As we age, our face starts to show jowling and loose neck skin. This happens due to the pull of gravity on our facial tissues whose attachments to the underlying bones and tissues gradually loosens. While there are other signs of facial aging, these are often the most bothersome to many people. Most do not notice these facial aging signs that much until they see themselves in pictures from a side or profile view, to which they may be quite surprised that their neck or jowls looked 'that bad'.



All facelifts are not done alike. Simplistically, they fall into two main categories....full and limited. Many facelifts done today are of the limited variety and makeup nearly half of all of my facelift operations. Lifestyle lift, Quick lift, Swift Lift, S-Lift, to name a few, are different names for a limited facelift. to mention just a few of the most known and advertised. There are other names as well and there will be more marketed and practice-branding names in the future. But they are really very similar, no matter what each procedure advocate may say, and the small difference in details between them are irrelevant to most patients. A full and limited facelift differs in that.....that the limited facelift is to no surprise more limited. Very little work is done in the neck area and the procedure and scar is isolated to in front of the ear. From a direction standpoint, a limited facelift pulls upward in a mostly vertical direction while a full facelift has a moer backward pull as well to work out extra skin behind the ear.

The result of a limited facelift is obviously less than that of a full facelift but the results in the jowl and upper neck area can still be quite impressive nonetheless. The key to a very satisfied outcome after a limited facelift is in proper selection of the patient. My approach in patient selection is that it is good for two types of patients. The ideal candidate is the 'younger' patient who has early onset or only a moderate degree of jowling and loose neck skin. These are the perfect patients for the procedure as they will get an ideal result. Furthermore, their 'problem' doesn't merit a full facelift anyway. The other patients who can benefit are those whose jowl and neck issues are more severe, and they would get a better result from a full facelift, but they desire less of an operation for a a variety of personal reasons. As long as they can accept and have been fully apprised that the result will not be similar to a full facelift, they can get good results also. For these type patients, its all about understanding that the results are effort-driven. The less of a procedure you do, the less of a result you will get.

Unlike some advertised plastic surgery procedures, the limited facelift lives up to its hype. It is a 60 to 90 minute outpatient procedure that requires no drains or dressings. A good social recovery (how do I look?) does take only about a week. Other than some mild ear tenderness, there really is no pain. When combined with other facial procedures (which may require a more normal recovery), even more dramatic changes can be achieved.