Facelift

As fellowship-trained facial plastic surgeons in Palo Alto, we work exclusively on the face and neck. We perform all facelift variations including the deep plane facelift and mini facelift for our San Francisco Bay Area patients. 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 allow us to address the deep structures using smaller incisions and create natural-looking, long-lasting results with a typically shorter recovery period. At L&P Aesthetics, our goal is to design a treatment plan that is right for your face.

Facelift & Neck Lift
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

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L&P Signature Facelift, Neck Lift, Lower Blepharoplasty, Laser resurfacing around the eyes, and light fat transfer
Before and After L&P Signature Facelift, Neck Lift, Lower Blepharoplasty, Laser resurfacing around the eyes, and light fat transfer
Case: 1 of 8

L&P Signature Facelift, Neck Lift, lower eyelid blepharoplasty, laser resurfacing, and light fat transfer

This beautiful patient had the L&P Signature Facelift and Neck Lift, lower eyelid blepharoplasty, laser resurfacing around the eyes and a light fat transfer. One of the main goals when performing facial rejuvenation is to achieve natural-looking results designing the right treatment for your face. Read More
Facelift & Neck Lift Case 21 Before & After Front | Palo Alto & San Jose, California | L&P Aesthetics
Before & After
Case: 2 of 8

Face Lift for Lovely Woman

This lovely woman received the signature L&P face lift procedure, giving her a rejunvenated look, all while looking natural. 
Facelift & Neck Lift Case 23 Before & After Front | Palo Alto & San Jose, California | L&P Aesthetics
Before & After
Case: 3 of 8

Total Rejuvenation for South Bay Woman

This woman from the San Francisco South Bay received a facelift, necklift, chemical peel and browlift from Drs. Lieberman and Parikh. Only a few months after her surgery, she could not be more pleased with the total facial rejuvenation. The robust results look completely natural and have transformed her lifestyle and confidence.  Read More
Facelift & Neck Lift Case 25 Before & After Right Oblique | Palo Alto & San Jose, California | L&P Aesthetics
Before & After
Case: 4 of 8

Facelift and Neck Lift

This beautiful San Francisco Bay Area woman came to Drs. Liberman and Parikh fearful of the aging process and seeking a refreshed look. She was particularly bothered by her eyelids and wrinkling througout the face. To correct these areas and enhance the patients natural beauty Drs. Liberman and Parikh performed a signature L&P Facelift and Neck... Read More
L&P Signature Facelift, Neck Lift and Chin Augmentation
Beautiful young woman rejuvenates with a lighter face look and defined jaw structure.
Case: 5 of 8

L&P Signature Facelift, Neck Lift, and Chin Augmentation

This beautiful, young woman was bothered by a lifetime of heaviness in the lower face and neck. While she is on the younger side of patients who generally come to Drs. L&P for their signature facelift and neck lift, she was the right candidate because of her specific concerns. The chin augmentation was primarily used for vertical length and improved... Read More
Facelift & Neck Lift Case 26 Before & After Right Side | Palo Alto & San Jose, California | L&P Aesthetics
Before & After
Case: 6 of 8

Neck Lift and Rhinoplasty for Lovely Woman

Deep plane face and neck lift, subnasal lip lift, and a rhinoplasty for a stunning patient!
L&P Facelift and Neck Lift, Brow Lift, Fat Transfer, Chin Implant, Lip Lift & Laser Resurfacing
L&P Facelift & Neck Lift For Full Transformation
Case: 7 of 8

L&P Facelift & Neck Lift For Full Transformation

Before her surgery this patient felt more self conscious about her presentation. She is naturally such a kind, warm and friendly person. She told us that making the choice to undergo rejuvenation surgery not only changed the way she appears but has made a huge impact on the way she feels about herself.  Read More
L&P Signature Facelift and Neck Lift - Lip Lift - Endoscopic brow lift - upper eyelid lift - Sciton TRL laser
Before and After L&P Signature Facelift and Neck Lift
Case: 8 of 8

L&P Signature Facelift and Neck Lift, lip lift, endoscopic brow lift, upper eyelid lift, TRL laser

This sweet 47 old came to us looking for the best way to achieve the most natural but transformative improvement. Her concerns included the laxity in her neck, along her jawline and mid face. Even though you can't see them in this picture, she also had crept upper and lower eyelid skin and drooping brows.  What we look for with every facelift... Read More

Keep in mind that each patient is unique and your results may vary.

What Is the Angle of the Most Natural Lift?

In staying up to date with the latest advances in facial cosmetic surgery, Dr. David M. Lieberman and Dr. Sachin S. Parikh take each 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 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.

Direction of facelift skin tightening vectors: horizontal, lateral, and an angled vector for a more natural-looking lift.
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).

Which Types of Facelifts Do You Perform?

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 50s and 60s, the skin, soft tissue and muscles of the face and neck start to sag in predictable ways. A full facelift can help reduce the signs of aging in the mid-face (cheek), lower face (jowl) and neck.

Midface Lift

A midface lift rejuvenates the cheek and eye area below the lower lid to the upper lip region. It’s 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.

Nonsurgical Facelift

Patients seeking facial rejuvenation with minimal downtime may consider the nonsurgical facelift, a noninvasive technique for restoring youthful contours using FaceTite / AccuTite, injectable dermal fillers and Ultherapy®. Cosmetic enhancements for your face can now be done in a comfortable office setting while you are awake. FaceTite / AccuTite, facial fillers and Ultherapy® are excellent alternatives to sculpting and contouring your face when surgical interventions are not options.

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.

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.

Our Surgeons

A Partnership for the face

Discover unparalleled skill, expertise, and aesthetic artistry. Trust an award-winning partnership for the face. Learn more about the world-class duo of double board-certified facial plastic surgeons that makes L&P Aesthetics incomparable.

Dr. Lieberman Dr. Parikh Lieberman and Parikh Facial Plastic Surgery Logo

How Does Aging Affect the Face?

Over time, gravity affects the facial skin, muscles and connective tissues, causing them to droop. The loss of facial volume coupled with these changes leads 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
  • Excess fat and skin under the chin (double chin)
  • Deep vertical folds in the front of the neck (banding)

This natural progression of aging has become increasingly difficult to accept because 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.

What Does a Full Facelift Do?

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, fat grafting, or a brow lift.

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. This type of facelift is superior because it can restore the youthful harmony from the upper cheeks all the way to the neck. The rejuvenated areas include the:

  • Mid-face (upper cheek below the lower eyelid)
  • Nasolabial folds (diagonal lines in front of the cheek)
  • Jawline (jowls)
  • Neckline

This facelift is named the M.A.D.E. lift, which stands for “Minimal Access Deep Plane Extended” facelift.

Illustration of the area of a deep plane facelift and the skin flap that curves around the ear.

How Is a Deep Plane Facelift Performed?

Dr. Lieberman and Dr. Parikh are experienced facial plastic surgeons who perform facelift surgery routinely. Because of their work in this area, instead of a traditional facelift, they apply a state of the art, advanced surgical technique that lifts and tightens of the underlying tissue while repositioning fat for a multi-dimensional rejuvenating effect. Application of this technique results 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 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 to 15 years ago.

A full facelift and neck lift surgery can take as little as 2 hours to as long as 4 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 to 14 days with improving results over several months.

Full (Deep Plane) Facelift & Neck Lift Recovery

BANDAGE REMOVAL
1 day
SUTURE REMOVAL
4-10 days
RETURN TO WORK
10-14 days
75% RECOVERY
6 weeks
100% RECOVERY
6 months

To learn about how to care for your face after a Facelift, check out this video.

What Is a Midface Lift?

Each third of the face ages in a distinct fashion. Over the last 2 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 and 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 are addressed at the time of surgery, with a lower blepharoplasty to produce the most harmonious and youthful result. Although this procedure is minimally invasive, initial recovery may take 2 to 3 weeks with improving results over several months.

Midface Lift & Neck Lift Recovery

BANDAGE REMOVAL
1 day
SUTURE REMOVAL
7 days
RETURN TO WORK
2 weeks
75% RECOVERY
2 months
100% RECOVERY
6 months

What Is a 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 facelift 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 for a more comprehensive rejuvenation.

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® Cosmetic, dermal fillers, 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. Lieberman and Dr. 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 implantsrhinoplastyear surgeryhair 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 dermal fillers. 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 L&P Aesthetics 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 facelift surgery?

Prior to 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 2 weeks prior. It’s also advised to avoid any significant sun tanning in the weeks leading up to a facelift.

If you would like to explore facelift options in Palo Alto, please request a consultation online or call (650) 327-3232 to schedule an appointment.

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