Facelifts and neck lifts are meticulous operations that require an eye for detail and careful planning. Board-certified San Francisco, CA plastic surgeon, Dr. Leonard Gray, has been perfecting his technique with these procedures for the past 20 years. Scars can be made shorter and less visible. SMAS (superficial musculo-aponeurotic system) tightening, under the skin layer, allows for deep tightening of the facial tissues without pulling too much on the skin itself. Also, release of tethering attachments up high on the cheek and down by the jaw allow for a more complete re-draping and tailoring. The result is a natural, refreshed look without an over-pulled appearance.
Sometimes the facelift can be combined with mild liposuction in the jowl area and fat injection in some of the deeper lines in the face. Conservative fat injection, with their associated stem cells, can be associated with skin quality improvement. Dr. Gray can also improve the neckbands with corset stitching of the platysma muscle. Scars are well hidden so women can wear their hair short or wear it up. At Bay Area Plastic Surgery, Dr. Gray and his team believe that the best result is a natural look that complements the patient’s active lifestyle. Good patient rapport and excellent surgical results are critical to Dr. Gray. He wants to make the entire patient experience the best possible.
"Fantastic - Highly Recommend - So happy!!! My experience with Dr. Gray and staff has been phenomenal - very personable, professional, informative and attentive. I felt like I was in good hands throughout the entire process, and went into my surgery with utmost confidence. It has been approximately two weeks since my procedure, and I am absolutely thrilled with my results. Thank you, Dr. Gray!"- A. / RealSelf / Jan 02, 2018
"50 Shades of Grey - I went in for a breast revision to avoid any future complications. I switched from my 12 year old Saline implants to Silicone. I was very happy with my Saline implants plus there were no visible scars. In 2005 my Doctor was the first to innovative the nipple incision (not to be confused by the periareolar incision). Very pleased with my previous results without any hesitation I knew that Dr...."- X. / RealSelf / Dec 27, 2017
"BEST PLASTIC SURGEON EVER!!!!!! - There are no words that suffice to commend Dr. Gray's unbelievable work - truly impeccable and a work of artistry. I am incredibly hard to please, as I am a complete perfectionist myself. My family always teases me, as I never seem content with anything. I interviewed countless plastic surgeons and spent weeks on end researching doctors on the internet. Even though I am a mother of three..."- D. / RealSelf / Dec 25, 2017
"I would give 10stars if i could! Had my first set of implants about 10years ago that were utterly amazing by him. Always had comments how natural they were and best job anyone had seen. Fast forward, time to change and upgrade the girls. They are even more amazing than the first set. Went for the gummy bears high profile. So beautiful in everyway! Dr Gray knows what he is doing. I told him exactly what i Wanted in regards to size and cleavage and he made it happen!! I wanted to wait to write this review till i was a few months out and everything settled. I am not a big yelper but MUST give credit where it is due. My experience this go round was nothing short of stellar. I had breast aug and labiaplasty and everything looks amazing! I felt and feel so comfortable and confident in this man. Also i must share that I had a major medical emergency thru my healing process that had nothing to do with dr. Gray or plastic surgery. Was a female issue, that left me in critical condition. Had I not followed Dr Grays advise at a follow up and got directly to my ob/gyn it would have ended badly. I ended up in emergency surgery wich solved the issue that would have ended in devastation had i not gone to emergency on Dr Gs advice. I also wold like to mention, when i got the news i had to have emergency surgery i called Karen at the front desk, cuz no one knew of my private situation but Dr Grays office. I am BEYOND GREATFUL for the professionalism of this woman. I felt like i had a best friend who was a 911 operator on the phone. I was hysterical and she calmed me down as i drove myself to emergency surgery. It was one of the scariest experiences of my life, no family knew as i kept it private and she was like a guardian angel. Also Cherrise is like a breath of fresh air! Helped me with so much during this process and has such good energy and i know her word is GOLD! Anything i asked advice on was always on the money! Also Lalanya who i rmbr from 10 years ago is frgn awesome! i called panicking once about questions from healing and she soothed everything and everything she said was true.Shes been in the scene for a long time and KNOWS HER STUFF! STAFF IS BEYOND EXCEPTIONAL! energy is amazing. Dr Gray is IT in my eyes. He also is A MAGICIAN with ingectables! no one ever has been so thuro with botox or cheek fillers. and my lips! ARE GORGOUS! had disastorous results with lips and botox and this man lays you down like he is doing surgery for your ingectables and gets it perfect! He is a master at his craft. i will not go anywhere else for ingectables. Breasts and labiaplasty are GORGOUS! Thank you Dr Gray. YOU ALL ARE A GOD SEND! p.s. i feel Dr G is more than authentic. He spent so much time with me after my emergency surgery and i truly feel he cares. He was looking me in the eye and we had a long discussion, his concern was more than genuine .Also he overcame my fear with injectables so patient and he KNEW exactly what i wanted and delivered, this place will always hold a special place in my heart! THANK YOU! THIS MAN IS ON POINT!!!!"- K.B. / Yelp / Dec 11, 2017
"I would give 10stars if i could! Had my first set of implants about 10years ago that were utterly amazing by him. Always had comments how natural they were and best job anyone had seen. Fast..."- K.B. / Yahoo / Dec 11, 2017
The technique used during a facelift is dependent on the patient’s facial features and conditions. Most surgeons will always aim for the less invasive technique, but some patient cases are severe and will require internal tissues, fat and skin to be manipulated. Patients must also understand the procedure in detail, including the level of invasiveness, placement of incisions, what layers of tissues will be corrected, and what risks may be associated with the surgery before moving forward.
Also referred to as the cutaneous facelift, this technique removes excess and loose skin to create a tightened look. The remaining skin is repositioned to lift sagging cheeks and jowls. It also improves the profile along the jaw line. With this facelift technique, the muscles or fat tissues are left untouched. As the treatment focuses on the skin only, recovery is quick. This is ideal for those who still have good tone muscle and distribution of fat, but find the skin losing elasticity in some areas.
Traditional Facelift (SMAS)
SMAS is the superficial musculo-aponeurotic system, which is a muscle complex that is primarily active when it comes to facial expression. With normal wear-and-tear due to age, gravity and personal habits, muscle tissue loses its form and becomes displaced significantly for those over 50. This particular facelift is considered the standard when it comes to this cosmetic procedure. With lengthy incisions on the side of the face, from the temple to the lower hairline behind the ear, the skin will be peeled and lifted to reshape contours. If there is excess fat and skin, these will also be removed.
Deep Plane Lift
For those who have severe cases of drooping and skin folds that are normal with aging and extensive sun exposure, a deep plane lift may be the best approach. This is especially true for those whose facial profiles need extensive reshaping on areas that typically have the volume and tight contours. This involves a highly specialized skill set and the plastic surgeon must be carefully selected as the nature of procedure has a high chance of damage to the facial nerves.
Also called as a short-scar facelift because of the shorter incisions made, a mini lift is a quick treatment that corrects the middle and lower face. Many patients initially consider this technique, but this doesn’t correct any severe issues and usually renders short-term results. Patients who undergo this procedure are most likely to also stage a full facelift as a final step to fully rejuvenate and reshape the face to its youthful curves.
All facelift procedures are performed in an accredited surgical facility with general anesthesia. Even though this is considered an outpatient procedure, there are some cases where the patient stays overnight for monitoring. It is normal to experience bruising and swelling after the surgery, and patients will feel as if their face is being pulled tight. This subsides within a couple of weeks. Optimal results will be evident after several months. It is important that activities are limited to help create a safe and quick healing.
Plan Your Procedure
- Average Cost
- $13,000 - $15,000
- Recovery Time
- 6 Weeks
- Average Procedure Time
- 4-6 Hours
- Post-op Follow-up
- 4 Months
- Procedure Recovery Location
Cosmetic surgery is constantly evolving and always finding ways to minimize the invasiveness of procedures. There are countless options that are considered less invasive than a facelift, including wrinkle relaxers such as BOTOX®, injectable fillers, microdermabrasion and chemical/laser peels. These alternatives aim to correct signs of aging such as wrinkles, as well flatten and soften folds and contours. The effects, while effective, are often short-term lasting about 6 months to a year. Although these procedures can be safely repeated, for some, a facelift may be a better, more permanent option.
Immediately following a facelift procedure, the patient will feel tightness and a pulling sensation. This is normal as the facial tissues, skin and muscle adjust to their new positions. It is important to choose a reputable plastic surgeon that has years of experience in facial cosmetic surgery. A doctor with experience in facial surgery will create natural, smooth results that will last for years to come.
A tradional facelift requires a long cut from the temple to the lower hairline, but the scars will be well concealed within the hairline and natural creases on the face. With the lesser invasive techniques, the scars heal pretty well and will almost be completely invisible to the naked eye.
Anyone can consider a facelift as soon as evidence of aging starts taking a toll on the skin. Generally, patients who are age 50 to 70 consider a facelift. Personal habits and environmental conditions can impact the skin and there are patients who are only 40 that are also good candidates for a facelift.