A facelift is one of the most effective ways to rejuvenate your entire facial appearance. This preeminent plastic surgery procedure has been around for generations, and today’s facelift techniques produce beautiful, natural results. Dr. Jeffrey Roth examines your face, listens to your concerns and determines the right facelifting methods to achieve your goals. Please contact us in Las Vegas to arrange a consultation with him.

Facelift Surgery by Dr. Jeffrey Roth

A facelift is comprehensive and long-lasting. In this procedure, incisions are made on either side of the face so that Dr. Roth can access the tissue and muscles beneath. The incisions are well-hidden along the hairline and behind the ears. 

Underlying tissue is tightened and lifted. Excess skin is trimmed away, and then the remaining skin is re-draped and sutured. The contour of the chin and jawline are sharper following a facelift. Jowls are eliminated, as are folds across the lower portions of the face.

Dr. Roth often combines a full facelift with a neck lift. The combined approach produces a continuous result so that the face and neck look equally rejuvenated.

Signs You May be a Candidate for Rhytidectomy

Also called rhytidectomy, facelift surgery is a good match for:

  • Jowling/sagging skin below the jawline
  • Fat deposited along the jawline
  • Sagging skin on the neck/vertical neck banding
  • Loose skin
  • Deep wrinkles

Loose skin, inelastic tissue and displaced fat is an inevitable result of aging. Genetics can influence when it occurs and the degree to which it occurs, but this type of facial aging affects us all. Procedures like a facelift provide the opportunity to turn back the hands of time. If you are frustrated by facial aging when you look in the mirror or see yourself in photos, a facelift may be the right way to look as youthful and vibrant as you feel.

How Long Does a Facelift Last?

Nothing can stop the aging process, and that includes facelift surgery. The results will not always look the same. Although facelift results are not permanent, most people are happy with the results for 10 years or so. Another facial procedure and/or non-surgical treatment may be needed to refresh your appearance down the road.

Even 10 years after the initial facelift, you will look younger than you would have otherwise. But you can’t put a stop to aging completely.

What is the Best Age to Have a Facelift?

There actually isn’t a right or wrong age for a facelift. Most facelift patients fall within the age range of 55+, according to the American Society of Plastic Surgeons. People age 40-54 make up the next largest group, with younger patients making up a very small portion. 

It’s really a question of when a facelift is right for you as an individual based on:

  • The facial changes you are noticing and wanting to improve
  • Your expectations of facelift surgery
  • Your desire to pursue a surgical option vs. non-surgical treatment
  • Your health, medical history and other factors related to surgical candidacy

For years Dr. Roth has been guiding women and men in Las Vegas as they make decisions about their appearance. You’ll discuss what changes you want to make so that Dr. Roth can determine the surgical and non-surgical options capable of achieving those outcomes. Trust his years of experience to guide you as you decide whether now is the time for your facelift.

What About the Upper Third of the Face?

The muscles and connective tissue of your forehead, brow and eye-area are distinct from the lower and mid-face. While facelifts concentrate on the lower two-thirds of your face, Dr. Roth will suggest other procedures for rejuvenation of the upper face, if that is in fact part of your goal. 

Eyelid surgery – also called blepharoplasty – corrects protruding, puffy upper eyelids, as well as wrinkled and saggy lower lids. A brow lift addresses horizontal lines across the forehead and a brow that is pushing down on the upper eyelids, causing an aged, tired appearance. Oftentimes, a procedure to rejuvenate the forehead or eyelids can be combined with a facelift. They can also be performed alone if you do not need a facelift.

Take the Next Step toward Facial Rejuvenation

We make sure you are armed with the right information. Contact the practice of board-certified plastic surgeon Dr. Jeffrey Roth to learn more about facelifts in Las Vegas. We are happy to answer questions on the phone and tell you more about us.

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.

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 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.

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

Facelift / Necklift Gallery

As you research your cosmetic surgery procedure, Before and After pictures can help you understand your options and set realistic expectations for your surgical outcome.

These pictures are all from actual patients shown Before and After surgery (your results may vary) mean more to the practice than any accolades or awards.

Frequently Asked Questions

How long does a facelift usually last?

Depending on the patient's age, health, smoking history, skin type, and extent of surgery, a facelift should last five to ten years.

Will a facelift help if I have a lot of facial wrinkles?

A facelift itself is not entirely effective against very fine facial lines. In addition to a facelift you might need resurfacing and/or filler injections. An appropriate skin health program may also be helpful.

Do men commonly get facelifts, and are there any special concerns?

Yes. The number of men getting facelifts is rising rapidly. A man's face has more blood vessels than a woman, (due to the male beard), so there can be a higher incidence of postoperative bleeding. However, this is usually not a problem.

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