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.
"This was a great, professional experience - Dr. Gray was very knowledgeable and thorough when we came in for the consultation. He explained all of the different breast implant types and what they would look like depending on what was the desired outcome. Great bedside manner an he gave great advice, made us feel very comfortable and we love the results."- A. / RealSelf / Apr 08, 2017
"I was referred to Dr. Leonard Gray by a friend who has had work done and he was the second I went to see for consultation. I booked my surgery day a few days after that day. I'm so glad that I find Dr. Leonard practice! I absolutely love his staff. They are extremely nice, patient and helpful! I'm so thankful and satisfied with his work."- S.Z. / Yelp / Mar 21, 2017
"AMAZING!! Dr. Gray and staff are the best! I had a revision breast augmentation that required the best surgeon to repair. Dr. Gray is that surgeon. The results have exceeded my expectations. Not one bruise...proof that Dr. Gray is meticulous during surgery. The staff is very caring and accommodating, I could not have asked for more. Thank you for taking such great care of me."- D.M. / Yelp / Mar 18, 2017
"INCREDIBLE DOCTOR AND STAFF! Highly recommended! - Incredible. AMAZING. I cannot say enough good things about this doctor. I wrote a review about my procedure (and am in the process of finishing it, since I am only 6 days post-op), so I won't be repetitive here. But I HIGHLY recommend Dr. Gray and his staff! I had a breast implant removal. His bedside manner was incredible, I felt like i knew these people forever. The RN's are wonderful and so sweet, and the anesthesiologist is out of this world. I would honestly do my procedure ALL OVER AGAIN! :)"- S. / RealSelf / Feb 26, 2017
"575 Cc Sientra Moderate Profile - Dr. Gray came highly recommended to me by a work colleague. I ended up making an appointment with him and knew he was going to be the doctor for me. He was extremely patient, knowledgeable, and no pressure. After he explained the procedure to me and answered all my questions, I got to try on various implant sizes. He carries Allergan, Mentor, and Sientra. He never made me feel rushed while trying on the different implants and never pushed me in any particular direction. It was important to him that I liked what I saw in the mirror. I can't say enough good things about Dr. Gray and his staff."- S. / RealSelf / Feb 13, 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)@headingTag>
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@headingTag>
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.