Facelift

Used For

Correction of cheek and neck sagging, neck “wottle”, prominent jowls, and cheek hollowing.

Down Time

2 weeks

How It Works

The most effective way to address sagging of the lower face, a facelift procedure is performed through incisions hidden around the ear. Utilizing a deep plane facelift technique, the muscles and fat pads of the face are repositioned to their natural positions. This deep plane face lift is particularly popular in Fort Worth for its natural results. Extra skin is then removed and incisions are carefully closed to avoid obvious evidence of a surgical procedure.  I avoid “pulled” or “stretched” results by replacing tissues in their natural position. This can be demonstrated by pulling the tissues “up” rather than “back”. Additionally the muscles in the front of the neck, over time, separate to form vertical bands. These can be addressed with a platysmaplasty, which divides portions of the muscle and sews the edges together to make them less prominent. The deep plane facelift is combined with a necklift in most cases.

Side Effects

Most common side effect is swelling and bruising of the cheeks, forehead, and neck.

What to Expect

There will be swelling of the face that typically increases over the first 3 days and then gradually goes away. Typically 80% of the swelling is gone at the end of 2 weeks, 90% of swelling is gone at 2 months, and the rest goes away gradually over the course of the next year. Incisions heal well in concealed areas, these can be slightly pink while they are healing but will fade over the next couple of months. Makeup can be used to conceal incisions while they are pink. There will be some numbness of the top of the head and the cheeks which is temporary and will improve over the course of 3-8 months.

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What are the different types of facelifts?

Facelifts vary in regards to the amount of tissues that are moved and the degree to which they are mobilized and removed. They can range from a skin-only lift to a deep-plane facelift and everything in between (SMAS plication, Extended SMAS facelift, etc). Very few facelift surgeons perform skin-only facelifts due to the tension this puts on the skin resulting in wide scars and results that are fleeting. Lifts such as the SMAS lifts and Deep Plane Lifts put tension on the deeper layers under the skin allowing the skin closures to be tension-less and scars are thinner as a result.

What deep plane face lift technique does Dr. Rihani perform and why?

Dr. Rihani has been performing deep plane facelifts since opening his practice in 2015. He has performed various other methods in his training but is drawn to the more natural and dramatic improvements that can be achieved with full SMAS release and repositioning. As someone who only performs facial aesthetic surgery, he understands the complexities of this type of surgery and the anatomy of the face. For more information on Deep Plane Facelifts, click here