incision behind the ears, or both depending upon the patients condition. Liposuction is used to contour the fat of the neck and then the platysma muscle is lifted and tightened with sutures. Then the skin is contoured and trimmed if necessary and the incisions are closed with sutures. The procedure takes 1-2 hours to perform and patients are able to go home the same day. Dressings are removed the day following the procedure and stitches are removed 6 days following the procedure. Most people are able to return to work or their social activities within a week.
Lifting procedures take care of sagging but do not eliminate wrinkles. Wrinkles are caused by the inner layer of the skin thinning and losing collagen and elastin. In order to remove wrinkles, the inner layer of the skin needs to be rejuvenated. This can be accomplished with a technique called Laser resurfacing.
Since 1991, Dr. Schneider has performed laser resurfacing on over 2000 patient’s. It is a deep treatment that literally shrinks the skin about 15% and makes wrinkles disappear. Many consider it to be the gold standard for wrinkle treatment. The laser produces a precise, controlled penetration of the skin and the energy though ablative, causes the skin to heal with more collagen in the inner layer. This is what eliminates wrinkles.
We do not typically use laser resurfacing for very fine wrinkles. For that we would typically use a fraxel type (more superficial – quicker healing) laser. However, for patient’s who significant wrinkles in the brow, around the eyes, around their mouth and lip area’s and on their cheeks, the CO2 laser resurfacing produces excellent results. Learn more about CO2 Laser Resurfacing…
Before & After Facelift & Lift Photos
Results are not guaranteed. Individual results may vary.*