Dr. Balikian’s philosophy with all face lift surgeries is for patients to look like themselves, only better, without the signs of aging. Patients’ faces look naturally lifted and do not looked pulled.
Rejuvenate Your Natural Look With a Facelift
A facelift, also known as a rhytidectomy, is a plastic surgery procedure designed to eliminate the signs of aging by lifting, smoothing and recontouring the facial muscles and skin to provide a refreshed, youthful appearance.
As we age, the effects of gravity cause underlying facial muscles in the cheeks and neck to become loose. Skin folds appear on the cheeks, and fatty tissue can appear around the neck and jowls, causing the jawline to lose its definition. Weakened platysma muscles of the neck separate and form a “turkey wattle.”
Patients who choose a facelift usually have two motivating factors: either they want to halt the advance of the aging process or they seek to reverse the already-present signs of aging.
A facelift will “set the clock back” to enable you to look like you did several years ago. It rejuvenates the face by reducing sagging skin, lifting and tightening weakened muscles of the face and neck, and removing excess fat and tissues underneath the skin, which smooths out and reduces wrinkles.
Types of Facelifts
There is no true definition of a mini facelift. However, in our hands a mini facelift uses small, well hidden, incisions around the ears to access the cheeks and neck muscles that have descended with gravity. With sub-SMAS and deep plane techniques, Dr Balikian can lift the tissues that have fallen with gravity and secure them back where they were ten years ago. Once the architecture of the face is lifted back, the excess skin can be removed without excess tension. This surgery will sharpen the neckline, improve the jawline by lifting jowls and soften the marionette lines. It will not get rid of excess tissues in the neck or tighten bands that have appeared in the neck.
Facelift (Lower Face and Neck Lift)
As with the mini facelift, this facelift uses small, well hidden, incisions around the ears to access the cheeks and neck muscles that have descended with gravity. In addition, it utilizes a small incision under the chin (completely hidden) to access the neck. Dr Balikian can then treat the excess fat and tissues of the neck, improving a “turkey waddle” as well as vertical banding. With sub-SMAS and deep plane techniques, Dr Balikian can lift the tissues that have fallen with gravity and secure them back where they were ten years ago. Once the architecture of the face is lifted back, the excess skin can be removed without excess tension. The result is a natural lift, that sharpens the neckline, the jawline, and the marionette lines.
This facelift can be thought of as an extension of the Facelift. It differs from a SMAS facelift in that the skin and deeper tissues are lifted as one unit. This allows for more aggressive lifting and flattening of the jowls, marionette lines and nasolabial folds. It also allows for more significant lifting of the cheek fat that has descended with gravity as well. The result is a natural lift, that sharpens and extends the neckline, sharpens the jawline, the marionette lines, and the nasolabial folds and lifts the cheeks at the same time. It is an advanced technique performed by only very few plastic surgeons with the expertise and training required for a next level result.
For patients that are only bothered by a sagging neck. An isolated neck lift will sharpen and elongate the neckline, remove excess fat, and tissue which may be hanging and repair any vertical bands. However, it does not treat the jowls or sagging cheeks. Therefore, a neck lift is most often combined with a lower facelift to allow for the most harmonious result.
Other Procedures to consider with a Facelift
As we age, our face also ages like a grape turning into a raisin. Volume is lost, and unwanted folds and creases develop. Although a facelift will lift some tissues into place and help fill in those spots, often more volume is needed. Facial fat transfer allows Dr. Balikian to replace your volume loss, with your own fat from other parts of your body, such as stubborn belly fat. Combining fat transfer with a facelift allows Dr. Balikian to tap into his artistry to complete the picture of a pretty face. He often says a facelift rejuvenates, while the fat adds the beauty.
Just as gravity causes the jowls and neck to descend with time, it also causes the lip to sag and lengthen over time. This sometimes causes the upper lip to look longer and roll inward, causing a thin lip. Often, people with this look cannot get lip injections because the lip will just point out and look like a thin line. The solution is a lip lift. Dr. Balikian creates a small incision below the nose and removes about 5mm of excess skin. This shortens a long lip and rotates the upper lip into a more youthful position. Dr. Balikian often says this procedure is the “icing on the cake” for a younger looking result.
Often wrinkles of the face are deep and stubborn. A properly performed facelift can help smooth some wrinkles out by removing excess skin, it will not eliminate deeper wrinkles. In this situation, Dr. Balikian often recommends a CO2 laser resurfacing at the same time as surgery. Through this heat stamp, the top layer of skin will be resurfaced, and the deeper layers will be contracted. Collagen formation will begin, and the deepest wrinkles will be improved. Just like refurbishing a damaged piece of furniture with medium sandpaper, the overall result will look better, but the deepest dings will remain to some extent.
Richard V. Balikian, MD, FACSDouble Board-Certified Facial Plastic Surgeon
Trust Your Face to a Facial Plastic Surgeon
Dr. Balikian is an experienced, double board certified, facial plastic surgeon. He is double board certified both in Facial Plastic and Reconstructive Surgery as well as Head and Neck Surgery. Dr. Balikian belongs to a very select group of elite cosmetic surgeons with at least six years of specialized surgical training exclusively in aesthetic and reconstructive surgery of the face and neck.Read More
Contact Our Office
Dr. Balikian is a highly skilled, double board-certified plastic surgeon who proudly serves Temecula Valley and San Diego. If you are interested in learning more about the facelift, do not hesitate to contact our office to schedule a consultation. Dr. Balikian will happily guide you through the entire process and address any questions or concerns you have along the way.
I felt well prepared prior to surgery and excited.
I always planned to have a facelift but was really apprehensive about scars and the ‘Joker face’ look, but when I saw the lower facelift/neck lift results on another of his patients, I was finally ready. Dr. Balikian and his staff answered all my questions and I felt well prepared prior to surgery and excited. […] I’m only 12 days post-op and have no visible suture lines. My saggy neck skin and jowls are gone! I just look refreshed and younger, far from the ‘Joker face’ look I was afraid of. I’m really happy with my results and I will recommend Dr. Balikian without hesitation.