Full Facelift with Long Incision

Full Facelift with Long Incision


With 20 years experience and vast experience performing Vancouver facelift surgery, Facial Plastic Surgeon Dr. Buonassisi places great importance on using a variety of surgical techniques that create natural results and leave patients looking refreshed and reinvigorated. Facial rejuvenation techniques are primarily designed to enhance and tighten the lower portions of the face, particularly the cheeks and jaw line. Some people who choose facelift surgery have a neck lift as well to tighten and rejuvenate the neck, eliminating excess tissue and “banding” or wrinkling that often forms as we age. Facelifts come in different “sizes” and on this page we explain the long incision technique in detail, however you can also learn about mini lifts and full facelift with short incision techniques on our website.

The long incision facelift is ideal for people who are experiencing age related to changes to the lower part of the face and have pronounced sagging of the neck area. Through the longer incision, more extensive improvement to the neck area can be achieved. This procedure is usually performed in conjunction with a platysmaplasty, which provides an even greater improvement to the neck area. This video explains the long incision facelift and who is a candidate.



Long Incision Facelift Video Documentary


You can watch a video documentary of a real patient who had a long incision facelift or watch a video that explains platysmaplasty neck tightening surgery.


The term “long scar” refers to the types of incision used behind and below the ear. Patients who require significant lifting of the neck and don’t need to be able to wear a pony tail after surgery may choose this approach. Others, who rate the importance of being able to wear a ponytail highly may choose a short incision facelift and understand that there may be a tradeoff in terms of how much neck lifting can be achieved. In most cases, incisions are small enough and located in well-concealed areas to make scarring a minor issue. People should notice your youthful facial contour, not your scars.


How the Full Face Lift Is Performed


Facial Plastic Surgeon Dr. Buonassisi places incisions in the natural skin creases in front and behind the ear. They may extend upward into the temporal scalp. “Long scar” refers to the posterior incisions, which stop in the skin behind the ear.  These incisions extend backwards into the scalp, allowing for significant neck lifting. The skin of the lower face and neck is elevated away from the underlying muscle and fat.  These deep SMAS structures are then suspended upward and slightly backward to a more youthful position.  Excess skin is then trimmed and the incisions are meticulously closed to minimize their appearance. Significant reshaping of the aging features of the face and neck can be achieved with this technique.


Benefits of the Full Face Lift Using Long Incision Surgery


  • Sharpening of the jaw line
  • Definition of the neck angle
  • Reduction of double chin
  • Reduced neck fullness
  • Cheek volume and elevation


Recovering from Full Face Lift with Long Incision


  • Most patients take 2 – 3 weeks off work
  • Bruising and swelling is at it’s worst on day 3, then resolves over the next week or so
  • You will be up able to move around the house on your own and do light household activities the day after surgery
  • No strenuous exercise or heavy lifting for 2 – 3 weeks
  • While you will be comfortable being seen in public after 2 weeks, your result improves over the next few weeks
  • You can easily hide incision with makeup until they begin to fade – incisions heal well and are usually very difficult to see


How to Get Started


If you are considering a facelift, please call (604) 733-1669 or contact us to arrange a complimentary pre consultation. We look forward to answering all of your questions!