Aging happens in many dimensions—it’s so much more than your skin migrating up and down, or backwards and forwards. When we age, our skin doesn’t just sag down, rather, the underlying musculature in the face starts to sag while we lose fat pads in the face, leading to a loss of tone and looseness that occurs in different directions. Aesthetx has the aim of addressing aging in all dimensions, allowing us create their natural, balanced, and proportional results.

Dr. Zeidler and Dr. Berkowitz think of their facelift results are about turning back the hands of time, not making patients look “altered” or like a different person. We take an active and extensive effort to restore each patient to their more youthful state, because “You, only better,” is our guiding principle.

Dr. Zeidler and Dr. Berkowitz pride themselves on creating natural results, and each procedure is customized to each patient’s anatomy and pattern of aging. Medical black and white photographs are taken and compared to photos of each patient in their 20s in order compare the changes that occurred over time. We found that specifically restoring areas of fat loss and skin laxity provides better results than a one size fits all approach. All of our facelift procedures feature well concealed scars as well as a focus on reshaping deeper tissues; thus, allowing the skin to be gently re-draped once it’s in a more lifted position. The changing of deeper tissues ensures that these results are long lasting.

Facelift Topics

History of the Facelift

Unlike today, facelift procedures used to have a considerable stigma surrounding them. It’s why it’s so difficult to pinpoint when the facelift was truly developed; surgeons from centuries ago were often reluctant to keep records on what they accomplished and when. While it is known that European and American surgeons were developing primitive facelifts in the early 1900s, the first possible facelift might have been completed by Eugene von Hollander, who made elliptical incisions by the hairline and ears and then closed the incisions to re-drape the skin. Other surgeons like Dr. Lexer, Dr. Joseph, Dr. Passot, Dr. Bourget and more attempted their own versions, with Dr. Charles Miller possibly being the first American surgeon to perform a facelift. It wasn’t until after World War I that reconstructive efforts took off and plastic surgery started to gain wider acceptance in society. At this point, the facelift only addressed shallow tissues, often leading to a more artificial “pulled” look. However by the 1930s, more and more surgeons were “undermining” the skin, also known as separating the skin from the underlying fascia, an essential part of creating a more natural look. Surgeons continued to address deeper and deeper tissues, and in the 1960s and 1970s, a series of publications and findings on facelifts addressing the deeper fascial layers led to the adoption of the SMAS technique, a method that tightens the connective tissue under the skin. Today, techniques like the deep plane facelift goes even further under the SMAS later, while other techniques developed as a way to create effective anti-aging without an extensive recovery or noticeable stitches.

Mid Facelift

One of the most unique and specialized forms of the facelift, the Mid Facelift, specifically targets signs of aging in the cheeks. Dr. Berkowitz has developed a technique for the mid facelift that leaves the most inconspicuous scars while creating long lasting lift. First, our surgeons will make a small incision behind the hairline, along with an incision inside cheek. The tissues are then elevated between the temple and cheek, creating lift for the cheeks’ fat pads and underlying muscle. By targeting a small, but often affected area, the mid facelift can effectively and precisely rejuvenate the skin without too much of a recovery period.

Lower Facelift

Jowls, drooping corners of the mouth, or excess skin, heavy neck bands, or excess fat around the neck are often the most prominent giveaways for aging. For those who specifically want to target these areas, Aesthetx offers the lower face lift, which addresses the lower third of the face and the neck. With the lower facelift, your surgeon will create a well concealed incision that starts in font of the ear and extends behind the ear, while removing excess skin and tightening the underlying layers. Often combined with a neck lift, the lower facelift is a wonderful way to target one of the most troublesome areas for aging.

MACS Facelift

The minimal cranial suspension short scar technique, also known as the MACS mini facelift, is one of the latest discoveries in the world of facelifts. This facelift variety creates an optimal blend of discreet incisions and precision: The MACS facelift specifically targets the lower third areas of the face and the upper third areas of the neck to improve sagging cheeks and issues in the jaw and neck area. Using an incision that blends with the sideburns and hidden by the ear canal, your surgeon will lift the skin to gain access to the deep tissue underneath.

The MACS facelift adds another dimension to its lift by adding suspension sutures to the deep tissue; these sutures are then tightened to elevate the facial tissue, creating vertical lift rather than a general outward pulling on the skin. These sutures are great for elevating the corners of the mouth and jowls, making it a wonderful alternative to the lower facelift or neck lift. Thanks to the efficiency of the procedure and its minimal trauma to the tissue, the MACS facelift has an unprecedented 1-2 week recovery period.

PRP for Facelift

Dr. Zeidler and Dr. Berkowitz utilize Platelet Rich Plasma (PRP), the latest in regenerative technology for all of its facial surgeries. PRP is a concentrated serum full of the healing factors found in your own blood, and several studies have shown its efficacy on reducing recovery times and increasing the comfort of the procedure. PRP is added to the facelift to jumpstart the healing process and reduce the severity of bleeding and bruising. By incorporating PRP in its facial procedures, Aesthetx offers some of the most state-of-the-art facelift procedures available.

Fat Transfer for facelift

In order to obtain the most natural results possible, many of our facial rejuvenation procedures will include fat transfer to strategic areas to restore a youthful appearance. This includes focused fat transfer to the areas around the eyes, temples and cheeks. This fat transfer can also be performed in the lips and nasolabial folds. The natural fullness created by fat transfer also improves the overlying skin quality.

Recovery from Facelift

You and your Aesthetx surgeon will discuss a recovery plan for your facelift procedure. Your facelift procedure will only take a few hours to complete, depending on which combination of procedures is chosen and where it requires general anesthesia. While it can take a few months to see the final results, most patients can return to their regular activities within a couple weeks. For the best results, it’s essential that you abstain from strenuous activity during your initial recovery. Because bruising and soreness is a common part of recovery, using ice packs or pain medication can help ease your recovery. We arrange special cooling masks for our patients and generally follow up with ultrasound treatments to enhance the tightening in the neck and offer medical skin care as the face is healing.

Aesthetx is renowned for extremely informative and in-depth consultations. To schedule your private consultation for the facelift or to learn more about the procedure, contact Aesthetx by visiting HERE or calling (408) 559-7177.

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