Office:  (702) 450-0777

Before and After

To better inform our patients, we are now offering select Before and After photographs for the Facelift / Necklift procedure.

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Contact Information

9280 W. Sunset Rd. Ste. 236
Las Vegas, NV 89148
Office: 702-450-0777
Facsimile: 702-891-0796

Email: contact@jjrothmd.com

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Facelift / Necklift

The Face Lift or Rhytidectomy, (Rhytids are commonly known as wrinkles), removes excess skin and repositions fat and muscles to correct jowls, deep lines from the nose to the mouth, and some neck laxity that occurs with aging. Depending on the anatomical levels of surgery, the procedure may be referred to as a Deep Plane Face Lift or a Sub Musculo Aponurotic System (SMAS) Face Lift.


Consultation

Dr. Roth will first listen to your concerns and goals. He will then gather a thorough medical history. Past medical events may impact your surgery, anesthesia, and recovery. Current issues such as; medications, herbal remedies, allergies, smoking, drug use, bleeding and scarring tendencies, will be reviewed. Chronic issues, (e.g. diabetes, high blood pressure, auto immune disease), are also important.An examination of your facial features is done. Dr. Roth will explain what he sees and how it relates to how aging has affected your appearance. He will then explain what might be done to improve each area medically or surgically. You may not wish to take advantage of every treatment that is available for rejuvenation, but at least you can know about available options and what each might offer.

Before Your Procedure

Many things can effect the success of the procedure, the subsequent healing process, and final result. Clearly, issues effecting your general health and ability to heal can impact the process, but more subtle issues and practices can also make a significant impact.. It is imperative that patients refrain from ingesting any medications or other substances that could potentially cause surgical complications. A list of medications should be reviewed and selected medications discontinued at least two weeks prior to the procedure.

Patients undergo a general physical examination prior to their surgery. This is to ensure that no underlying medical problems exist that may interfere with the safety of their surgery. The Anesthesiologist may have specific criteria to be met. Appropriate consultation, (Cardiology, Pulmonary, etc.) may be requested to address any issues. Any issues, however trivial they may seem, should be reported. For example, a seemingly innocent minor infection can result in a surgical wound infection, and so must be treated prior to surgery. Likewise, hypertension must be under control. Blood pressure medicines are typically taken right up to the time of your procedure. Cigarette smoking has a significant impact on wound healing. Some procedures will not even be performed in those who smoke. The extent of some procedures may be significantly curtailed. Cigarette smoking needs to be discontinued prior to operation. Serious wound healing complications can occur in patients who are exposed to smoke, even passively. The risk of wound healing problems decreases after one quits. Appropriate timing of surgery after cessation of tobacco exposure can be discussed.Preoperative photographs are taken. They assist in the planning of the procedure and in reviewing the improvement afterwards. Postoperative photographs are generally taken at 3 and 6 months after your procedure as well.

You will be asked to sign a surgical consent, which enumerates the risks of the procedure in detail. Some of these risks have been reviewed here, but are also discussed at the consultation.Appropriate prescriptions are written, (e.g. pain pills, so that you will be able to take them when you return home).

You will need to arrange for someone to drive you to and from the surgery center. Patients cannot drive after surgery, and for 10 days afterward. Recently sedated patients will not be placed into taxis for transport home. Medical transportation can be arranged in the event that you cannot find an escort. It is also mandatory to have someone stay with you for at least 24 hours after surgery, for your comfort and safety.

After Your Procedure

After arrival at the surgicenter. The nursing staff will register you and have you change into the appropriate gown.

Incisions are marked prior to taking you to the operating room. Your hair is gathered in rubber bands to keep it out of the incision lines. Minimal amounts of hair may be clipped to provide exposure to do your surgery.The choice of anesthetic will be made with input from the Patient, Surgeon and Anesthesiologist. Continuous monitoring of your vital signs is carried out throughout the operation.

The procedure usually takes about three to four hours, depending on the extent of your particular anatomy, tissues, and procedure. Incisions are usually placed around the ear extending into the hairline, and just beneath the chin if the work on the anterior neck muscles needs to be done. Typically, the skin is tightened, as well as a layer of muscle and fascia that lies underneath. Excess skin is removed. Fat pads may be placed in position and secured. The incisions are closed with fine sutures. Small disposable metal clips may be used to close scalp portions of the incision. A small drainage tube may be placed and is connected to a suction bulb to drain any small amounts of blood or fluid. The drain is typically removed after 24 to 48 hours. A bulky dressing is applied . Appropriate arrangements will be made so that you'll be observed for the first night after the procedure.

Your Recovery

After arrival at the surgicenter. The nursing staff will register you and have you change into the appropriate gown.

Incisions are marked prior to taking you to the operating room. Your hair is gathered in rubber bands to keep it out of the incision lines. Minimal amounts of hair may be clipped to provide exposure to do your surgery.The choice of anesthetic will be made with input from the Patient, Surgeon and Anesthesiologist. Continuous monitoring of your vital signs is carried out throughout the operation.

The procedure usually takes about three to four hours, depending on the extent of your particular anatomy, tissues, and procedure. Incisions are usually placed around the ear extending into the hairline, and just beneath the chin if the work on the anterior neck muscles needs to be done. Typically, the skin is tightened, as well as a layer of muscle and fascia that lies underneath. Excess skin is removed. Fat pads may be placed in position and secured. The incisions are closed with fine sutures. Small disposable metal clips may be used to close scalp portions of the incision. A small drainage tube may be placed and is connected to a suction bulb to drain any small amounts of blood or fluid. The drain is typically removed after 24 to 48 hours. A bulky dressing is applied . Appropriate arrangements will be made so that you'll be observed for the first night after the procedure