A facelift usually takes several hours – or somewhat longer if you’re having more than one procedure done. For extensive procedures, Dr. Lesavoy may schedule two separate sessions.
All surgeons approach the procedure in their own way. Some complete one side of the face at a time, while others move back and forth between the sides. The exact placement of incisions and the sequence of events depends on your facial structure and Dr. Lesavoy’s technique.
Incisions usually begin above the hairline at the temples, follow the natural line in front of the ear, curve behind the earlobe into the crease behind the ear, and into or along the lower scalp.
Most incisions will begin above the hairline at the temples, extend in a natural line in front of the ear (or just inside the cartilage at the front of the ear), and continue behind the earlobe to the lower scalp. A small incision may also be made under the chin if the neck needs work as well.
During the procedure, facial, neck tissue and muscle may be separated; fat may be trimmed or suctioned and underlying muscle may be tightened.
In general, Dr. Lesavoy separates the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. Dr. Lesavoy will then tighten the underlying muscle and membrane, pull the skin back, and remove the excess. Stitches will secure the layers of tissue and close the incisions; metal clips may be used on the scalp.
After the deep tissues are tightened, the excess skin is pulled up and back, then trimmed and sutured into place. Following surgery, a small, thin tube may be temporarily placed under the skin behind your ear to drain any blood that might collect there. Dr. Lesavoy may also wrap your head loosely in bandages to minimize bruising and swelling.