The main aim of a facelift is to 'lift' or reposition tissue that has sagged or dropped down over time. A facelift is a great procedure to improve the contour in your neck, get rid of jowls or sagging around your jaw line and improve sagging in your midface and around your nasolabial folds. If you regularly notice yourself pulling on your neck or jowl to lift up the tissue then this is the procedure for you!
 
What happens to our faces when we age?
There are 3 main changes to the aging face that Dr Rayess likes to describe to his patients, and they can be summarized as the 3 ”Ds”

1. Descent or droopiness of tissue. This is sagging of tissue due to loss of elasticity and results in the formation of a loose neck, jowls and deepening of your nasolabial folds or smile lines.
2. Deflation this results from loss of volume both fat and bony loss. To counter this you need to add volume back and your options are filler or fat grafting to the face using your own fat. Dr Rayess performs both of these procedures.
3. Deepening wrinkles fine lines on the face start to get deeper. These wrinkles are often the result of sun damage to the skin. To treat these you need a resurfacing procedure such as a chemical peel or laser.

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Facelift Procedure

Who is a candidate for a facelift?

A facelift is an elective procedure performed in patients usually in their 40s, 50s, 60s and 70s. Most patients desire a facelift because they are in good health, and still have a lot of energy but want to look refreshed, to match how they feel. As you age you lose elasticity in your skin and the skin starts to sag in certain areas such as in the middle of your neck, around your jaw line and in your midface area. The procedure will reposition this tissue and allow the surgeon to cut out the excess skin permanently removing it.
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How is a facelift different from a thread lift?

​At rejuvenate the face Tampa, Dr Rayess performs a deep plane facelift. What this involves is releasing the skin and the thick fascial layer that is deeper than the skin also known as the SMAS from their attachments and repositioning them to their natural position. All the tension is placed on the SMAS which is a thicker fibrous layer and will be able to retain it longer. Thread lifts or PDO thread lifts use barbed wire to lift up tissue that has sagged down. These wires are dissolvable and are not very effective when there is significant sagging of tissue. They do not reposition the deeper tissue such as the SMAS which can hold tension well.

Facelift Procedure

Who is a candidate for a facelift?

A facelift is an elective procedure performed in patients usually in their 40s, 50s, 60s and 70s. Most patients desire a facelift because they are in good health, and still have a lot of energy but want to look refreshed, to match how they feel. As you age you lose elasticity in your skin and the skin starts to sag in certain areas such as in the middle of your neck, around your jaw line and in your midface area. The procedure will reposition this tissue and allow the surgeon to cut out the excess skin permanently removing it.
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How is a facelift different from a thread lift?

​At rejuvenate the face Tampa, Dr Rayess performs a deep plane facelift. What this involves is releasing the skin and the thick fascial layer that is deeper than the skin also known as the SMAS from their attachments and repositioning them to their natural position. All the tension is placed on the SMAS which is a thicker fibrous layer and will be able to retain it longer. Thread lifts or PDO thread lifts use barbed wire to lift up tissue that has sagged down. These wires are dissolvable and are not very effective when there is significant sagging of tissue. They do not reposition the deeper tissue such as the SMAS which can hold tension well.

Best Florida Facelift with Dr Rayess

Where are the incisions for the facelift and will there be a scar?

The incisions for a facelift at Rejuvenate the face in Tampa are hidden along the curvature of your ear and then extend into the short hair in your temple and along of the back of your ear into the hairline. Sutures will be removed at one week following surgery. We place the incisions so they are hidden in natural creases and do not alter your hairline!
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What facelift technique does Dr Rayess use?

Dr Rayess uses the deep plane technique where the muscular fascia layer or SMAS is tightened removing the tension from the skin. This helps to lift tissues that have sagged as part of the natural aging process.  The SMAS layer is stronger than the skin and can hence provide longer term results. The surgery is tailored depending on the patients’ needs and where they need the most lift.  
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What are the facial ligaments?

The facial ligaments are fibrous attachments that extend from the bone or deep fascia and attach to the dermis which is the underlayer of the skin. These ligaments serve as anchor and support points for the face. 
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What facial ligaments are released during a facelift?

During the facelift procedure Dr Rayess releases 4 main ligaments which allows for extensive mobilization of the SMAS during the facelift. 

1. Masseteric cutaneous ligament: This is a ligamentous structure that goes from the masseter or chewing muscle to your skin. 
2. Mandibular Cutaneous ligament: This ligament goes from the jaw bone (mandible) to the skin. It forms the anterior aspect of the jowl. 
3. Zygomatic Cutaneous ligament: These are ligamentous attachments that originate from the inferior aspect of the zygomatic arch and Zygomatic major muscle before attaching to the dermis in the cheek.
4. Platysma SCM attachment: These are attachments from the platysma muscle to the Tail of the parotid and the sternocleidomastoid muscle. Releasing this attachment allows the platysma to be mobilized posteriorly to anchor the neckline

What is a neck lift?

A neck lift is a procedure designed to improve the sagging and heaviness in the neck. When Dr Rayess performs his deep plane facelift he always combines it with a necklift. In patients who do not need a full facelift a neck lift is a great option to reduce the heaviness in the neck. This procedure treats all the layers of the neck including muscles and superficial and deep fat and is performed in patients age 20-45. 
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What is a mini facelift?

A mini facelift, is a procedure designed to help patients who have early signs of sagging around the jawline and midface and want that improved. it can help improve the jowls and early signs of neck aging. The mini facelift has less incisions than a full facelift and a quicker down time. 
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What is the cost of a facelift in Tampa Florida?

The cost of a facelift and necklift in Tampa is between $12,500-$13,800. This is all inclusive. This means that it includes the surgeon fees, anesthesia fees, the surgery center or facility fee as will as the follow up appointments and care that comes afterwards. 
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What kind of anesthesia will I have?

Most of our facelifts are performed with IV anesthesia only. Similar to getting a colonoscopy and local numbing medication is used. This avoids having to put you completely to sleep. You will have an anesthesia provider looking after you in addition to the surgeon a nurse and scrub tech. Click on this link 
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What is the recovery time for a facelift?

​The recovery time  is typically 2 weeks. Most of the bruising is gone within the first 7 days and at 2 weeks you can resume most of your normal routine. It is not a painful surgery and most of our patients only use 2 or 3 pain pills the first couple of days. The process is easy for patients you will be given detailed instructions on how to clean your incisions and shower and our office is available 24/7 to answer your questions.
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What is a non surgical facelift?

​A non surgical or liquid facelift involves using botox and fillers and other minimally invasive techniques to improve the face with minimal downtime. They can be combined with neck liposuction and platysmaplasty depending on the patients needs.  

FACELIFT BEFORE AND AFTER GALLERY

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​6516 Gunn Highway, Tampa, FL 33625

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 813-800-FACE