Facelift

Charlotte Facelift Expert – Dr. Graper

Dr. Graper is a highly skilled Charlotte facelift surgeon who has helped numerous patients turn back the hands of time through facelift surgery. Dr. Graper carefully customizes each facelift procedure to reflect the unique concerns, goals and desires of each patient. He uses his advanced aesthetic judgment to recommend the most appropriate surgical techniques that will deliver the most natural-looking results. To learn more about facelift in Charlotte, please explore the paragraphs below.

Facelift Surgery: Is It for Me?

Many factors of a person’s face determine the impression of age in that individual. Extra eyelid skin, extra neck skin and jowls are obvious signs of age, as are thin crepe-paper skin, gray hair and wrinkles. There are many effective procedures to improve all of these problems and rejuvenate the face.

Extra neck tissue makes a person appear old, overweight or both. To correct this problem, one must determine if the tissue is loose skin, extra fat, sagging muscle or a combination of all of these. If the problem is simply too much fat then liposuction, done through a 1-centimeter incision, will produce a younger, thinner neck. If the problem is fat and muscle, then through a slightly larger incision under the chin, fat is removed and the muscles are tightened to improve the neckline. This is called myeloplasty. If fat, muscle and skin are involved, then the appropriate plastic surgery procedure is a neck lift, where the myeloplasty is done and the extra skin is removed in the hair behind the ears. None of the procedures leave noticeable scars, and they will all improve the neck significantly. If the patient is bothered by a deep fold in the junction of the cheek and upper lip, then he or she is a facelift Charlotte candidate. A facelift improves the cheek fold and jowls and also treats the neck. Facelift surgery might also include a neck lift. For patients who have deep folds in their cheeks and excess jowl skin, but a good neck, a mini facelift can be performed. All these procedures are tailored to match each individual patient’s concerns.

Overview

Facelift suspends the sagging muscles to their original position to create a more youthful appearance. The skin is then gently tightened for the final effect. Most of our facelift patients feel they look 5–10 years younger, but some have an even more dramatic improvement.

Because the basic support of the face has been improved, the effects of a facelift last longer than the old techniques. Patients can expect results to last for 7–10 years before even considering a repeat cosmetic surgery procedure. Even if nothing else is done, the patient’s face will always look better than if they had never had a facelift. Many patients want to look younger but are afraid they will look different. With our procedure, we rejuvenate the face by suspending the muscles back to their original position and by removing fat appropriately. Sometimes adding fat actually rejuvenates the look. Therefore, our patients look like new versions of themselves and never any new odd looks. Patients are always concerned about the scars. The incisions are very inconspicuous in the hair above and behind the ears and in the crease in front of the ears. The scars are there, you just cannot see them. Everyone wants to know if the cosmetic surgery hurts. Surprisingly, virtually all patients report tightness in the cheeks and neck, but no pain. We like to hear that the surgery feels tight, as that means that the procedure will last a long time.

The facelift procedure is performed at our Charlotte plastic surgery facility under twilight anesthesia, in which patients are totally asleep. Patients feel nothing and remember nothing, but they are breathing on their own. We feel this is a major safety advantage. Often, facelift is combined with eyelid surgery or brow lift to maximize the rejuvenation effect. Most cosmetic surgery patients go home after these procedures, but some stay overnight with a registered nurse to be more comfortable. Our post-operative instructions tell Charlotte facelift patients to rest with their head elevated and apply ice compresses to keep swelling down. The dressing will usually come off after two days. Patients can then wash their hair and begin to move about more. There are no sutures to remove, but staples in the hair come out at 7–10 days.

Post-op/Complications

Patients may drive when they can make evasive movements without hesitation. We advise no major social or business engagements for 2-3 weeks to ensure plenty of time for healing. Many plastic surgery patients are ready sooner, but we like to be conservative on our recovery time.

Like any cosmetic surgery there can be potential complications like bleeding or infection, but these are rare. Wounds healing poorly because of bad blood supply are almost always linked to smoking. Smokers should stop smoking at least three months before plastic surgery to help reduce the chance of healing problems. Patients can experience temporary alterations in their facial expressions. This has several causes. Tissue swelling and skin tightness can alter our expressions. Bruising to the muscles and nerves can also produce the same result. These are all temporary phenomenon. Everyone experiences numbness in the cheeks after surgery. This usually resolves within 1-2 months. After facelifts where the tone of the skin has been improved, many patients then want to improve the quality of their skin. This can be done with the SkinPrint program, skin peels, IPL photorejuventation, micro needling or laser resurfacing. These procedures are delayed at least 3-6 months after a facelift to ensure safety.

Procedures

We have been discussing the surgical options and their recovery issues. A new approach using “threads” or long non-absorbing sutures to suspend the face using only local anesthesia has not produced durable results and is not now a viable alternative in our practice. Another plastic surgery technique known as Thermage uses microwaves to heat the subcutaneous tissues and theoretically cause collagen contraction and skin tightening. This has an 85% failure rate at one year. We do not recommend either of these techniques.

Non-surgical options to lift and tighten the skin using radio frequency to heat the skin minimally invasively is in process and we are reviewing its effectiveness. As new plastic surgery technologies come on line, we will evaluate them for safety and efficacy. When new procedures meet our high standards and surpass the results of the current procedures, we will adopt them.

Facelift and other surgical procedures, such as rhinoplasty and lip augmentation, are safe and predictable ways to rejuvenate the face. The results last for years and don’t change the way you look; they just make you look younger. If you would like to learn more about these procedures, please explore the respective pages.

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“..As a professional model, I had many my concerns with plastic surgery or injectable cosmetic procedures. Dr. Graper far surpassed my expectations and his staff and surgical nurses took excellent care of me. From consultation to post surgery I was confident that I had selected the RIGHT doctor to help me maintain my natural beauty and look like my “Best youthful self”.! Thanks Graper Cosmetics!!…”

The Aging Face, Part 1, featured on The Wellness Hour

The Aging Face, Part, 2, featured on The Wellness Hour

Facial Rejuvenation education at Dr. Graper’s Seminar

Facelift in Charlotte – Frequently Asked Questions

What are the differences in a facelift, necklift and a mini facelift?

There are variations of facelift procedures. We would need to see you for consultation and evaluation to discuss your specific aesthetic needs and desires to recommend the most optimal surgical plan.

Mini facelift mainly improves the mid-face area such as the nasolabial folds and may moderately improve jowls. Mini facelift does not address the neck area or under the chin. Mini-facelift requires just minimal recovery of 5–7 days.

Necklift addresses the neck, under the chin, and jowls, but does not improve the nasolabial folds (smile lines). Recovery for necklift is approximately 7–10 days.

Facelift improves all lower facial areas (nasolabial folds, neck, and jowls). Recovery for traditional facelift is 2–3 weeks.

Who are good candidates for facelift?

Patients who are physically and emotionally healthy, have realistic expectations about the results of the surgery, and understand the risks and benefits of the procedure are ideal candidates for a facelift procedure. Facelift candidates have all or a combination of loose facial and neck skin, sagging muscle and possibly extra fat.

Does the procedure hurt?

Everyone wants to know if the surgery hurts. Surprisingly, virtually all patients report tightness in the cheeks and neck, but no pain. We like to hear that the surgery feels tight, as that means that the procedure will last a long time.

What is the typical recovery time?

The procedure is done in our facility under twilight anesthesia, in which the patients are totally asleep, feel nothing and remember nothing, but they are breathing on their own. We feel this is a major safety advantage. Many times facelifts are combined with eye lifts or brow lifts to maximize the rejuvenation effect. Most patients go home after these procedures, but some stay overnight with a registered nurse to be more comfortable. Our written post-operative instructions tell patients to rest with their head elevated and apply ice compresses to keep swelling down. The dressing will usually come off at two days. Patients can then wash their hair and begin to move about more. There are no sutures to remove, but staples in the hair come out at 7–10 days.

Patients may drive when they can make evasive movements without hesitation. We advise no major social or business engagements for 2-3 weeks to ensure plenty of time for healing. Many patients are ready sooner, but we like to be conservative on our recovery time.

What are the risks associated with the procedure?

As with any surgery, there can be potential complications like bleeding or infection, but these are rare. Wounds healing poorly because of bad blood supply are almost always linked to smoking. Smokers should stop smoking at least three months before surgery to help reduce the chance of healing problems. Patients can experience temporary alterations in their facial expressions caused by tissue swelling and skin tightness. Bruising to the muscles and nerves can also produce the same result. These are all temporary. If a nerve or muscle was actually cut, a permanent change in the facial expression would occur. This is why you want to have a surgeon with excellent training and years of experience to avoid this rare problem. Everyone experiences numbness in the cheeks after surgery. This usually resolves within 1–2 months.

How much does a facelift cost?

The cost of the procedure depends on many variables, so it is not possible to give a price without a personal consultation. Associated costs may include the price of the procedure, operating room costs and anesthesia fees. Please contact us at 704.375.7111 or click here for a personal consultation.