Facelifts primarily have their biggest impact on the lower face, jawline, and neck. We look at patients who have, over time, had some laxity that's created irregular contours, perhaps there are some muscle bands in the neck. There might be some jowls that we can address with liposuction. There can be some dissent of the cheek pad. Those are all things that we're going to be addressing with the facelift. There's no set date for doing facial surgery. There are times when there are indications at various stages of someone's life. For the most part, it's of a genetic basis, with the external factors that will accelerate the aging process, being smoking and sun, or ultraviolet exposure. We're in a part of the country where there's a lot of sun exposure. So, for some of our patients the aging process is accelerated. But for the most part, this is something that has a genetic basis to it. So, there can be patients who are in their 40s, even early 40s, who are appropriate candidates for facial rejuvenation. What about the surgery itself? What are the things that we do as part of the procedure that people lump together as a facelift? Well, in my mind, the modern facelift includes work that is addressing the cheek, in terms of getting the deep cheek pad re-elevated back where it used to be, the jowl area, the jawline of the neck, for liposuction, for re-draping of the muscles. But the concept is that before you address anything with the skin, we want to take the deeper tissues, and to the extent that we can, put them back where they used to be. Now, we're trying to preserve the volume in the face. We've come to understand that preservation of volume, as relates to the face, is a very aesthetically pleasing thing. For people to have long term, long lasting, elegant results, we're better served by trying to take the existing tissue, putting it back where it used to be. When we're done doing this work on the deep tissues, only then do we re-drape the skin, and contour the skin, which is still a very big, and a very important part of the operation. And that's the part that will reduce some of the facial lines, some of the wrinkles. These operations have to be individualized. I try to break things down into surgical/non-surgical options that are available to the patient. So, they may come in talking about a facelift, but really, what we're addressing is the area in the upper third of the face that includes the brow, and the forehead. So, we end up talking about procedures like brow lifts, or blepharoplasty eyelid surgery. So, what they really want is have an evaluation of their overall facial features, and what we have to offer that would be appropriate for them to consider. Most of my patients feel very comfortable in engaging in conversations with people within two weeks, or around the two week period. I usually tell them to plan on about a one and a half week recovery period ... two weeks, so they feel pretty good about it. And if they have big events, be it a celebration, a graduation, a wedding, that if they give themselves three weeks, they should be very comfortable that no one really should know that they've had surgery, which is also very important ... at the end of the whole process, that they look and feel very natural. They're very comfortable that no one looks at them as though they've had surgery. You can learn more about the procedures and services we offer by visiting us online at www.PVPS.com.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.