“Restoring a natural, more youthful appearance.”
Common name – Necklift.
Technical name/also known as – Rhytidectomy.
Benefits of a Facelift or Necklift
This surgery is for women or men with sagging skin of the face and/or neck and as well as volume loss in the cheeks and around the mouth. Deep lines around the mouth may become more pronounced, jowls can obscure the jaw line, and there can be a noticeable loss of contour in the neck. A well-done facelift should reposition facial anatomy and restore a youthful appearance without appearing stretched or pulled. A neck lift is usually performed with a facelift but, both can be done as stand alone procedures in select people.
How it is done: How the face and neck are “lifted”
A standard facelift addresses gravitational aging of the face and neck. The face lift incision extends from the hairline in the temple, around the front and back of the ear, and into the hairline behind the ear. A post-tragal incision is made in women which hides the scar in front of the ear behind the tragus, the cartilaginous structure in front of the ear canal. A separate incision may be made under the chin to tighten the neck. After the excess skin is surgically lifted off of the face, tightening of an underlying facial structure called the SMAS layer is performed. The SMAS is the covering over the facial musculature and is a very sturdy structure Tightening here provides an excellent lift and avoids relying on the skin alone for support. This not only yields a more natural look but also adds longevity to the procedure. Volume may be added using fat (harvested from the patient’s own abdomen or thigh) into the cheeks and the folds around the mouth and nose. Additional procedures such as a browlift, eyelid lift, or targeted peel may also be performed if indicated or desired.
For drooping jowls, loss of the jawline, or a loose neck, a facelift/necklift can restore a more youthful appearance with well concealed scars. Patients report feeling happier when looking in the mirror or at pictures of themselves. Improved self-confidence is also noted.
The tradeoff for more youthful facial appearance is downtime. It may be two weeks or more before people wish to be seen in public. Bruising and swelling will occur, but the time for this to resolve varies from person to person. Sensory changes of this skin may occur. Rarely, facial muscle asymmetry may be noted initially, but this often resolves with time. The stitches used may make it temporarily uncomfortable to wear glasses and/or hearing aids.
Who pays for this
This is a cosmetic procedure, paid for by the patient.
What to expect
Length of operation
4 – 8 hours (depending on the extent of procedure).
General anesthesia, you will be asleep and monitored the entire time.
In or out patient
Usually an overnight stay is required.
Time until final appearance
3 to 4 months, depending on how swelling resolves.
Length of results
Long lasting, but varies from patient to patient.
Temporary swelling, bruising, and some pain commonly occur. Irregular skin contour may be noticed initially. For the first two weeks after surgery, sutures will remain in the hairline and facial skin which will be removed in the office. Sensation of the face may be different initially. Fluid collections below the skin are possible. Scars are permanent and may stay red for 6-12 months, but can be concealed with makeup once scabs resolve.
Risks of procedure
All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise. Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.
“I love when patients tell me their friends and coworkers ask if they’ve gone on vacation or lost weight—their results are seen as a natural improvement. They look like themselves, just better rested.”
– Dr. Danielle DeLuca-Pytell
While we are under social distancing and shelter at-home instructions, I am offering virtual consultations for new patients interested in meeting with me.
You can do this from a computer (via an invitation) or a smartphone (via an invitation and the Google Meet app).
There are four parts to the consultation:
1. Arrange a consultation by phone or email,
2. Download the new patient forms. Click here.
After you fill them out, you can either fax or email them to me.
3. Once the consultation is arranged, a meeting invite will be sent to you with the link for the consultation. At our prearranged time, follow the link to our secure and private consultation.
There, you and I will have time to talk about your goals, medical history, and all about the procedure.
While the examination is limited to observation in two dimensions, I should be able to determine whether or not you are a candidate for surgery.
4. If you are indeed a surgical candidate, you will be contacted by Andrea, my patient coordinator, to get a surgical quote (or if insurance-based, your expected out of pocket costs), and an opportunity to hold a surgical date.
You will also be given a follow-up visit to confirm with your exam that you are a candidate and preoperative visit time for us to prepare you for surgery.
I hope to virtually see you soon!
Your Next Step!
Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.
Our phone number
Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to 3pm.
Our email address
Please also email us anytime with questions you have.
Quick Contact Form
Before and After Gallery
When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.
If healing proceeds as expected:
Rest at home (princess treatment) 2 weeks (no housework or exercise). Rest with your head up for the first two weeks to help reduce swelling.
Return to gentle exercise and household chores at two weeks. May cover pink skin with makeup once scabs or open areas are gone. May resume work if it is sedentary. Gradually increase exercise.
Returning to Work
This depends on the type of work that you do. Many women can return to sedentary work at two weeks (or less), though not everyone is ready to return to work by then. The “ugly duckling” phase after this procedure can be difficult for patients.
Time until final appearance
4-6 months, depending on how the redness fades.
Length of results
Long-lasting, but varies from patient to patient.
Smoking and Surgery
If you smoke, it is imperative that you quit six weeks both before and after surgery. To better understand why, please click this link:
Prior to a deep chemical peel, it is recommended to prepare the skin with topical treatments that help even the skin out before the peel to maximize results. Plan to bring a scarf with you on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital or office. For other suggestions during the “ugly ducking” stage, click here
If you color your hair, do so right before surgery as you will not be able to color your hair until three weeks following the procedure. Plan to bring a scarf with you to the hospital on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital.
See what her patients have to say about their surgical experience.
Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.
When you visit the office for your appointment, we will talk about the side effects and risks of this procedure.
You will have the chance to ask any questions you might have.
Don’t forget: it is your body! There is no such thing as a bad or silly question!