Facelift and Necklift - Dr. Danielle DeLuca-Pytell M.D. » Dr. Danielle DeLuca-Pytell M.D.

Facelift and Necklift

“Restoring a natural, more youthful appearance.”

Common name – Facelift and Necklift. Technical name/also known as – Rhytidectomy.

Benefits of a Facelift or Necklift

This surgery is for women or men with sagging skin of the face and/or neck and as well as volume loss in the cheeks and around the mouth. Deep lines around the mouth may become more pronounced, jowls can obscure the jaw line, and there can be a noticeable loss of contour in the neck. A well-done facelift should reposition facial anatomy and restore a youthful appearance without appearing stretched or pulled. A neck lift is usually performed with a facelift but, both can be done as stand alone procedures in select people.

How it is done: How the face and neck are “lifted”

A standard facelift addresses gravitational aging of the face and neck. The face lift incision extends from the hairline in the temple, around the front and back of the ear, and into the hairline behind the ear.   A post-tragal incision is made in women which hides the scar in front of the ear behind the tragus, the cartilaginous structure in front of the ear canal.  A separate incision may be made under the chin to tighten the neck. After the excess skin is surgically lifted off of the face, tightening of an underlying facial structure called the SMAS layer is performed. The SMAS is the covering over the facial musculature and is a very sturdy structure  Tightening here provides an excellent lift and avoids relying on the skin alone for support. This not only yields a more natural look but also adds longevity to the procedure. Volume may be added using fat (harvested from the patient’s own abdomen or thigh) into the cheeks and the folds around the mouth and nose. Additional procedures such as a browlift, eyelid lift, or targeted peel may also be performed if indicated or desired.

Upside

For drooping jowls, loss of the jawline, or a loose neck, a facelift/necklift can restore a more youthful appearance with well concealed scars. Patients report feeling happier when looking in the mirror or at pictures of themselves. Improved self-confidence is also noted.

Downside

The tradeoff for more youthful facial appearance is downtime. It may be two weeks or more before people wish to be seen in public. Bruising and swelling will occur, but the time for this to resolve varies from person to person. Sensory changes of this skin may occur. Rarely, facial muscle asymmetry may be noted initially, but this often resolves with time. The stitches used may make it temporarily uncomfortable to wear glasses and/or hearing aids.

Who pays for this

This is a cosmetic procedure, paid for by the patient.

What to expect

Length of operation

4 – 8 hours (depending on the extent of procedure).

Anesthesia used

General anesthesia, you will be asleep and monitored the entire time.

In or out patient

Usually an overnight stay is required.

Time until final appearance

3 to 4 months, depending on how swelling resolves.

Length of results

Long lasting, but varies from patient to patient.

Side effects

Temporary swelling, bruising, and some pain commonly occur. Irregular skin contour may be noticed initially. For the first two weeks after surgery, sutures will remain in the hairline and facial skin which will be removed in the office. Sensation of the face may be different initially. Fluid collections below the skin are possible. Scars are permanent and may stay red for 6-12 months, but can be concealed with makeup once scabs resolve.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.   Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.

If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click this link:

Smoking and Plastic Surgery

“I love when patients tell me their friends and coworkers ask if they’ve gone on vacation or lost weight—their results are seen as a natural improvement. They look like themselves, just better rested.”

– Dr. Danielle DeLuca-Pytell

Your Next Step

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number

Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to noon.

248-273-7700

Our email address

You can also email us anytime with questions.

info@delucapytell.com

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Testimonials for Dr. Danielle DeLuca-Pytell

 

See what Dr. DeLuca-Pytell’s patients have to say about their surgical experience.

Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.

Before and After Gallery

When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

Side effects

Temporary swelling, bruising, and some pain commonly occur. Irregular skin contour may be noticed initially. For the first two weeks after surgery, sutures will remain in the hairline and facial skin which will be removed in the office. Sensation of the face may be different initially. Fluid collections below the skin are possible. Scars are permanent and may stay red for 6-12 months, but can be concealed with makeup once scabs resolve.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise. Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.

If you smoke, it is imperative that you quit six weeks both before and after surgery. To better understand why, please click this link:  Smoking and Plastic Surgery

 

Recovery time

If healing proceeds as expected:

Rest at home (princess treatment) 2 weeks (no housework or exercise). Outsource housework a while you rest. Walk around the house, but do not work out. Rest with your head up and sleep with your neck extended (to avoid creasing) for the first two weeks.

Return to gentle exercise and household chores at two weeks, but no heavy lifting or strenuous activity for six weeks. May cover scars with makeup once scabs are gone. May resume work if it is sedentary. May color hair at three weeks after surgery.

Return to full activity 6 weeks after surgery.

Returning to Work

This depends on the type of work that you do.   Many women can return to sedentary work at three to four weeks, though not everyone is ready to return to work by then. Surgery affects different people differently. If your work is more strenuous, six weeks off work may be needed.

Time until final appearance

3 to 4 months, depending on how swelling resolves

Length of results

Long lasting, but varies from patient to patient.

 

Other information

if you color your hair, do so right before surgery as you will not be able to color your hair until three weeks following the procedure. Plan to bring a scarf with you to the hospital on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital. For other suggestions during the “ugly ducking” stage, click here:  How to manage in the ugly duckling stage after facial surgery

Your appointment with Dr. DeLuca-Pytell

When you visit the office for your appointment, we will talk about the side effects and risks of this procedure. You will have the chance to ask any questions you might have.

Don’t forget:  it is your body!  There is no such thing as a bad or silly question!

Contact us

Give us a call to schedule your appointment.

Our phone number

  • 248-273-7700