According to the American Society of Plastic Surgeons, a facelift is the 5th most common cosmetic procedure in the United States. Anyone considering a facelift should look for a skilled, board-certified surgeon so that a fresh, youthful appearance can be achieved. In Scottsdale, AZ, Dr. Holden performs many facelift surgeries successfully each year. Individuals with aged and maturing facial skin may make the decision to have a facelift (also known as rhytidectomy) to address droopy features, sagging skin and wrinkles. Dr. Holden often combines facelift surgery together with forehead, eyelid, and nose reshaping surgeries as part of a customized plan, tailored to each individual patient.
"Facelift, Upper/lower Blepharoplasty, Necklift - Scottsdale, AZ - Tired, baggy, looked old.Even as a 50+ year-old attorney, I was hesitant and honestly scared at the prospect of having plastic surgery. In fact, I canceled my scheduled surgery with a different surgeon out of fear. After my consultation with Dr. H, I felt really comfortable and confident for the first time.It’s now been 6 months since my surgery and I could not be happier with the face lift and eyelid surgery. I've had so many compliments since the surgery about how healthy and rested I look. No one suspects I had surgery because the change, while dramatic, suits me. It looks so natural!"- S. / RealSelf / Jun 05, 2011
"Excellent Revision: Nose Surgery - Phoenix, AZ - Amazing results. My wife went to him for first time nose surgery. I went to him shortly after for a revision (another surgeon did initial). He is meticulous and very specific. I absolutely love my revision and my wife loves her new nose. Dr. Holden is easy to talk to, always takes plenty of time during consults, and he gets the results that you want. I would highly recommend him for nose surgery or any other facial surgery."- R. / RealSelf / Jan 24, 2015
"I have been nurse for...a long time (decades) and have worked with many doctors. I just can't say enough good things about Dr. Holden. He is one of the best I have had the pleasure to meet. His bedside manner, attention to detail, and how he listens! He did a neck and face lift on me and I just love to show it off to my friends. My scars are invisible and I look easily 20 years younger. I think two of my friends are already signed up to do the same. I feel very lucky that my dermatologist recommended Dr. Holden to me...he truly is a gem! Thanks Doc!"- Anonymous / Vitals / Aug 28, 2011
"Amazing - Dr. Holden is Amazing extremely kind, caring, and intelligent. I consulted with him initially for revision of a previous face lift as well as a couple of additional facial procedures. During my consult process I developed an exacerbation of an extremely rare complication from my previous facial rejuvenation. Dr. Holden is now treating me for this. My husband and I have instilled our faith and confidence in him to get me through this CRISIS and beyond to any future procedures I have. He definitely gives you his time and his ear. In addition he has an artistic eye I've seen his before and after photos. Great office staff as well Jennifer and Candace. Take my advice see Dr. Holden. I wish I had seen him MUCH sooner."- Anonymous / Vitals / Oct 27, 2011
"Life changing - This man works miracles. He is very professional with down to earth attitude so don't let the SCOTTSDALE ATTITUDE scare you away. I had a tummy tuck and my flabby arms done at 65 after losing lots of weight. After becoming a widow my outlook on life was that it was over and I was destined to live the rest of my life ugly and alone because no one would ever want me. Fortunately I found Dr. T and he was so patient and actually funny that each visit was like seeing a friend. I now have a bright future and a new friend. I"m thinking of a face lift. Not to look younger because the rest of my body will tell the truth but to feel better about ME not for anyone else. Just keep your fingers crossed I can come up with the money before I'm too old for the surgery. Lol Keep smiling It will keep you young!"- K.C. / Vitals / Mar 06, 2016
There are various techniques used today to perform a facelift. Facial anatomy, skin laxity and the overall aesthetic goal of the patient will determine the best approach. Each procedure will be unique to the patient and will vary based on the type and location of the incision, the number of tissue layers affected, the plane of elevation and the level of invasiveness.
TRADITIONAL FACELIFT (SMAS)
This SMAS facelift is considered the gold standard. This surgery, while more complicated, produces results that are more dramatic and longer lasting. The technique involves manipulating a group of muscles beneath the skin known as the superficial musculo-aponeurotic system (SMAS). This section of muscle controls facial expression. An incision is made along the hairline from the temple to just behind the earlobe. The skin is then separated and lifted. The underlying muscles and tissue are tightened and secured so they maintain their new position.
Ponytail Upper Facelift
The ponytail upper facelift is a unique facelift developed by Dr. Holden to address the sagging, heavy skin of the forehead, eyes and cheek area. Through invisible incisions in the scalp, the skin of the forehead, eyes and cheeks is released and repositioned in an upward and backward way. Sutures are placed under the skin of the scalp to hold the tissue permanently. The results are a lighter, brighter look for the eyes and brows and cheeks that are lifted back onto the cheekbones. This technique is for the 40 to 50 year old age range who prefers to maintain a youthful appearance instead of waiting until a full facelift is desired.
Deep Plane Lift
The deep plane lift goes a step further than the traditional approach. It is better suited for those with severe sagging and drooping — usually reserved for older patients. In addition to the SMAS layer being adjusted, a deeper section, known as the deep plane, is also treated. While this procedure offers certain advantages over a traditional facelift, surgeons must be skilled and act with caution so facial nerves are not damaged during the surgical process.
A mini facelift is geared towards patients who want some of the benefits of a facelift, while at the same time minimizing the cost and invasive nature of the surgery. Some procedures that are considered “mini” include the “Quicklift” or “Lifestyle Lift”. Patients who wish to maximize the outcome of their surgery, resulting in the most dramatic results, will most likely need to turn to having a full facelift in order to meet these aesthetic goals.
All facelift procedures are performed under monitored anesthesia care (MAC) sedation at our surgical facility. The length of the surgery will vary, but it generally takes between 3-4 hours. This surgery is considered an outpatient procedure. After surgery, patients will be bruised and swollen and the face and neck will feel tight. This will gradually improve within a few days. It is common for patients to feel anxious about how their face will appear. Most patients feel comfortable in social or work situations between 10 to 14 days after surgery, often with concealer makeup. Patients need to understand it can take several full months for the final results to appear.
Each facelift surgery is unique and will be tailored to each patient. Most patients can expect to pay between $6,000-$8,000 for a less invasive/upper facelift, while more invasive procedures, such as the SMAS facelift and the deep plane facelift, can run between $12,000-$20,000.
Plan Your Procedure
BOTOX®, injectable fillers, microdermabrasion and chemical peels are examples of some non-surgical procedures that can assist in smoothing out wrinkles, improving fine lines and adding facial volume. These procedures also help to even out skin tone. However, these are treatments that will only affect the skin’s surface. Patients with loose skin, drooping jowls or a sagging neck will need to consider surgery if they want these features improved.
Will I Look Fake?
In the days immediately following facelift surgery, patients will feel tight and pulled. These are some short-term effects, but they will subside. It’s important to find a reputable surgeon skilled in facial surgery. Surgeons who know what they are doing will make every effort to work within the confines of the patient’s bone, skin and muscle structures so a younger, more natural look can result.
Facelift surgery does require a long incision. However, in almost all cases, these scars are well hidden as they fall just along the hairline and around the ears in the natural folds of the scalp. In most cases, the scars should be barely visible to the naked eye.
The common age range for patients who undergo a facelift is between 50-70. It is safe to say most patients will look 5-10 years younger following a facelift procedure. Younger patients (40-50 years old) generally have stronger skin elasticity so their results may last longer than those of someone older. However, older patients may have results that appear more dramatic and, for them, this can be very worthwhile. Patients should think of a facelift as a process to turn back the aging clock. You will still age, but you will appear a few years younger.