Facelift/Neck Lift in Beverly Hills CA – Dr. Richard Fleming

Is a full facelift and/or neck lift right for you? Are you ready to take years off your appearance?

If you have advanced signs of aging such as sagging skin, loss of contour and excess skin or fat in the jowl or neck area, you may be a good candidate for a face or neck lift. Renowned Beverly Hills plastic surgeon Dr. Richard W. Fleming can help prospective patients determine their goals for aesthetic improvement.

No two face or neck lifts are exactly the same. While working with Dr. Fleming, you’ll learn of the different techniques that most flatter your unique facial structure and provide your desired results. A facelift typically improves the appearance of the lower two-thirds of the face, including the neck, while a neck lift targets just the neck and the area under the chin. If you are interested in a facelift or neck lift, start with this information.

Common Signs of Aging

While the aging process affects people differently, there are some common signs of aging that Dr. Fleming sees in all patients and that often prompt them to contact him about a face or neck lift.

First, as both men and women age, they lose skin elasticity and muscle tone as well as changes in the distribution of fatty tissue beneath the facial skin. Fat may instead accumulate under the chin or in the neck area. Muscles in the neck also relax. Skin begins to sag in certain areas, wrinkles and lines start to form, and decrease in muscle tone leads to drooping around the eyes and around the mouth as well as to the formation of jowls and a a “turkey-neck” appearance under the chin and in the neck area.

Loss of volume is also a common result of the aging process. Dr. Fleming often sees patients who have lost contours in their cheeks or who have lost volume in their lips. These signs of aging are improved by injecting fat, dermal fillers or by placing implants.

Good Candidates for a Facelift/Neck Lift

Dr. Fleming’s facelift and neck lift patients include both men and women and range in age. However, he finds that those who have the best results from these procedures are those who are in their 50s and early 60s and have advanced signs of aging such as loss of contour, sagging skin, fat pockets in the jowl or neck area, and deep folds or wrinkles. For those who have less apparent signs of aging such as fine lines and wrinkles, loss of volume in the cheeks or lips or lines in the forehead area, other, less-invasive procedures may be more appropriate.

Good candidates for facelifts and neck lifts are those who are non-smokers, do not have any health concerns that could compromise their surgery or healing from their surgery, and those who are not on any medications that could interact with anesthesia or other medications prescribed after surgery.

Facelift/Neck Lift Techniques

Dr. Fleming is adept at performing a variety of facelifts and neck lifts that are designed to meet the needs of individual patients.

As a super-specialist in the field, he relies on different surgical techniques to target specific areas of the face and neck to create natural-looking, long-lasting results. Common facelift techniques include:

SMAS Facelift: This facelift primarily focuses on mid to lower parts of the face, including the neck. It involves manipulating and adjusting underlying muscles and tissues on the face and neck and elevating and securing them to a higher position on the face.

Deep Plane Facelift: The deep plane facelift is a comprehensive surgical procedure that addresses advanced signs of aging on the mid to lower face and neck and targets even deeper layers of muscles and tissues than the SMAS technique.

Traditional Neck Lift: A neck lift is performed on the anterior and lateral neck area. Dr. Fleming tightens neck muscles, removes excess fat and tightens sagging skin. In most cases, he removes excess skin during this procedure.

Facelift techniques feature incisions behind the ears and, in some cases, on the hairline if the upper face is targeted with a brow or forehead lift. Neck lifts feature incisions under the chin or behind the ears. This area tends to heal quickly and scars fade to the point where they are virtually undetectable.

Procedures that Complement Facelifts or Neck Lifts

Facelifts and neck lifts address a number of advanced signs of aging such as sagging skin, loss of contour, and excess skin and fat deposits in the chin and neck areas. However, they cannot address other common signs of aging such as loss of volume, drooping eyelids, or discoloration/dullness of the skin. If a patient would like to treat these other signs of aging, Dr. Fleming often recommends a complementary procedure such as fat augmentation to restore volume to lips or cheek areas, Botox to address fine lines and wrinkles around the eyes, or brow/eyelid lifts.

During your consultation with Dr. Fleming, he will find out more about your aesthetic goals. If he believes that a complementary procedure would enhance your face or neck lift, he will recommend them.

The Post-Facelift Recovery Process

The recovery process after a facelift or neck lift varies based on the patient. Procedures that are more invasive than others will result in longer healing times.

After a facelift or neck lift procedure is complete, the patient stays in the recovery room until their anesthetic wears off. They will then be discharged to one of our recommended recovery facilities or to their home or hotel with a recovery nurse.

During the next two weeks, patients will have swelling and bruising on their face and/or neck. These issues are easily managed with ice packs, rest, and pain medication. Dr. Fleming’s patients return to work and most normal activities within a couple weeks. Dr. Fleming recommends his patients avoid vigorous exercise and exertion for at least three weeks.

Full face and neck lifts are long-lasting procedures. Most of Dr. Fleming’s patients see results that last for up to 15 years. Though the normal process of aging will still affect their skin and features, most of Dr. Fleming’s patients find they continue to look years younger than their chronological age. Therefore, the results are always permanent. If needed, touch-ups or other complementary procedures can be performed to address other signs of aging in the years following the surgery.

Your Face/Neck Lift Consultation with Dr. Fleming

Do you want to opt for the most effective facial rejuvenation available? Arrange a consultation with renowned Beverly Hills plastic surgeon Dr. Fleming to understand your options and potential results. During your consultation, Dr. Fleming will find out more about your aesthetic goals and will examine you to see if you are a good candidate for a neck or facelift. Ready to take the next step to a more youthful appearance? Schedule a consultation or call us at (310) 278-8823 today!

Facelift/Neck Lift FAQs

A facelift is a technique used to reverse many of the physical signs of the aging process. It can be combined with other procedures when indicated. The goal is a natural, more rested and youthful appearance, not a changed person.

We all experience physical aging that causes the elasticity and quality of the skin to decrease. The underlying facial muscles relax, and we lose facial volume, which changes as we lose fat.

The best candidates are healthy individuals in their 40’s up to their 70’s and 80’s. Patients with a tired aged facial appearance secondary to unwanted characteristics such as jowls or bands under the neck should consider a facelift.

There are many different types of facelift procedures. The best approach will be selected upon the age and goals of each individual. A younger patient may have a mini lift where the incisions are made just in front of the ears and around the earlobes. A neck lift is another limited procedure where incisions are made under the chin and behind the ears. In patients with advance stages of aging a complete deep plane facelift is done with elevation of the muscles of the lower two thirds of the face and neck. Incisions are made under the chin, around the ears, and along the hairline or into the hair behind the ears.

Dr. Fleming will evaluate aging in each individual patient to determine if a facelift or other procedures such as a browlift, eyelid surgery, peel, cheek augmentation, fat augmentation, or a chin implant will improve their appearance and achieve their personal goals. Options are discussed including specific procedures, recovery and potential risks. Be skeptical and ask for examples of results on other patients.

You will get a health evaluation by your physician or our internist. Blood tests and an EKG are usually done before surgery. You will be given a list of medications, foods, and other products to avoid pre and preoperatively. Nicotine MUST be avoided two weeks before your operation.

The operation is done in our state of the art accredited surgery center. After the initial recovery in our center the patient will stay in a recommended recovery facility, or be accompanied by a skilled nursing professional to their home or hotel.

Pain after a facelift is very limited and easily controlled with the appropriate medications.

Dr. Fleming meets with his patient the day after the operation. The dressing will be changed but remain in place for two to three days. Most sutures are removed six days after surgery. Obvious bruising will be visible for seven to ten days, but can be hidden with appropriate makeup. I tell my patients to avoid hair treatments and coloring for three weeks after surgery.

Most patients return to work 12 to 14 days after surgery. For those patients who work in front of the camera or are public figures I recommend waiting an additional week.

Patients are to avoid strenuous physical activities for three weeks after surgery.

Like any surgical procedure there are always some risks specific to the operation. These are rare when the work is done by a qualified well trained surgeon. These will be explained before your surgery.

The patient will have visible improved contours the day after the operation despite normal swelling. Two to three weeks after surgery significant improvement will be seen, but recovery will continue for two to three months. Additional refinement will be seen over the next six to nine months. 

The results of a facelift are permanent. Now that I have your attention after the previous statement which is ridiculous at face value, I will clarify by saying that a patient will always look better then they would if they had not had a facelift. Obviously we continue to age. Many patients consider a tuck 10 to15 years after their facelift.