What is a Facelift?
Facelift surgery, also known as rhytidectomy, is one of the most popular cosmetic surgeries in the United States. Facelift surgery lifts and tightens the skin and deeper tissues to rejuvenate the lower two-thirds of the face.
Facelift surgery tightens loose skin folds, erases wrinkles, and provides an overall younger and more rejuvenated appearance. Dr. Khan may also perform a Facial Fat Transfer as an additional procedure at the time of the Facelift to add fat to the necessary areas of the face, raise up the cheeks, add facial contours, lift the eyebrows, or erase crow’s feet from the edges of the eyes.
A multimodality approach is taken to fully optimize and rejuvenate the face. Microneedling with PRP, Morpheus8, and medical grade chemical peels may also be indicated to resurface the skin and improve texture to create a beautiful glow and erase the signs of aged skin. This can be done before or after surgery, depending on your individual needs. The addition of Botox and Fillers will also compliment this procedure and help maintain results for years to come.
As we age, visible lines appear on the face and the jawline begins to sag. The facial fat pads lose volume and deflate, and gravity pulls the skin and fat pads downwards. These signs are minimal at first, but become more prominent as the years pass. Signs of aging can affect a person’s overall self-esteem and appearance.
Dr. Khan may recommend a Facelift for patients who are interested in gaining the following benefits:
- Address multiple signs of aging for a total makeover
- Tighten sagging facial skin
- Smooth smile lines (deep creases between the nose and lower lip)
- Re-contour the jaw and neck
- Well hidden surgical scars
- More youthful and energetic appearance
- Lift jowls
- Smooth deep creases
- Excellent, natural-looking results
Ideal Facelift candidates are healthy adult men and women who are experiencing significant signs of aging, including smile lines, double chin, loose jowls, fine lines, and wrinkles. First-time Facelift patients have no minimum or maximum age requirement. Patients, even in their 20s, are seen for a consultation and if found to be a good candidate by Dr. Khan for a Facelift then they would be offered this surgery. A second Facelift may be performed in 10-15 years to maintain healthy, youthful skin.
Dr. Khan evaluates potential facelift candidates during a private consultation. Dr. Khan also performs a full skin analysis and creates a treatment plan for skin texture and tone optimization and rejuvenation, plus the addition of injectables
The Facelift Procedure
Dr. Khan specializes in the superficial muscular aponeurotic system (SMAS Facelift), which provides long-lasting, outstanding results. She performs SMAS Facelift surgery using general or local anesthetic during an outpatient procedure at the accredited Houston Plastic Surgery Center, connected to the Body By Ravi Plastic Surgery and Aesthetics office in Houston, Texas. During the SMAS Facelift procedure, Dr. Khan creates inconspicuous incisions that are hidden inside and along the earlobe fold, behind the ear, and extending into the hairline.
During the procedure, Dr. Khan separates the skin from the thin layer of fibers covering the anterior face and neck, known as the SMAS system. After lifting the skin, she trims the tissue and fibers below the face and attaches the muscles at an elevated level for tighter, lifted facial muscles. Dr. Khan uses the SMAS technique to lift sagging cheeks, remove jowls and heavy skin from along the jawline, tighten the underlying tissue and muscle, correct mid-face sagging, sculpt a double chin, and smooth marionette lines, folds, fine lines, and wrinkles.
Dr. Khan may also remove unwanted pockets of fat from the face for contouring or add harvested fat for definition. She uses fat that is harvested from the abdomen using liposuction, which is then purified and injected into the face using a microdroplet technique to achieve a more youthful appearance. The fat transfer is typically very successful, and 75% to 80% of the injected fat will permanently remain.
The surgeon may also create an additional incision under the chin if the patient wants to improve a double chin, remove excess, saggy skin from the lower face, or enhance the appearance of their neck. Necklift procedures are usually combined with Facelift procedures in order to achieve harmony between the face and neck for a cohesive and comprehensive rejuvenated appearance. The Facelift procedure usually takes two to three hours, depending on the complexity of the surgery. Dr. Khan places sutures within the SMAS layers to hold the transformation in place and adds temporary drains.
Dr. Khan’s patients typically return home the same day shortly after their Facelift procedure to rest and recover. She advises patients to set up their recovery area before surgery with all the items that they will need. The patient must keep their head elevated and apply ice at appropriate intervals to reduce swelling and encourage healing.
The patient typically returns the following day to have the drains removed. The extent of the surgery determines the length and nature of the recovery. Most patients have a close family member or friend stay with them for a few days to assist them during their early recovery.
Dr. Khan wraps a surgical dressing around the face after the surgery, and a compression garment is typically worn by the patient for 7 to 10 days after the surgery. Stitches are usually removed in one week, and the patient may experience some swelling and unusual skin sensations for up to one year after the surgery. Swelling typically improves after 1-2 weeks.
Dr. Khan prescribes medication to reduce the risk of side effects, which can include pain medication, antibiotics, and anti-nausea medicine. The bruising begins to fade within the first few days and disappears in approximately two to three weeks. Patients may resume their regular activities within a week if approved by Dr. Khan, minus strenuous physical exercise.
Facelift patients are encouraged to contact Dr. Khan or the staff at Body by Ravi at any time during their recovery to ask questions or discuss concerns. Most patients are comfortable returning to public events approximately two weeks after the surgery.
There are risks associated with any surgery, but when facelift surgery is performed by an experienced plastic surgeon, such as Dr. Khan, the side effects and dangers associated with SMAS facelift surgery are significantly reduced. Although SMAS complications and adverse events are rare, facelift risks may include:
- Unfavorable scars
- Wound breakdown
- Possible allergic reaction to an anesthetic
- Mild asymmetry
Dr. Khan thoroughly reviews each patient’s medical history and explains all possible risks during the consultation.
Dr. Khan evaluates patients who are interested in cosmetic surgery during a private consultation. Her patient-centered approach and warm personality create an inviting atmosphere. Dr. Khan reviews the patient’s medical history, performs an examination, and discusses their goals and expectations at length.
If Dr. Khan determines that Facelift surgery is the best option, she creates a step-by-step treatment plan, which she customizes to match the patient’s goals. As an expert facial plastic surgeon, Dr. Khan creates harmony and balance by combining procedures that complement one another, such as a Facelift, Necklift left, Brow lift, Lip Augmentation, skin resurfacing, and Facial Fat Grafting. Each patient experiences outstanding results, emphasizing their natural beauty while reducing the appearance of lines, wrinkles, excess skin, and other signs of aging.
Why Choose Dr. Saiqa Khan?
Dr. Saiqa Khan, MD, is a trustworthy and highly-respected female plastic surgeon at Body By Ravi in Houston, TX. Dr. Khan is a valuable part of the elite plastic surgery team at Body By Ravi Plastic Surgery and Aesthetics, including Dr. Ravi, a highly-respected and body contouring plastic surgeon, and Dr. Gopathi, a cosmetic specialist performing anti-aging treatments and injectables for the face and body.
Who is an ideal candidate for a Facelift?
The SMAS facelift is ideal for men and women with sagging cheeks, lines and wrinkles, and a loose jawline. The SMAS facelift is not recommended for smokers, patients with a history of keloid scar formation, blood clots, bleeding disorders, or other conditions that create poor wound healing.
What are the most common side effects after Facelift surgery?
Common post-surgery side-effects may include temporary bruising, numbness, swelling, and minor hair loss near the incision. Infrequent side effects may include marginal mandibular nerve injury and hematoma formation.
Dr. Khan explains the benefits and risks associated with Facelift surgery during the consultation. Following all of the doctor’s pre-and post-surgical instructions dramatically reduces the risk of complications.
Am I the right age for a Facelift?
Age truly does not matter when it comes to having a Facelift. We all age differently and require different interventions for our goals regarding facial optimization. Many non-surgical procedures are helpful to maintain a youthful appearance and healthy skin in combination with surgical procedures, or as stand-alone treatments.
Dr. Khan examines each patient’s medical history and concerns during a consultation to determine the best options.