As a person gets older, the most prominent effects are typically seen on the face in the form of wrinkles, fine lines, furrows, and the sagging of the neck and jowls. For the ultimate facial rejuvenation and the most dramatic results, we may recommend a traditional facelift procedure, or a rhytidectomy. A full facelift procedure involves the repositioning of tissue, the tightening of underlying muscles, and the removal of excess skin around your face and neck to give your face a tighter, more youthful look.
Candidates for a facelift include men and women (typically 40 years of age or older) whose face and neck area have begun to lose volume and sag due to natural aging, substantial weight fluctuations, or other factors. The procedure involves tiny incisions, usually above the hairline at the temples, behind the earlobe, or near the lower scalp. If the neck needs tightening, a small incision may also be made under the chin. In some cases fat may be removed via liposuction from the neck area also referred to as the double chin.
The full facelift described above is recommended for people who wish to treat visible signs of aging in the neck, middle and lower portions of the face. Aging of the eyes and brow must be treated by a separate procedure, either eyelid surgery (blepharoplasty) or a brow/forehead lift, which is most often performed in conjunction with the facelift. In some cases, it may be more appropriate to perform a mini facelift for those who may not need quite as extensive facial rejuvenation.
A mid-facelift is an alternate procedure, similar to a traditional, full facelift, but which is designed to pinpoint areas of the mid face. Mid-facelifts are done endoscopically (using a tiny camera probe to look beneath the skin) with tiny incisions made in the eyelids, mouth, or hairline – depending on the area of the face that need excess fat and skin removed. During this procedure, the fat pads on your cheeks are lifted and repositioned over the cheekbones and excess fat is removed under the eyes to reduce puffiness. Our surgeons often perform mid-facelifts in conjunction with lower-lid blepharoplasty to rejuvenate the area around the eyes or with facial implants to accentuate the natural contours of the face.
The upper facelift is another variation of the traditional facelift, but pinpoints areas of the upper face, like the eyes, brows, and forehead. An upper facelift, similar to a brow lift, endoscopic brow lift, or forehead lift can be performed two basic ways – the plastic surgeon making incisions at several places in the hair line or endoscopically (using a tiny camera probe to look beneath the skin). In both methods, excess fat is removed from around the eyes, and the skin is lifted and tightened upward. The upper facelift gives the area around the eyes a more youthful and alert look.
As the name implies, the lower facelift tightens and rejuvenates the lower part of the face. During the procedure, the plastic surgeon makes an incision either around the ear, or enters endoscopically, in order to remove the excess fat. The muscles are then tightened and the skin repositioned, trimmed, and smoothed out. Usually a neck lift is performed at the same time as the lower face lift to remove the extra skin or “double chin” commonly found in patients. Those patients with drooping skin around the jawline and/or sagging corners of the mouth as well as a neck with excess skin are ideal candidates for lower facelift surgery.
Frequently Asked Questions about Facelifts
View Face Lift Surgery Photos to learn more about this procedure for men and women and such items as costs, risks, advanced techniques, and frequently asked questions. Consultations are available at our offices in Atlanta, Cumming / Forsyth, and Northside / Sandy Springs, Georgia.
The following doctors perform facelift surgery at Atlanta Plastic Surgery. Click on a doctor to learn more about their practice and to view Before & After facelift surgery photographs.
L Franklyn Elliott, M.D.
James D. Namnoum, M.D.
Joseph Kerwin Williams, M.D.
Allyson B. Maske, M.D.
Michael Mirzabeigi, M.D.