Serving Orange County: Newport Beach, CA
If you are considering a facelift, this may because you have noticed early signs of aging along the jawline and neck and want to look younger and more refreshed. In many cases, my patients use the term “facelift” to more broadly refer to the fact that they would like to improve signs of aging on the entire face, not simply the lower face. I take a very comprehensive view of facial rejuvenation and will evaluate not only your mid to lower face and neck (key treatment areas for a facelift) but signs of aging around the eyes and brow as well.
Is This You?
Here are some of the common reasons I hear about why a person is considering a facelift:
Many of my facelift patients come to me concerned about the appearance of wrinkles, sagging skin, the appearance of banding in the neck, or a “turkey neck.” Often, patients have tried various forms of injections and lasers before seeing me, and have not been satisfied with the limited results achieved. My approach is to identify what your key concerns are, and develop a comprehensive plan that will work for you.
I encourage you to contact us online or call 949-759-0980 today to schedule a facelift consultation at my Newport Beach office in Orange County. Along with my supportive staff, I am dedicated to educating you about your facelift options and helping you reach your cosmetic goals.
You may be concerned about the appearance of wrinkles, sagging skin, or banding in the neck. I will first identify your key concerns and then develop a comprehensive plan to meet your goals.
– Dr. Savalia
My Facial Aging Philosophy
I emphasize a comprehensive approach to facial aging. This means that I account for the basic components of the face that show signs of aging and address each of them in a complete manner. By evaluating the temple, forehead and eyebrows, eyes, cheeks, laugh lines, jaw line and neck, I am able to help you identify the various subtle signs of aging.
Sometimes, a simple repositioning of a brow by a few millimeters can make all the difference. Restoring volume to the cheeks with fat injections may be more important than pulling the skin taut over a cheekbone. My goal is not to “turn back the clock” to your twenties, or pull your skin as tight as possible to eliminate every wrinkle on your face – my goal is to unmask your natural, attractive features by restoring tissues to their natural position and replacing lost volume in the face. This may include other procedures such as a brow lift, eyelid surgery, or non-surgical med spa treatments such as BOTOX® Cosmetic.
We all have a central layer of the face that is a network of muscle and connective tissue below the skin, known as the superficial muscular aponeurotic system (SMAS). What you need to know about the SMAS layer is that it provides a supportive framework for the skin of the lower face. When the SMAS ages, the skin sags passively with it. Over time, as this layer stretches out in conjunction with loss of fat in the face, you begin to see a sunken or flattened appearance to portion of the face under the eyes (“midface”), a sagging jaw line with jowls, and obliteration of the angle of the neck that is common in facelift candidates. The problem really is more than skin deep. Simply pulling the skin tight without correcting the supportive SMAS layer will inevitably lead to poor results. Surgical correction of the SMAS layer is a critical component of any lasting facelift procedure, as is fat transfer (aka fat injections) to correct facial deflation.
Avoiding the “Wind Tunnel” look
An improperly planned face lift is responsible for the “wind tunnel” look for patients. This is entirely avoidable. As I’ve mentioned, simply pulling the skin tightly will not correct facial aging – in fact, it will highlight facial aging as the skin settles unnaturally over the uncorrected SMAS layer. Obvious face lifts are often the result of a surgeon being aggressive in removing skin while not properly accounting for the surgical correction necessary in deeper layers of the face. I evaluate the SMAS layer for each patient and will perform a lift all the way down to the neck if necessary and re-suspend the facial muscles.
A Note on Short Scar Techniques
There is a trend toward creating a shorter scar, which in my opinion does not lend itself to proper redraping of skin and correction of the neck. To smooth out a bedsheet, you cannot simply pull on only one corner, and expect the sheet to redrape smoothly. The pull has to be balanced and even, so that the whole sheet is redraped, not just one corner. Meticulous attention to placement of the scars within natural creases and contours of the face will ensure that the scar is hidden. This may involve a slightly longer scar, but note that the length of the scar has very little bearing on whether it is visible. Preventing the incision from healing under tension is more important for scar minimization. To me, this is far more important than creating a shorter scar.
A Note on Branded Facelifts
Put simply, I don’t believe that there are eighteen different ways to do a facelift. There are many commercials for companies that are marketing “branded” facelift procedures in an attempt to create differentiation – promises of “minimal” short surgeries, performed with little anesthesia, and “minimal” recovery times are made. The early results of such procedures are often very good, but once the initial swelling goes away, and scars heal, it becomes clear that the results are also “minimal.” In reality, the steps in performing a very high quality facelift are established and relatively uncontroversial. In most cases, a good facelift must comprehensively address the SMAS layer. In all cases, my patient’s existing anatomy and surgical objective need to be kept in mind with a procedure tailored to their unique needs. A unique approach is simply not what a branded procedure is designed to achieve.
The Surgery Itself
Once we have created a unique plan for your facelift during your consultation, I will explain the techniques needed to achieve your surgical correction. Facelifts are performed in an accredited surgery center with the patient under anesthesia, monitored by board-certified anesthesiologists and registered nurses. Since the entire procedure is on the “surface” and I numb your face, it only take a very light anesthetic to keep you asleep and comfortable during the surgery. I take great care to correct aged facial structures below the skin, redrape the skin, and properly close all incisions so that scarring can be minimized.
Before you are released home to begin your recovery, my staff will provide you with detailed post-operative instructions to ensure that your healing goes as smoothly as possible. You will also receive full-service support from me and my team throughout your recovery. For more information on facelift surgery, I encourage you to contact us online today.