As one of the most consistently popular surgical aesthetic enhancement procedures over the last several decades, the facelift has helped millions of individuals renew their appearance and achieve a more youthful, vibrant look. Our board-certified plastic surgeon, Paul LoVerme, MD, is extensively experienced with this treatment and offers a number of state-of-the-art facelift techniques designed to address common signs of facial aging with outcomes that look natural.

What Is a Facelift?

maturewomanFacelift surgery, medically known as a rhytidectomy, is a cosmetic enhancement procedure designed to improve the appearance of lax skin, wrinkles, and other signs of age in the face. Many facelift procedures also include rejuvenation of the upper neck area, as well. This popular treatment has seen a variety of advances over the years, offering both women and men an effective way to achieve smoother, firmer skin and a more youthful appearance.

The history of facial rejuvenation surgery has largely involved the manipulation of facial soft tissues under tension. The result is always tighter, but not necessarily younger. The youthful, beautiful face is curvilinear, not flat. Tightness occurs only in the post-surgical face, not in the normal aged or youthful face. Fullness and convexity of the upper face and the absence of jowls, with a smooth tight neck is an indication of health, vitality, beauty, and youth. Dr. LoVerme’s techniques prevent the unnatural “wind tunnel” appearance we often see on TV.

What Are the Benefits of Facelift Surgery?

Using a variety of innovative facelift techniques, Dr. LoVerme can reduce the appearance of:

  • Wrinkles
  • Deep creases
  • Jowls and inelastic skin
  • Sagging skin affecting the neck
  • Other key signs of facial aging

When performed by an experienced and board-certified plastic surgeon such as Dr. LoVerme, facelift surgery can ultimately provide a more refreshed and youthful appearance, essentially turning back the hands of time with results that look both beautiful and natural.

Before-and-After Photos

Am I a Good Candidate for Facelift?

Men and women experiencing areas of facial sagging due to skin, tissue, and/or muscular laxity may benefit from a facelift performed by Dr. LoVerme. Good candidates for facelift need to be in good overall health for surgery and must not smoke for at least six weeks prior to the procedure. If you would like to find out if facelift surgery is the right facial rejuvenation option for you, we suggest scheduling a consultation with Dr. LoVerme. During your consultation he will review your medical history, perform a comprehensive physical examination, evaluate your facial appearance, and develop a customized treatment plan that can achieve your cosmetic goals.

Can Facelift Surgery Be Combined with Additional Facial Rejuvenation Procedures?

To achieve a more comprehensive degree of facial rejuvenation, facelift surgery is often combined with additional surgical procedures and non-surgical treatments, such as eyelid surgery, forehead lift, laser skin resurfacing, mid-facelift surgery, and/or cosmetic injectable treatments. Frequently, these additional procedures and treatments can be performed at the same time as your facelift, and Dr. LoVerme will design a customized treatment plan that can meet your unique needs and goals. His aim is always to create the most refreshed, youthful, and natural-looking appearance possible.

Is There a Preferred Age for a Facelift?

There is no “best” age for undergoing a facelift. While some men and women are ready for a facelift in their 40s, others may not feel the need until their early 70s. Every face ages differently depending on a variety of influences. Sun exposure, genetics, skin type, biology, lifestyle, and other factors all contribute to the rate and manner in which the face ages. Typically, it takes the keen eye of an experienced plastic surgeon to properly evaluate the face – by assessing the skin, underlying structures, and overall appearance – and determine which surgical or non-surgical approach may deliver optimal results. If you believe you may benefit from a facelift, contact our office to schedule a consultation with Dr. LoVerme.

What Are the Different Types of Facelift Surgery?

(The Short Omega Scar, Ogee Lift, & MACS Lift)

Look at pictures of yourself at age 20 or 30 – cheeks are full, lower eyelids are short, and your neck is flat, with a well-defined jawline. That’s what a facelift should achieve at our New Jersey center – not tension, which is what Dr. LoVerme calls the “wind-tunnel” appearance. Traditional, two-dimensional manipulations of the aging face are inadequate for the complex, three-dimensional demands of a youthful result. The Ogee Lift is the first major advancement since facelift surgery was first described in 1920.

The Ogee Lift is one type of facelift procedure we perform. This facelift technique raises the soft tissues of the lower face back to their youthful position in the midface (cheeks) and raises the corners of the mouth without creating a stretching appearance. And, it is done with an Omega incision, concealing the scar behind the ear so that hair can be worn up or short and no scar or hairline abnormality is visible behind the ear. It is an excellent facelift procedure for men, too. While swelling may last longer, results are vastly improved.

Another type of facelift performed by Dr. LoVerme is the MACS lift. In selected patients, this procedure lifts the midface, jowls, and neck with shorter incisions and less recovery time. SMAS modification is another important technique Dr. LoVerme uses to lift the face’s sagging muscles as well as the skin. Many facelifts also combine fat transfer to the face to enhance volume and provide a youthful appearance.

Dr. LoVerme will discuss the various facelift techniques with you during the initial consultation and determine which may be best for your individual needs and goals. Facelift procedures are typically performed on an outpatient basis under general anesthesia.

What Happens During the Facelift Procedure?

The specific details of your facelift surgery will depend upon the technique you and Dr. LoVerme have selected. The initial incision is well hidden within the hairline and may extend either behind or in front of the ear. Through this incision, Dr. LoVerme is able to access the underlying musculature and connective tissue to smooth and lift lax areas of the face, jawline, and neck. The skin is re-draped over the rejuvenated framework and any excess is removed. Once this is complete, the incision is closed. This process is then repeated on the other side of the face, and Dr. LoVerme is mindful of achieving natural-looking, symmetrical results.

What Are the Side Effects of a Facelift, and How Long Does It Take to Recover?

Each facelift procedure is customized to meet the unique needs of each patient, and therefore, some surgeries may be more extensive than others, requiring either more or less recovery time. Generally speaking, facelift patients can expect the initial recovery to last approximately two weeks. Swelling and bruising are common side effects of facelift surgery, and these conditions typically fade fairly quickly with proper care. The full results are usually visible around three months after surgery, once the tissue has had time to heal completely.

Dr. LoVerme will thoroughly discuss post-op care instructions and the recovery you can expect from the specific type of facelift you are having performed. If facelift is combined with another procedure, like brow lift or eyelid lift surgery, your recovery may take a bit longer.

How Long Will My Facelift Last?

While the face will continue to age after your facelift, the benefits of Dr. LoVerme’s expert surgical skill can last long into the future. Typically, patients report aging more gracefully after their facelift. When new visible signs of aging appear, non-surgical rejuvenation options such as injectables and laser treatments may provide adequate improvement, if desired. Some patients may wish to undergo a touch-up procedure or even a second facelift many years after their initial facelift to freshen their results.

Will I Have Noticeable Facelift Scars?

The inconspicuous nature of residual scarring from facelift surgery is one of the procedure’s most prominent benefits. Depending on the specific technique utilized, incisions are typically made along the hairline and/or behind the ear, leading to scars that are virtually unnoticeable to others. Dr. LoVerme also performs certain facelift techniques that require relatively small incisions, further reducing the visibility of scars.

How Much Will My Facelift Cost?

While the total cost of a facelift depends on a variety of factors unique to each patient’s customized treatment plan, the price generally falls in the $5,400-$13,500 range here at The LoVerme Center for Plastic Surgery. The complexity of the surgery, the technique utilized, anesthesia and facility fees, whether there are additional procedures included in the treatment plan, and other factors will all be taken into account. During your initial consultation, a cost estimate that includes all associated expenses will be produced based on your personalized treatment program. In addition to accepting an array of convenient payment methods, our practice works with several reputable plastic surgery financing companies that offer numerous flexible payment plans for qualified applicants. Our patient care coordinator will be happy to discuss your options with you and answer any questions you may have.

What Are Some of the Alternatives to Facelift?

Some individuals may wish to avoid invasive surgery, or simply may not need a full facelift to attain their goals. Others may have aesthetic facial concerns that would benefit more from a different procedure. In these cases, there are alternatives to facelift surgery that may be more ideal, depending on the patient’s needs and desires. If the concerns are primarily affecting the upper areas of the face, an eyelid surgery or brow lift may serve as good alternatives. These treatments can address signs of age, stress, and exhaustion that often manifest around the eyes, between the brows, and along the forehead. For individuals who would like to enhance their facial appearance without surgery, our practice offers numerous non-invasive or minimally-invasive procedures designed to rejuvenate the skin. Treatments include laser skin resurfacing, BOTOX® Cosmetic, dermal fillers such as JUVÉDERM® and Restylane®, and many other options.

While a surgical facelift is still the most effective option for significant enhancement and long-lasting results, alternatives to this procedure can provide exemplary outcomes for the right patient. Dr. LoVerme will talk with you about your goals during the initial consultation and help you determine the options that can best meet your needs and expectations.

Additional Facelift Frequently Asked Questions

Patients typically have many questions about the facelift procedure before deciding to proceed with surgery. To provide you with the most relevant information about the procedure, we have included Dr. LoVerme’s answers to additional frequently asked questions he receives from facelift patients:

Q: Is a facelift painful?

A: Facelift surgery is performed under general anesthesia, so you will be asleep and feel no pain during the operation. When surgery is over you will have pain medication on hand to help mitigate discomfort. Keeping your head elevated and using cold compresses as directed during your recovery can also help provide comfort while you heal.

Q: Will I experience facial numbness after my procedure?

A: After facelift surgery, you may experience some temporary facial numbness during the recovery period. This typically subsides within a few weeks or months, depending on the extent of your procedure. During your consultation, Dr. LoVerme can discuss what degree of facial numbness, if any, you can expect after your customized facelift procedure.

Q: Will my facelift look natural?

A: Creating natural-looking facelift results is just as important to Dr. LoVerme as it is to you. His many years of experience have allowed him to perfect his techniques to provide elegant results that help his patients look youthfully rejuvenated and refreshed, not surgically enhanced. His favorite phrase is, “It doesn’t have to look natural to be natural!”

Q: Will I still have wrinkles after a facelift?

A: Facelift surgery will not completely erase the presence of wrinkles; rather, it can reduce their prominence and create a more youthful appearance overall. If diminishing your facial wrinkles is your only goal, Dr. LoVerme will likely suggest a less invasive procedure, such as injectable fillers, BOTOX® Cosmetic the popular wrinkle reducer, or laser resurfacing with our Ellipse® FRAX laser.

Q: Is a facelift different for men versus women?

A: Dr. LoVerme customizes facelifts differently for men and women to achieve results that align with masculine and feminine aesthetic preferences. During your consultation, Dr. LoVerme can explain the techniques and approach he plans to use in order to create the outcome you desire.

Q: How many years younger will I look after a facelift?

A: On average, men and women generally appear eight to ten years younger after a facelift; however, results can vary from patient to patient. If additional facial rejuvenation procedures and/or treatments are performed in conjunction with a facelift, it is possible to appear even younger. During your consultation, Dr. LoVerme can discuss the degree of improvement that may be possible with the customized surgical plan he suggests.

Q: What kind of anesthesia is used during facelift surgery?

A: Patients receiving facelift surgery are typically placed under general anesthesia during the operation. This means you will be completely asleep throughout the duration of your procedure. Anesthesia is always administered and closely monitored by a board-certified anesthesiologist.

Q: How long before I can exercise again after facelift surgery?

A: Generally speaking, most patients are able to resume their usual exercise routine after four to six weeks; however, it is recommended that you wait for Dr. LoVerme’s approval before engaging in strenuous activity.

For further information on facelift surgery, or other types of cosmetic surgery procedures, contact Dr. Paul J. LoVerme.

In The Media

Dr. LoVerme is one of the few surgeons who perform the Ogee facelift in the New York and New Jersey area. The Castle-Connolly Guide and New York Magazine have listed him in the Top Doctors in the New York Metro area.

“21st Century Facelift”
(New Jersey Monthly July Healthcare)
img-mag-top-docs-lgA facelift is not what it used to be, at least not in the hands of Paul J. LoVerme, MD, a board-certified plastic surgeon and founder of the LoVerme Center for Plastic Surgery in Verona. “The number one difference is that tightness is out,” he explains. Instead, the rounded cheeks of youth are in. The Ogee facelift will lift your cheeks and restore the roundness to the middle of your face. SMAS modification is another important technique Dr. LoVerme uses to lift the face’s sagging muscles as well as the skin. Tisseel or fibrin glue is another component of good facelift, he counsels. “It promotes healing, decreases bruising and gets people back to their normal routines faster.” Restoring volume may be accomplished with injections of your own fat. And finally, your neck should be smooth and tight. “Tightening the muscles underneath the skin of your neck to give a good contour to your jawline is the last essential element of your facelift.”

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