American Academy of Facial Plastic and Reconstructive Surgery
American Academy of Facial Plastic and Reconstructive Surgery

Kelorids

I have Kelorids on my ears and looking for a sergeon to remove them. I was told I got tme because I hade a face lift and the sergeon did not pull the stitches tight enought.

I doubt the keloid was caused by a facelift that was not pulled tight enough. There are many ways to treat keloids from surgery by itself or surgery plus radiation. If surgery is done without radiation then you need to have steroids or other injectables to keep it from coming back.

What would be the cost for a full face lift?

This web site is intended to answer general questions about facial cosmetic and reconstructive procedures. The cost of a face lift is very variable. It can cost a few thousand dollars or cost 10s of thousands depending on the surgeon’s experience, reputation, results, how he does it, where he does it (in terms of facility), what kind of anesthesia and who is providing the anesthesia, etc. the term “full face lift” can also be very confusing. does that include a “mid face lift”, eyelid procedure, or brow lift? the term “face lift” often implies the lower portion of the face and neck. the word “full” could either mean to include the upper and middle parts of the face or to imply a larger incision or greater more intricate lower face lift. accordingly, you see the confusion is great and you need to ask your surgeons that you are interested in finding what is the breakdown of their costs and what style of face lift are they doing and what parts of the face does it include?

I was interested in doing a facelift…

Question: How much does a facelift typically cost?

Answer: That is a tough question to answer as it depends on who is doing it and what type of facelift you are talking about.  The term facelift is also very confusing because some people believe that a facelift includes lifting the cheek and the brows; whereas others use the term to describe a lift of the lower face and neck only.  Some facelifts take 2 to 3 hours; whereas others can take 7 to 8 hours.  It also depends on what market you are in, as in New York City the costs would probably be more expensive than Boise, Idaho, for example.  Also, if you are having other combined procedures like a blepharoplasty (cosmetic eyelid procedure), that can add to the cost.

I have a lot of wrinkles on my face and forehead.

Question: Would you recommend a facelift?

Answer: Facelifts really do not work to help wrinkles.  Facelifts are intended to help with sagging muscles like jowls and neck hanging.  Depending on how the surgeon defines “facelift” it can either describe a lift of just the lower face and neck or also to include the sagging cheek and/or brow region. 

Even though when you pull your face up with your fingers the wrinkles go away, this type of movement is really not indicative of what a lift can do.  I call this the “two-finger rule”, meaning when you lift with two fingers this really does not indicate what a facelift can achieve.

So how do we fix wrinkles?  We have to divide the wrinkles into two types:  static (not moving, present all the time) and dynamic (wrinkles only appear during movement like during smiling, frowning, etc.)  Dynamic wrinkles of the upper face (but rarely of the lower face) are managed with botulinum toxin (e.g., Botox) since neurotoxins block the upper face from moving so that dynamic wrinkles do not appear.  Recurrent and steady use of neurotoxins every 3 to 4 months can lead to ongoing diminishment of wrinkling even sometimes to the point that dynamic wrinkles do not appear as deep when the neurotoxin has completely faded away.  Also, steady use of neurotoxins can help even diminish static lines if they are not too deep.

With the occurrence over time of static wrinkles, neurotoxins can still help diminish them with steady application, as mentioned above.  However, sometimes sun-damaged skin with significant wrinkles may require chemical peels or laser resurfacing to help modify these types of wrinkles.  Wrinkles of the lower face are harder to manage a with a neurotoxin.