Facelift Surgery

Conveniently located to serve the areas of Beverly Hills, CA

Dr. Neavin has unique training in face lift surgery with advanced aesthetic surgery training under renowned facelift plastic surgeon, Richard Ellenbogen, in Los Angeles & Beverly Hills. He has also worked at the world renowned University of Pittsburgh Plastic Surgery under some of plastic surgery’s pioneers. Dr. Neavin also augments his facelift procedures with fat grafting to restore full cheeks and volume to the desired areas where fat was lost with aging.

A successful facelift is one that makes someone appear refreshed, and younger, but not different or “done”.

Before and After Photos

With a rhytidectomy, the underlying structures (SMAS) are elevated, not just the skin. Loose skin is then re-draped over the elevated underlying fat to create a naturally more youthful appearance.

A standard facelift is generally a cheek lift with a neck lift. This is performed in an operating room under general anesthesia. The skin is lifted with incisions made in the creases beside and behind your ears. The incisions are well camouflaged and generally heal without noticeable scars. The underlying tissues (SMAS layer) is also elevated and tightened. The skin is then advanced and trimmed so it can be redraped for a smoother look. This redraped skin is not pulled tightly, but gently redraped to resolve your jowls and loose neck. This is often performed in conjunction with forehead lift (browlift), blepharoplasty (eyelid lift), earlobe surgery, and fat grafting.

Mini facelift in Beverly Hills


An office mini-facelift is performed under local anesthesia. It primarily lifts the cheeks, improving jowls with some lifting of the neck. Ideal candidates for this procedure are younger patients with early skin sagging, or men and women that have had a previous face lift and just need extra tightening. There are many marketing names for this type of face lift (also known as lifestyle lifts). However, they all generally accomplish the same thing – a refreshed, and more youthful face. These procedures have gained popularity because of their ability to be performed under local anesthesia an office setting. While the mini lift is beneficial for many patients, it does have its limitations. The results of a mini lift do not last as long as a standard facelift.

Non-Surgical Liquid Facelift in Beverly Hills, California

Other types of anti-aging treatments include “liquid lifts” which refer to the use of injectables to create the appearance of a facelift and a volume lift with fat transfer. The the purpose of a liquid lift is to camouflage areas of aging, to rejuvenate areas that have lost volume, and to restructure the architecture of the face to make it more top heavy or heart shaped.

Mid-Facelift

A mid-face lift elevates the cheeks through hidden incisions from inside the mouth and hairline. Fat transfer is combined with this procedure as well, to create very powerful, rejuvenating effects.

Candidates?


If you believe you are looking more tired or older, and you desire to look fresher and younger, then a facelift might be the right operation for you. The best candidates are healthy men and women who do not smoke (smoking can interfere with healing). Men and women who benefit most from this surgery have some element of loose skin and descent or loss of fat in the mid-face. Poor candidates are very heavy faces with no clear skin laxity. An in-person evaluation is the best way to determine where on that scale you register and whether a facelift will provide you with the best possible results.

Consultation


During your visit with Dr. Neavin, a complete health history will be obtained as well as a review of all current medications. Some medications are safe to stop before surgery. Others are not. The decision to hold medications will be determined by your prescribing doctor. Your health is of paramount importance.

During your evaluation, Dr. Neavin will evaluate you in horizontal 4’s: Hairline to eyebrow, eyebrow to bottom of nose, nose to bottom of chin, and neck. Each area will have its own pattern of aging. Some will invariably show more signs of damage than others.

The upper-fourth aging signs include hairline recession, fat loss in temples, eyebrow ptosis, and upper orbital hollowing.

Eyebrow-to-nose aging involves lower eyelid bags or excess skin, fat loss with or without descent of tissue, ptotic nose (droopy nose, often with thickened tip), enlarged earlobes, and fat loss in front of the ear.

Bottom-of-nose-to-bottom-of-chin aging includes an elongated and involuted upper lip, loss of lip volume and pout, deepened laugh lines from tissue descent and fat loss, downward turning of the corner of the mouth with marionette lines, jowls, and chin descent.

The bottom-fourth aging includes skin laxity of the neck, excess fat distribution in neck, and loose neck muscles (platysma).

Only after a thorough evaluation by Dr. Neavin can a plan be generated.

Surgery Details


The extent of surgery you need will determine the plans and details of your surgery. Standard incisions will run from above the ear into the hairline along the natural crease in front of the ear, around the ear, and behind the ear. The incisions will leave scars that are not easily detectable. Skin will be lifted and the underlying tissues (SMAS) will be elevated off the muscles below. Both skin and SMAS will be lifted and secured (in different vectors) to restore volume to the cheeks and recreate a heart-shaped face. Some skin is trimmed, but the goal is never to tighten the face. Skin should be redraped over the deeper, suspended tissues.

In most cases, a neck lift is combined with a facelift to some extent. A small incision may be made under the chin to access the neck for fat removal and platysmal tightening. All incisions will be closed with stitches that will need to be removed in about seven days. Sometimes a small, temporary drain is placed in the neck.

In most cases, fat will be harvested from the lower back and injected into areas to either fill depletion or recreate a more top-heavy face.

Recovery


Surprisingly, the face doesn’t experience much pain after surgery. However, if fat was harvested, there will be some soreness at the harvest site. Bandages will be removed after the first day or two. If a drain was placed, it will be removed in the office painlessly. One should expect weeks of swelling. While most of the swelling will subside by 10 days, depending on the extent of surgery, mild swelling can exist for longer. Bruising is more common when eyelid surgery is performed. Most bruises subside within seven to 10 days.

Stitches will need to be removed in the office in about seven days. In some cases, depending on the extent of neck surgery, a wrap may need to stay in place for a week.

Conclusion


One should consider their face as a bun in the oven baking. This means that after surgery, your body will continue to slowly heal to reveal the results. Everyone heals at their own pace. But since most of the swelling is gone in three weeks, the results are best seen by then. Scars will fade over time. They are placed in natural creases so they have the advantage of being hidden from the start.

If you are ready to see a fresher, more youthful you in the mirror, perhaps now is the time to explore your facelift options. To get more information, contact Artisan of Beauty Plastic Surgery at 310-858-8811 or text 323-975-1287.

FAQ

How much does a facelift cost in Beverly Hills?

Be wary of aggressive TV ads promising quick results at very low prices. There is an old adage, “you get what you pay for”. You aren’t shopping for a designer purse, you are shopping for your face (and life). First and foremost, make sure you are a safe candidate. Your primary care doctor should know about your plans. We make sure we get clearance from your medical physicians before proceeding with surgery. Second, understand that techniques differ, and surgical talent differs. Avoid cookbook strategies where only one type of lift is performed. A facelift should be customized to the the aging patterns and desires of the individual man or woman. Part of the process is proper diagnosis. While aging patterns are often similar, there are differences that dictate how the aging symptoms should be addressed.

How long will my facelift last?

This is a common question. A facelift will not prevent you from normal aging. But, this procedure does reverse the hands of time. The results of a good face lift will last for years.

What is a good age to get a facelift?

In most cases, younger people should not be opting for a facelift. It is only when signs of aging start to dominate your appearance in which you should consider a facelift. In most cases, people at the age of 40 or over are good candidates for facelift surgery.


What is a facelift?

A facelift refers to the surgical restructuring of the face to create a more youthful appearance with any combination of skin removal and tightening, fat re-positioning, and fat addition.


What kind of facelift does Dr. Neavin perform?

Dr. Neavin performs several different face lift techniques that are all customized to the patient’s desires, expectations, and acceptable downtime. The techniques range from skin and SMAS repositioning, mid facelift, fat grafting, and often a combination of all three.
Most commonly, Dr. Neavin applies a volumetric approach aimed to remodel the face and alter the architecture to create a younger facial form. With these goals in mind, there is a focus on repositioning tissues that have descended and rebuilding areas of deficiency, particularly in the top third of the face. Skin re-draping is considered for appropriate candidates that have significant skin laxity. Large-volume fat grafting is almost always essential, and nano-fat grafting is ideally used for lower lid rejuvenation. Often, lower lid blepharoplasty, a lip lift, and rhinoplasty are considered for complete facial rejuvenation.


What is a mini-lift?

It depends who you ask. A mini-lift usually refers to a facelift with a limited incision and dissection (and as a result, sometimes limited results). When patients have reasonably good skin elasticity, smaller incisions may be an option that allows access to tighten the underlying tissues. This is the “mini” part of this label. A mini facelift is not a good substitute for a full facelift in those who would benefit from a full facelift. The full or traditional facelift, involves incisions from above the ear into the hair-bearing temporal area, down the front of the ear hidden along its natural lines, to the back of the ear into the hair-bearing region of the posterior scalp.
Some may refer to a mini facelift as one that does not require the tightening of the neck.
Thus, a mini-lift is really just a full facelift minus some component like jowl correction, SMAS tightening, a neck lift, etc.


What is a mid facelift?

A mid facelift is a surgery that will elevate the cheek to a higher position on the face. It is often referred to a cheek lift. The mid facelift is reserved for those men and women with reasonably good skin elasticity but have a tired appearance from descent of the malar (cheek) fat pad. The surgery involves an incision inside the mouth and in the hairline above the ear. Internally, the cheek is suspended and secured with either stitches or endotines. Fat grafting to the temples is often incorporated to recreate a younger shaped face.


What is a liquid facelift?

A liquid facelift refers to the use of dermal fillers to create the illusion of a lift. The fillers will obliterate shadows on the face that have developed from tissue descent and fat loss. Rather than lifting the tissues that have descended, the shadows (concavities) are filled with hyaluronic acid products such as Juvederm (r), Restylane (r), and Voluma (r), or hydroxylapetite such as Radiesse (r).


What is a MACS lift?

A MACS lift refers to minimal access cranial suspension. It is a type of facelift where the incision and dissection is generally less than a traditional facelift. Some may refer to this as a mini-lift, given the less invasive approach. The tissues under the skin are suspended with stitches in two to three areas to correct the fallen cheek and jowl. Skin may be excised as well.


Why do some facelifts look fake?

Facelifts that are performed mainly to pull skin tighter will have a pulled or fake result. Pulled skin does not mimic a younger face; it simply mimics a face that has pulled skin. A facelift should re-drape the skin over an elevated underlying tissue (SMAS), with or without the addition of fat into areas where fat was lost and cannot be corrected with elevation (such as high cheeks, temples, and forehead)


How long does a facelift last?

The results of a facelift should be long-lasting. However, the skin will continue to age. When the skin and face does age, it will always be ahead of the curve since there was a rejuvenating procedure that already removed years of aging.


How long does a facelift take to perform?

It depends on the facelift. A mid facelift may take a little over an hour while a traditional facelift with fat grafting may take up to six hours.


What is a SMAS?

SMAS stands for superficial muscular aponeurotic system. SMAS is the fatty tissue layer that lies beneath the skin and is adherent to the underlying muscles. SMAS gets ample attention because it is one of the main components of a facelift that is targeted during surgery. SMAS is elevated to recreate the cheek which has fallen, or, suspend the jowl that has developed with aging.


Where are the scars with a facelift?

The scars of a traditional facelift start in the hair-bearing area above the ear, down the natural crease from where the ear attaches to the face, and behind the ear in its crease to the hair-bearing area above the back of the ear.
A mini-lift or a MACS lift may spare the incision into the hair-bearing area above the ear.
A mid facelift includes incisions inside the mouth and in the hair-bearing area above the temples.


How much pain will I have?

Surprisingly, the face does not become terribly painful after surgery. Because fat grafting is included in almost every facelift, the area of fat harvest such as the abdomen or love handles will generally hurt the most. Pain at these sites lasts about two or three days.


What are the major risks with a facelift?

The most serious surgical risks from a facelift include bleeding and nerve injury. Thankfully, the bleeding from a facelift is almost always non-life threatening, but may prompt a return to the operating room for evacuation. Permanent nerve injury remains very, very low in experienced hands. Temporary nerve weakening of the marginal mandibular branch that innervates the lower lip is more common and tends to return to normal function within three months.


Why is smoking bad for a facelift?

Smoking, and for that matter any consumed nicotine product, will constrict small vessels of the skin and impair healing after surgery. Decreased circulation can lead to skin necrosis near the ear. For this reason, Dr. Neavin advises all of his patients to be off nicotine products for a minimum of four weeks prior to surgery.


Will a facelift fix the bags under my eye?

The bags under the eye are not corrected with a facelift. Bags under the eye, and any excess skin accompanying the bags of the lower eyelid, must be addressed by a lower lid blepharoplasty. Not all facelift candidates have lower lid skin laxity or bags. However, a lower lid blepharoplasty can easily be added to the facelift surgery to complete the facial rejuvenation and avoid a patchwork like appearance.


Will a facelift raise my eyebrows?

No. A facelift will not raise the eyebrows. The eyebrows can be raised by a brow lift. Brow lifts can be performed several different ways and are often combined with a facelift. For more on the brow lift click HERE.


Will a facelift look natural?

Yes. The goal of a facelift is to reshape the face to a younger, more youthful state without sending any signals to the casual observer that a surgery has been performed. This is best accomplished by proper diagnosis of the aging symptoms and develoment of the appropriate plan to address the problem area(s). A single technique, also known as the cookie-cutter approach, will improve some faces and alter others in an unfavorable way. Thus, the role for a mid face lift, MACS lift, traditional facelift, and facial fat grafting must be in the plastic surgeon’s repertoire.


How long will I be swollen?

Every facelift approach will have its own expected post-operative edema and one can expect a minimum of one week with significant swelling. The mid facelift in particular can cause persistent swelling for up to six weeks or more in some cases. A liquid facelift, one where only fillers are used to remodel the face, generates little to no swelling.


When can I return to work after a facelift?

One can safely return to a desk job after three or four days. However, safety is not always the only motive for remaining at home after this surgery. There are aesthetic concerns to consider. The swelling after most facelifts will persist for weeks.
Most of the swelling will be gone within one week, bandages will be removed, and the stitches will be out. Thus, seven days is a safe time for most people to wait to return to work without obvious signs of surgery. Physical labor should be avoided for at least two weeks to avoid blood pressure and heart rate elevation, which can prompt a late bleeding episode (particularly in men).


What kind of anesthesia will I have for a facelift?

Facelifts can be performed safely under local anesthesia or general anesthesia. The larger the dissection, the more convenient it may be for both the surgeon and patient to opt for a general anesthetic. It can be uncomfortable and anxiety-provoking for the patient to sit still for up to six straight hours. Likewise, it can be anxiety-provoking for the surgeon to work on a patient that is having trouble relaxing.
Shorter facelift procedures, those under three hours, are the more common type of facelifts performed under local anesthesia.


Will insurance cover a facelift?

No. Insurance will not cover a facelift.


What is the cost of a facelift?

The cost of a facelift is determined by the following factors:
Surgeon experience and reputation
Type of facelift procedure
Office support and physical availability
Geography
Surgeon demand
Complexity of the procedure
Combinations of accessory procedures
Type of anesthesia
A facelift by Dr. Neavin will cost on average somewhere between $12,000 to $60,000 depending on the type of facelift and accessory procedures.
If you are ready to reverse those telltale signs of aging, a facelift might be the right choice for you. Learn more about this procedure by scheduling your personal consultation with Dr. Neavin at 310‑858‑8811.