A facelift is a surgical procedure to lift the mid-to-lower face and restore a youthful appearance. There are a range of procedures that are often called a facelift. At our Honolulu, Hawaii office, Dr. Ching determines the best treatment plan to meet your cosmetic goals by assessing your face and the way it has aged.
If you’ve been researching plastic surgeons in Honolulu for facelift surgery, request a consultation with Dr. Ching, or call our office at (808) 585-8855 to schedule an appointment.
What Is a Facelift?
A facelift usually refers to the lifting of a portion of the face called the mid-face and the lower face, the area of the face that is from the cheekbone to the jawline. In addition to a facelift, other procedures are often also performed, such as a brow lift, eyelid lift, fat grafting, dermabrasion, neck lift, liposuction of the neck, lifting of the lips, or lifting of the earlobes.
A facelift alone takes a minimum of 4 hours to perform. In a facelift, incisions are made in front of the ear, behind the ear, across the skin behind the ear to reach the hairline, and along the hairline behind the ear. This long continuous incision allows the surgeon to lift the skin off of the face and neck regions and gives access to the deeper layer of the face called the SMAS. The SMAS layer is the deeper foundation layer of the structures of the face and in our practice, the key structure that needs to be lifted for patients to have a natural and long lasting result. By lifting this layer into a position that best approximates the situation when the patient was younger, we can restore a naturally youthful appearance to the face.
In our practice, we believe the SMAS facelift to be the best technique to perform this surgery. Other lifts which include LifeStyle lifts, mini facelifts or skin-only facelifts cannot fully address changes related to aging of the face and offer lesser results. Ideally a facelift is performed with other procedures, such as fat grafting, brow lift, eyelid lifts and neck lifts, to rejuvenate the entire face.
Results and Recovery
After the SMAS layer is lifted, excess skin is removed and the scars from the incisions are well hidden in the contours of the ear, behind the ear, and along the hairline behind the ear. Traditional facelift methods often remove only excess skin. This leads to a pulled, tight and unnatural appearance.
A realistic expectation for a patient seeking a facelift is restoration of a youthful appearance and the improvement of age related changes including loss of cheekbone contour, a nasolabial fold, jowling, and generally a more youthful, more rejuvenated appearance.
Recovery from a facelift can take 2 to 3 weeks.
Face lifts can be performed on both men and women as soon as there are signs of aging. Ideally, a facelift is performed earlier in life, in the mid-forties to fifties. The results will last throughout a patient’s lifetime, although one does continue to age after the procedure.