Having a facelift is a procedure that is specifically suited to certain needs and concerns, and produces significant results that take off years or even decades from your appearance. But a facelift is not one-size-fits-all, so it’s important to get to know your facelift options. Here we’ve discussed the different facelift procedures with our facial plastic surgeon, Dr. Buonassisi, to define your facelift options and help you decide which route is best for you.
The short incision facelift refers to the type of incision used in the procedure, which then leaves an applicable scar behind and below the ear. During this procedure, the skin is elevated and the skin around the jawline and neck are tightened significantly. A short incision facelift is ideal for patients who want to be able to wear their hair up without too noticeable a scar, but the tradeoff is that the short incision facelift allows for less neck lifting. This tradeoff is sometimes very acceptable for those who don’t need or want as much neck lifting and are experiencing early jowl formation or laxity around the neck area.
The long incision facelift is a more invasive approach with more significant results, and is ideal for those who are experiencing age related changes to the lower part of the face with pronounced sagging of the neck area and jawline. With a longer incision that leaves more obvious scarring, the upside is that a greater improvement to the neck area can be achieved than with the short incision facelift. This procedure is often performed with a platysmaplasty, which provides an even greater improvement to the neck area. The procedure is the gold standard in patients who have significant laxity in the skin. The incision extends into the hairline and behind and below the ear, which leaves scarring which is sometimes visible when wearing the hair up.
A combination facelift can be applied to either a short or long incision facelift, and simply involves an additional procedure to address another feature of the face which would otherwise not be changed with the facelift procedure itself. Some procedures opted for in a combination facelift include:
A total facelift involves a treatment plan which leaves the patient with total rejuvenation by combing a lower facelift (either short or long incision facelift) with resurfacing of the skin with neurotoxins (if desired) to smooth out dynamic wrinkles as well as either fat transfer or dermal fillers to add volume to the mid face area.
Are you feeling like you are making progress in deciding which facelift option is best for you? Book a complimentary consultation to speak directly to our team of specialists, and ensure you are on the right track.