A facelift, or Rhytidectomy, is one of the most common facial procedures to help return a more youthful look to the face. This procedure is performed on more than 150,000 men and women a year. At Ponte Vedra Plastic Surgery in Jacksonville, Florida, our knowledgeable and experienced surgeons will work with you to improve the overall aesthetic of the face and create a more youthful appearance. A facelift addresses the concerns of the lower two thirds of your face. It removes lax facial skin, repositions and reduces underlying excess fat deposits, and tightens underlying muscles and deeper tissues, giving you a more rested, youthful look. Today’s facelift is more effective, natural-looking, and longer lasting than ever before. Many patients can look as much as 10 to 15 years younger. Facelifts are often performed in conjunction with other procedures such as: neck lifts, eyelid surgery, brow lifts, dermal fillers, and/or skin treatments.
There are various techniques used today to perform a facelift. Facial anatomy, skin laxity and the overall aesthetic goal of the patient will determine the best approach. Each procedure will be unique to the patient and will vary based on the type and location of the incision, the number of tissue layers affected, the plane of elevation and the level of invasiveness.
Skin Only Facelift
The skin only facelift has been in practice since the early 1900s. Known as a cutaneous facelift, this technique is less invasive because it addresses the skin only. The result of this surgery is a bit subtler than some of the newer muscle tightening procedures. However, it also offers a lower risk and recovery period for the patient.
Traditional Facelift (SMAS)
This SMAS facelift is considered the gold standard. This surgery, while more complicated, produces results that are more dramatic and longer lasting. The technique involves manipulating a group of muscles beneath the skin known as the superficial musculo-aponeurotic system (SMAS). This section of muscle controls facial expression. An incision is made along the hairline from the temple to just behind the earlobe. The skin is then separated and lifted. The underlying muscles and tissue are tightened and secured so they maintain their new position.
Deep Plane Lift
The deep plane lift goes a step further than the traditional approach. It is better suited for those with severe sagging and drooping — usually reserved for older patients. In addition to the SMAS layer being adjusted, a deeper section, known as the deep plane, is also treated. While this procedure offers certain advantages over a traditional facelift, surgeons must be skilled and act with caution so facial nerves are not damaged during the surgical process.
A mini facelift is geared towards patients who want some of the benefits of a facelift, while at the same time minimizing the cost and invasive nature of the surgery. Some procedures that are considered “mini” include the “Quicklift” or “Lifestyle Lift”. Patients who wish to maximize the outcome of their surgery, resulting in the most dramatic results, will most likely need to turn to having a full facelift in order to meet these aesthetic goals.
All facelift procedures are performed under general anesthesia at an accredited surgical facility. The length of the surgery will vary, but it generally takes between 3-4 hours. This surgery is considered an outpatient procedure. However, some patients may be required to stay overnight in the hospital. After surgery, patients will be bruised and swollen and the face and neck will feel tight. This will gradually improve within a few days. It is common for patients to feel anxious about how their face will appear. Patients need to understand it can take several full months for the final results to appear.
BOTOX®, injectable fillers, microdermabrasion and chemical peels are examples of some non-surgical procedures that can assist in smoothing out wrinkles, improving fine lines and adding facial volume. These procedures also help to even out skin tone. However, these are treatments that will only affect the skin’s surface. Patients with loose skin, drooping jowls or a sagging neck will need to consider surgery if they want these features improved.
Will I Look Fake?
In the days immediately following facelift surgery, patients will feel tight and pulled. These are some short-term effects, but they will subside. It’s important to find a reputable surgeon skilled in facial surgery. Surgeons who know what they are doing will make every effort to work within the confines of the patient’s bone, skin and muscle structures so a younger, more natural look can result.
Facelift surgery does require a long incision. However, in almost all cases, these scars are well hidden as they fall just along the hairline and around the ears in the natural folds of the scalp. In most cases, the scars should be barely visible to the naked eye.
The common age range for patients who undergo a facelift is between 50-70. It is safe to say most patients will look 5-10 years younger following a facelift procedure. Younger patients (40-50 years old) generally have stronger skin elasticity so their results may last longer than those of someone older. However, older patients may have results that appear more dramatic and, for them, this can be very worthwhile. Patients should think of a facelift as a process to turn back the aging clock. You will still age, but you will appear a few years younger.
"I recently had a Neck and Lower Facelift performed by Dr Cayce Rumsey. I stayed overnight at their Ambulatory Surgery Center and went home the next morning. I was so pleased with all of the care I received. I received the most amazing results. Within 10 days, I was told I look 15 years younger by someone who knew I had the surgery done. People who don't know me can't tell I've had anything done because I don't have that "work done" look. My recovery has been amazing and would highly recommend this surgery to anyone who has sagging jowls, the bands that stick out in your neck or have the lines around your mouth that make you look like you have marionette lines. I am truly amazed!"- Anonymous / RateMDs / Apr 17, 2014
"64 Year Old in Need of Natural Lift - Ponte Vedra Beach, FL - Dr. Rumsey is approachable and accessible. I was shocked to have read one review that described him as being aloof or indifferent. This reviewer must have confused Dr. Rumsey with another surgeon. I found Dr. Rumsey to be down to earth and a good listener. He answers questions directly and attempts to explain the process, as well as the medical procedure and inherent medical risks. He is Very likable and the nurses and support staff couldn't be more supportive and caring. More importantly, this doctor is very skilled at his profession. Again if patients want to minimize bruising, scarring, recovery time and obtain natural looking and remarkable results, Dr. Rumsey could be the Plastic Surgeon for you. - - Dr. Rumsey's surgical technique can best be described as "Artistic Precision." Because of his unique approach, experience and skill, I had ZERO, that is Zilch, bruising after undergoing a comprehensive face and neck lift. This is remarkable because I am a 64 year old woman, who bruises easily. There is an art to performing plastic surgery and to achieving remarkable results. Some of my girl friends who used other plastic surgeons had significant bruising, hematomas and related complications-- Not Me. My incision sites are almost invisible. Most importantly, this was the only facility I could find in NE Florida that provides for overnight medical care and monitoring. This is critical in that all surgery has inherent risks and I have been told that most complications occur within 24 hours of a procedure. My only regret is that I did not have eye surgery at the same time. In short, my experience was: no bruising, no scars, received excellent over night medical care and monitoring, had a short recovery time and natural looking results."- D. / RealSelf / Jan 12, 2015
"After leaving my appointment with Dr. Sternberg at the south-side location yesterday, I am now confident to proceed with a lower face-lift. His comments to me made me realize how beneficial the skin care I have received with Emily's guidance...proved to be beneficial! Emily has always been very professional with each appointment, her direction as to what would be best for my skin type, the encouragement to be consistent with monthly facials over the last two years allowed my to have the results that not only I can see but others too! Obviously Dr, Sternberg and his nurse, Robin were able to see the results. Thank you Emily for being the best of the best and helping me!!"- J.J. / Office Visit / Nov 11, 2015
"Dr Burk did a fantastic job with my face and neck lift!! Also, Kim Lindsey is helping to keep my new look in fabulous shape! She is an excellent (and extremely friendly!) aesthetician! PVPS is awesome!!"- D.A. / Office Visit / Jan 04, 2016
"I recently had a neck and mini face lift at PVPS. Dr. Burk was highly recommend by a friend. From the moment I first met him, I felt at ease and confident. At no point in time did I feel pressured do more, in fact, Dr. Burk recommended exactly what I needed to achieve the results I desired. Nurse Carol was a pleasure and answered every question and addressed every concern at my pre op. I was apprehensive and nervous the day of the surgery, but everyone who met with me eased my anxiety with kindness and understanding. I really want to call out my anesthesiologist, Dr. Jimenez. I believe that was his name, but I do remember he was from Costa Rico. He spent extra time explaining the process, never rushed me and addressed a personal concern of mine. Post Op treatment was excellent and the nurses were professional and kind. I’m at day 11 in my recovery and extremely pleased with my results. I, too, recommend Dr. Burk and his team. They are the best!"- M.P. / Google / Jan 24, 2020
Each facelift surgery is unique and will be tailored to each patient. Most patients can expect to pay between $8,000-$17,000.
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