Facelift San Francisco

FACELIFT CHOICES

We work exclusively on the face/neck and can perform ALL the different types of facelifts. A good facelift should not only address the skin but also lift and tighten the deep tissues and facial muscles. Our experience and comfort level when performing facelift and neck lift procedures allows us to address the deep structures using smaller incisions and to create natural, long-lasting results with a typically shorter recovery period. Our goal is to design a treatment plan that is right for your face (See Figure 1).

Optimal vectors for achieving the most natural facelift result
Figure 1 - Optimal vectors for achieving a very natural facelift result: in staying up to date with the latest advances in facial cosmetic surgery including facelift surgery, Drs. Lieberman and Parikh take each individual patient's facial features into account when crafting a surgical plan. This extends to calculating the optimal vectors for lifting the face and neck to achieve as natural a result as possible; tightening the facial skin using the correct angle (shown in the last of three illustrations above) can deliver the ideal surgical result for each individual patient*. This intricate nuance will help the results appear as natural as possible while minimizing such undesired effects as pleating of the skin near the ears, bunching of the skin under the chin or the mid-face, or flattening of the mid-face that can occur if the skin is pulled in an overly vertical or horizontal direction (as depicted in the first two illustrations).

Read further to learn more about the different types of facelifts available to you, or visit our before & after photo gallery to help you visualize the possibilities.

Full Facelift/Neck Lift
A full facelift addresses both the skin and deeper tissues and muscles of the face and neck. As we progress through our fifties and sixties, the skin, soft tissue and muscles of the face and neck start to sag in predictable ways. A full facelift can reverse signs of aging in the midface (cheek), lower face (jowl) and neck.
Mid-face Lift
A midface lift rejuvenates the cheek and eye area below the lower lid to the upper lip region. Its performed through an endoscopic incision hidden in the hairline and diminishes the nasolabial folds, aging in the midface and may also improve the jowl area.
Lower Facelift/Neck Lift
A lower facelift and neck lift (or mini-facelift, short-incision facelift, etc.) rejuvenates the jowl and neck area by lifting sagging skin and muscles. Although it is often part of a full facelift, patients seeking minimal downtime may choose to have this procedure performed alone.
Non-Surgical Facelift (Liquid Lift & Ultherapy®)
Patients seeking facial rejuvenation with minimal downtime may consider a non-invasive technique for restoring youthful contours using injectable fillers and/or Ultherapy®. Cosmetic enhancements for your face can now be done in a comfortable office setting while you are awake to see the results. The power of facial fillers and Ultherapy® to sculpt and contour your face is revolutionary.
Revision Facelift
Some patients may seek revision surgery following an initial facelift (secondary facelift) for additional facial rejuvenation or, in rare instances, to address dissatisfaction with their results from a previous surgery.

Full Facelift

A full facelift with a neck lift is the gold standard for rejuvenation of the aging face. The primary objectives are to enhance and accentuate the youthful contours of the cheek, jawline and neck. This procedure is done carefully, with meticulous attention to every detail, with an aim to deliver natural appearing, youthful results, and restore harmony to the aging face. A full facelift may also be combined with eyelid surgery (blepharoplasty), fat grafting and/or a brow lift.

*Individual patient results may vary

Over time gravity affects the facial skin, muscles and connective tissues, causing them to droop. The loss of facial volume coupled with these changes lead to the formation of jowls along the jawline, deep folds in the cheek ("nasolabial folds") and alongside the mouth ("marionette lines"), hollowing under the eyes, and excess fat and skin under the chin ("double chin") with deep vertical folds in the front of the neck ("banding"). This natural progression of aging has become increasingly difficult to accept since people are feeling much younger and energized with the advent of healthier lifestyles, cleaner diets and improved medical care. Feeling much younger than you appear is addressed using a comprehensive approach to facial rejuvenation.

We perform a full facelift and neck lift utilizing minimally invasive techniques to go underneath the deeper tissues and muscles of the cheek (SMAS), face, and neck (platysma). These delicate layers of the face are considered the deep-plane of the face. A deep-plane facelift addresses both the skin and deeper tissues and muscles of the face and neck. We are experienced in techniques that are comprehensive but quicker in recovery than most traditional facelifts.

We are part of a select group of surgeons that can perform a deep-plane facelift (See Figure 2). This type of facelift is superior because it can restores the youthful harmony from the upper cheeks all the way to the neck. The complete rejuvenated areas include the midface (upper cheek below the lower eyelid), nasolabial folds (diagonal lines in front of the cheek), jawline (jowls), and neckline. This facelift is named the M.A.D.E. lift which stands for "Minimal Access Deep-Plane Extended" facelift.

Deep plane technique for facelift in San Francisco
Figure 2 - Drs. Lieberman and Parikh are experienced facial plastic surgeons who perform facelift surgery routinely. Because of their work in this area, unlike a traditional facelift they apply a state of the art, advanced surgical technique that achieves lifting and tightening the underlying tissue while repositioning fat for a multi-dimensional rejuvenating effect. Application of this technique can result in a natural lift without the undesired "pulled" look and avoids flattening the cheeks. Furthermore, a deep plane facelift provides an exceedingly natural result because it minimizes the amount of skin that is pulled and how tight it needs to be pulled (the tighter the skin is pulled the more risk of an unnatural result). With a deep plane facelift the skin gets lifted with the deeper plane without the skin being pulled too tight and thus avoiding the unwanted windswept appearance. Because muscles and fascia are also lifted, a "deep plane" facelift can be said to turn the clock back by repositioning your facial tissues where they used to be 10-15 years ago.

A full facelift and neck lift surgery can take as little as two hours to as much as four hours and can be performed under local anesthesia with the patient fully awake, twilight sleep (I.V. sedation), or general anesthesia. Most patients can return to work in 10-14 days with improving results over several months.

FULL (DEEP-PLANE) FACELIFT AND NECK LIFT RECOVERY

Bandage Removal

1 days

Suture Removal

4-10 days

Return to Work

10-14 days

75%

6 weeks

100%

6 months

Our philosophy is to see you early and often after surgery. So many questions arise in the first two weeks following any surgery that we believe setting up a series of appointments for that time period alleviates any anxiety a patient may have about the recovery process. Our core objective is to provide a safe, comfortable surgical experience that aspires to restore your appearance and aims to produce natural results. We have provided before and after photos of our patients to help you visualize the possibilities.

"A Partnership for the Face" - Full Facelift by Dr. Lieberman and Dr. Parikh

Achieving excellent results from your facelift procedure requires unique skills and qualifications. The unique partnership between Dr. Lieberman and Dr. Parikh provides unparalleled service to each and every patient. Collaboration affords them the opportunity to act as a sounding board for one another when determining the best possible treatment plan for each patient. You benefit from their combined skills as board certified and fellowship trained surgeons specializing exclusively in facial plastic and reconstructive surgery.

Why choose Lieberman & Parikh Facial Plastic Surgery?

  • Specialized Training
  • Education & Research
  • Humanitarian Outreach
  • Outstanding Service & Results
Dr. Parikh

Midface Lift

Each third of the face ages in a distinct fashion. Over the last two decades, treatment of the mid-third of the face, or midface, has received much attention in the surgical literature. As we age, the fullness of the cheek area (midface) starts to drop with gravity. This not only gives the cheek a more hollow look, but it also changes the appearance of the lower eyelid and creates deep grooves around the mouth. While this area can be addressed by certain facelift techniques, some patients will benefit most from a directed midface lift.

The procedure typically takes between 2-3 hours. Midface lifting is performed via an endoscopic approach using incisions hidden behind the hairline. As a midface lift is being performed, a lateral brow lift is performed simultaneously. As the soft tissue of the cheek is suspended to a more youthful position, the excess skin must be redistributed along the forehead and then into the hairline. Doing these procedures together allows a simultaneous rejuvenation of the cheek, the brow and the forehead. Often the lower eyelids (lower blepharoplasty) are addressed at the time of surgery to produce the most harmonious and youthful result. Although this procedure is minimally-invasive, initial recovery may take 2-3 weeks with improving results over several months.

MIDFACE LIFT AND NECK LIFT RECOVERY

Bandage Removal

1 days

Suture Removal

7 days

Return to Work

2 weeks

75%

2 months

100%

6 months

Non-Surgical Facelift (Liquid Facelift & Ultherapy®)

There are options available for patients who wish to rejuvenate their appearance, but who may not wish to pursue surgery. One such option is what is often termed a liquid facelift which is a combination of muscle relaxing agents, such as Botox® Cosmetic or Dysport®, and dermal fillers, such as Juvederm®, Restylane®, Radiesse®, Sculptra® Belotero®, and Voluma®. These agents are used selectively depending on what you want to accomplish.

Botox® Cosmetic is used to treat wrinkles and folds that are due to muscle activity, such as between the brows or around the eyes and lips. When used correctly, patients can experience a natural brow lift that mimics a surgical brow lift while the medication lasts, typically between 3 to 6 months.

The use of dermal fillers has evolved dramatically over the past several years. While traditionally fillers were used to treat the deep folds and wrinkles that live in the texture of our skin, judicious placement of selected fillers can now be used to lift the volume of depleted areas of the face such as the cheeks, lips and jowls. It is so important that each treated area is not overdone. If just one feature looks unnatural, then the entire result suffers.

LIQUID FACELIFT RECOVERY

Bandage Removal

None

Suture Removal

None

Return to Work

Right away

We now offer Ultherapy® the only FDA approved non-surgical, non-invasive treatment that uses ultrasound technology and the bodys own natural healing process to lift and tighten loose skin on the eyebrow, neck, and under the chin. Ultherapy® uses ultrasound to stimulate the deep structural support layers of the skin without disturbing the surface of the skin.

There is no downtime with Ultherapy®, and patients can return to work right away. Results will unfold over the course of 2-3 months and some patients have reported continued improvement for up to 6 months, including lifting of the skin on the neck, under the chin, jawline and on the brow. While ultrasound does not duplicate the results of surgery, Ultherapy® has proven to be an inviting alternative for those who are not yet ready for surgery.

After your consultation, we work with you to decide on a treatment plan based on what areas are to be treated. A combination of oral medication, numbing cream and local anesthesia is often used to minimize any discomfort.

ULTHERAPY® RECOVERY

Bandage Removal

None

Suture Removal

None

Return to Work

Right away

75%

2-3 months

100%

6 months

To learn more, we have a Non-Surgical Facelift page with dedicated information about non-invasive treatment options such as liquid facelift and Ultherapy®.

Revision Facelift

We are specialists in revision plastic surgery including revision facelift surgery. Most revision surgery is done after the first facelift to maintain the youthful appearance of the original surgery. How long the results from the first facelift last depends on the type of procedure performed the first time.

There are rare circumstances where the first facelift can lead to an overdone or "pulled" appearance leaving the patient dissatisfied. If there is excessive tightness placed on the skin after the first surgery, this can lead to unsightly scarring, or distortion of key structures of the face such as the earlobes ("pixie ear") or in the neck ("cobra" deformity). Due to our comfort level with all different types of facelifting techniques, we are well suited to tackle any issues that may have arisen as a result of previous surgery. At your consultation, we will customize a plan based on your exam and your concerns.

Facelift FAQs

Will a Facelift Improve My Skin Tone?

While a facelift can rejuvenate the face by smoothing out wrinkles, the techniques aren't intended to reduce blemishes, scars, redness, hyperpigmentation, or other such marks. Patients looking to even out their skin tone can choose skin resurfacing with chemical peels, dermabrasion, or lasers to improve the appearance of their age spots, melasma, acne scarring, and more. These treatments can be combined with a facelift at for a comprehensive rejuvenation.

How Much Does a Facelift in San Francisco Cost?

Since there are a variety of facelift options in terms of method and scope, and each is applied as part of an individualized plan, there is no standardized cost for the surgery. You will discuss the potential extent of any surgery or other treatment, as well as the projected cost, at your consultation.

How Long Does a Facelift Last?

Patients who choose a liquid facelift enjoy temporary results that come from a minimally invasive treatment. They are able to return to daily life right after receiving BOTOX®, a dermal filler, or Ultherapy®, experiencing results that last for months.

A surgical facelift requires more recovery time and healing, but the results are longer lasting. In fact, the effects of this surgery are considered long lasting in that they will not fade away due to injections dissolving or dissipating over time. Note, though, that a facelift does not prevent the face from continuing to age from that point on, so patients may notice the development of new signs of aging as they get older.

Can a Facelift Be Combined With Other Procedures?

Dr. David Lieberman and Dr. Sachin Parikh focus on faces, and their aim is to help each patient achieve aesthetic balance. A rejuvenated and more youthful face may inspire a desire in some patients to make other changes as well, whether that means a more prominent chin, a new shape for the nose, or halting and even reversing a receding hairline. Talk to the doctors about facial implants, rhinoplasty, ear surgery, hair restoration, and more to learn about how to get an overall new look. Another option to further enhance a rejuvenated appearance is volume restoration via fat transfer or a dermal filler. This treatment can round out sunken areas and significantly contribute to a refreshed, more youthful face.

Since the typical surgical facelift involves only elements of the face from the eyes down, some patients also opt for a blepharoplasty (known as an eyelid lift) or a brow lift to rejuvenate the uppermost third of their face. A neck lift or neck liposuction can address sagging or excess fat below the face.

Is There an Age Limit for Facelifts?

While facelifts are typically limited to adults, there is no minimum or maximum age requirement beyond that. The doctors at Lieberman & Parikh Facial Plastic Surgery in the San Francisco area will help each patient to determine the best procedure for achieving his or her aesthetic goals, based on a thorough consultation, medical history review, and assessment of several factors, including current health, skin laxity, and risk of complications. There is no "right" age for a facelift. Patients from their 30s to their 80s have all successfully received this surgery because they wanted to rejuvenate their appearance.

Will My Facelift Surgery Leave a Scar?

Any incision can leave a long lasting mark on the skin when it heals, though there are several benefits to choosing Dr. Lieberman and Dr. Parikh for your surgery. Their skill and experience allow them to perform the necessary work via small incisions that should heal well. Also, the typical incision locations are within the hairline, which effectively hides any faint but visible lines that may develop. Having healthy, hydrated skin will help with the healing process. It's also a good idea to keep healing incisions out of direct sunlight, as ultraviolet radiation can dry out and damage skin, creating more noticeable lines.

Will a Facelift Hurt?

While everyone's tolerance levels are different, this is a surgical procedure. An anesthetic will be used during the actual surgery, and most patients will subsequently experience minimal pain, which can be controlled with medication. Post-swelling bruising and swelling may be uncomfortable, but will gradually subside and reveal the youthful results.

How Should I Prepare for My Surgery?

Prior to a facelift surgery, patients should avoid anything that might negatively impact their skin health, hydration, and flexibility, as well as anything that might impede normal blood circulation. For this reason, patients shouldn't smoke at all in the month before their procedure, and shouldn't take any Aspirin, blood thinners, or skin rejuvenation creams within the two weeks prior. It's also advised to avoid any significant sun tanning in the weeks leading up to a facelift.

  • Get more answers to your questions from Lieberman & Parikh Facial Plastic Surgery. Request a consultation or call 650-327-3232 to schedule an appointment to talk about a facelift in the San Francisco Bay Area at our Palo Alto or San Jose offices.