Ali Sepehr, MD, Facial Plastic Surgeon

Facelift with Lifelong Lift™

Over time, our facial bones shrink.  Also, the sun causes skin to lose elasticity, and gravity causes ligaments of the underlying soft tissues to stretch.  As a result, the skin develops wrinkles, and gravity causes the muscle and fat overlying the facial skeleton to sag and droop, forming jowls and a double chin (loss of the horizontal jaw neck line).  These changes can cause discordance between how active people feel and what they see in the mirror.  Therefore, people who are engaged in life, feel a desire to have a more youthful outer appearance that reflects their inner energy.

A facelift with the Lifelong Lift™ technique, developed by our board-certified facial plastic surgeon Ali Sepehr, MD can smooth out wrinkles and fine lines and take years off the appearance of your face. Please contact The OC Center for Facial Plastic Surgery to schedule a consultation for facelift surgery.

Facelift Candidates

At your consultation we will evaluate your face’s bony structure, soft tissue covering, and skin.  All of these factors, in conjunction with age, skin type, and ethnic background impact the result of a face and neck lift.  A facelift , technically known as rhytidectomy, can affect one’s appearance as dramatically as any other operation–it is common to look about ten years younger after a facelift and neck lift. A neck lift is a procedure also available at our practice which can be combined with a facelift for a more complete cosmetic makeover. Facelift surgery is an effective and safe procedure that reduces the sagging and drooping in the lower half of the face by repositioning the underlying the descended muscle and fat back to their original position.  A facelift also reduces the wrinkling by trimming away excess skin.  The greatest effect of the facelift is seen in a much more defined jaw line, by decreasing jowling. The cheeks are also enhanced with a facelift.  In contrast to short techniques, in which the effects often don’t last as long, the thorough and complete technique developed by Dr. Sepehr (the Lifelong Lift™) has a very long lasting effect. You are a good candidate for facelift surgery if:

  • You are a man or woman between the ages of 30 and 80
  • You have excess lower facial and neck skin and fat
  • You desire a significant facial rejuvenation with results that can last longer than non-surgical facial renewal and injectable cosmetic techniques

Facelift Procedure

A facelift typically takes between three to four hours and is usually performed under general anesthesia.  The procedure begins by making a well-hidden incision, camouflaged within the hairline and in natural skin creases around and behind the ear (no hair is shaved). The skin is elevated.  The Superfical Musculoaponeurotic System (SMAS) is seen.  The SMAS layer (strong underlying connective tissue fascia) is mobilized and repositioned back to its normal, youthful location.  This tightening naturally results in excess skin.  The skin is redraped and the excess is trimmed.  Drains are placed, and the incisions are closed with fine sutures.  The healed incisions should be invisible.

Facelift Recovery

You may choose to stay overnight under our care for comfort. The drains will be removed the first day after your facelift. Before you go home, you will have a light supportive facial garment placed over the facial area. The mild discomfort and tight pressure sensation can be easily controlled with pain medication as needed. All stitches will be will be removed on the 8th post-operative day. Recovery time ranges from 1 to 3 weeks, however, on average after 2 weeks, others will not be able to tell you had surgery. Most swelling will have dissipated after six weeks. Some unavoidable areas of numbness will gradually decrease.  Intermittent bursts of tingling signal the progressive return of sensation. You will likely see significant results within the first few months after treatment, with the most optimal results of facelift surgery becoming apparent after one year. Careful adherence to pre-operative and post-op instructions is necessary for optimal healing.

Learn More About Facelift Surgery

We understand you may have many questions, and we would like to help. Dr. Sepehr has provided answers to some of the most commonly asked questions about facelift surgery to aid you in your research. If you would like to learn more, or if you’re ready to schedule a consultation, please contact our skilled medical team.

Is a facelift right for me?

Are you bothered by skin laxity and contour loss on your mid to lower face and jawline? Facelift surgery is designed to improve these concerns and provide long-lasting facial rejuvenation. Ideal candidates for this procedure will also be in good general health, be nonsmokers (or able to stop smoking for a period before and after surgery), and have reasonable expectations for the outcome. Dr. Sepehr will take the time to understand your needs and goals and provide a thorough overview of what can be accomplished. With his guidance, you can develop a customized treatment plan designed with your individual characteristics in mind.  

Can a facelift smooth wrinkles?

The primary purpose of a facelift is to address skin laxity and loose muscles, not necessarily to smooth wrinkles and fine lines. Some deeper creases can be addressed; however, to achieve a natural-looking outcome it is best not to stretch the skin in an attempt to artificially reduce the appearance of lines. If you have wrinkles you would like to soften, we can utilize dermal fillers and cosmetic injectables as part of a multi-modality treatment plan. By incorporating these techniques, you can obtain more comprehensive rejuvenation that still appears very natural.

What will my scars look like?

There are a few different techniques that can be used to revitalize your appearance, and Dr. Sepehr will provide additional information about which one may be appropriate for you during your initial consultation. Regardless of the approach, he will place the incisions within the hairline and/or the natural folds of the ear to keep them well-hidden. The scars should be relatively inconspicuous once healed.

When can I return to work?

Everyone recovers at their own unique rate, and we encourage you to listen to your body and proceed with caution. Most patients can return to their regular daily schedule after a week or two, with some individuals choosing to return after three weeks. Swelling, bruising, and numbness are common effects, and each of these should gradually subside as you heal. Additionally, you should avoid strenuous activity and exercise for at least a month to six weeks. Dr. Sepehr will provide more specific information tailored to your treatment plan during your follow-up visits.

How long will the results last?

Facelift surgery can last many years if you take good care of your skin and avoid environmental damage. Dr. Sepehr’s Lifelong Lift™ technique is also designed to provide longer-lasting results than the traditional approach, and as a result can continue for 10 or even 15 years for some. Occasional non-surgical maintenance may extend the benefits further, which we can discuss at your first appointment. We can also advise you on how to preserve your results with recommendations for skin care products and services.

Facelift procedures should be performed by a qualified surgeon. Please contact us to schedule a consultation for face lift surgery at our practice. Dr. Sepehr will also be happy to answer any questions you have in regards to other procedures like rhinoplasty and facial implants.

*Individual Results May Vary

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