Facelift

Facelift & Necklift in Annapolis, MD with Dr. Sandel

Facelift techniques have advanced dramatically in recent years. Where the facelift was once limited to tightening the skin on the surface of the face, today’s procedures involve making deeper, longer lasting and natural changes.   The procedure lifts the supporting layer of the skin to contour the lower face and neck together.  This results in removing the excess skin hanging in the upper and mid neck, as well as lifting the jowls to sharpen the jawline.

Because the supporting layer of the skin is lifted, a Facelift in Annapolis with Dr. Sandel produces a more natural look. Your friends will likely notice that you look great — that you look brighter and younger — but they probably won’t guess that you’ve had plastic surgery.  Dr. Sandel also doesn’t place incisions in front of the ears or in front of the hairline.  Take a look at our incisions!  They are placed in such a way to hide scar lines inside and around the ear.  Even when the sutures in place, these incision lines are difficult to see within a few days after your procedure.

As performed today, facelifts are also longer-lasting and less invasive. Ten to twenty years ago, skin tightened in a facelift loosened over a short period of time. By lifting skin, muscles and manipulating the fat, results are more permanent. And new techniques also minimize scarring and shorten recovery times.

If you are considering a facelift in the Annapolis area, come into the Sandel Duggal Center for Plastic Surgery for a consultation. We’re experts in the procedure as shown by our gallery of beautiful and natural-looking results. We’ll take the time to explain your options and answer all of your questions.

What Problems Can a Facelift Correct?

Facelift and necklift surgery is designed to reverse some of the most common effects of facial aging. These include:

• Sagging skin on the face and neck
• Jowls and loose, hanging skin under the chin
• Deep creases and wrinkles beside the mouth, nose and jawline
• Vertical neck bands
• Fullness in the skin and excess fat in the lower face and neck
• Loss of facial muscle tone

These changes can leave you looking tired, sad, or angry, even when you’re happy and well-rested. And they can make you look older than you feel inside — older than the image you want to project to the world.

Skin-tightening creams, peels, injectable fillers, and Botox can counter the early effects of facial aging, but when your skin becomes too loose for these remedies, a facelift is a more effective and longer lasting solution. If you are in good health but are unhappy about the effects of aging when you look at yourself in the mirror, you may be a good candidate for a facelift

Schedule A Consultation

Dr. Henry D. Sandel specializes as a facial plastic surgeon, offering multiple surgical and non-surgical facial rejuvenation methods to his Annapolis area patients. To see if one or more of these options are right for you, we encourage you to schedule a consultation with our team today. Dr. Sandel and the rest of our team are eager to meet with you!

What Different Procedures Are Used in Facelifts?

At the Sandel Duggal Center for Plastic Surgery, we tailor the facelift procedure to your face and your rejuvenation needs. We’ll explain — and you can choose from — several facelift options.

Excess skin is removed from the lower part of the face and neck using incisions along the natural crease under the chin and in the natural folds around the ear. The skin is then separated from the musculoaponeurotic system (SMAS) and the facial muscles are repositioned over the cheekbones and along the jawline. This method lifts the lower face, removes jowls, and lifts neck bands and excess skin.

Incisions are made around the ear to access and lift muscles in the middle and lower part of the face without having to work in the mid-neck under the chin. The facial skin is repositioned, the excess skin removed, and supported with sutures in the underlying muscles. A mini-facelift can be combined with a neck lift or liposuction of the neck if needed

Incisions are placed behind the forehead hairline in order to lift the brows and removed heaviness above the eyelids.  The procedure is done endoscopically and no skin is removed.  This less invasive procedure can help improve a tired appearance to the eyes and help maintain a Botox® type relaxed brow appearance.

A procedure tailored to the male face to strengthen the jawline and remove sagging skin below the chin and in the neck. Small incisions are used to minimize visible scarring. Liposuction is typically performed at the same time and the muscles in the neck are tightened.

This procedure is more rare today than it was 20 years ago.  Most changes in the midcheek can be corrected with a volume lift or midfacial implant.  However, if the sagging skin is dramatic under the lower eyelids, then a midface lift may be a big benefit.  This is usually combined with a lower eyelid blepharoplasty surgery.

Where are the Incisions?

Pre-Op Planning
1 Month Post Surgery
3 Months Post Surgery

What Happens in a Facelift Procedure?

Facelift surgery is performed in our West Annapolis Surgery Center under light anesthesia. Once you are asleep, a local numbing medication is injected so that you feel nothing during the surgery. This light anesthesia minimizes the use of narcotic pain medication that could prolong your recovery.

Dr. Sandel makes incisions under the chin, around and inside the ear, or behind the hairline, depending on the procedure being done. Liposiction can be performed in the neck if needed with a small incision under the chin.  If neck bands are present, the inner aspect of the muscle is tightened to enhance the results.  Then Dr. Sandel tightens and repositions muscles and removes excess skin . Correcting the muscle layer is the most important aspect of the surgery as it creates long-lasting results with a very natural appearance.  The skin is lifted in an upward direction without pulling on the corner of the mouth.

The incisions are then closed with fine sutures and/or metal clips to protect the hair follicles. The procedure typically takes 2 hours, depending on the extent of the surgery.

Play Video

Facelift procedures have changed a lot over the past 20 years. We are now focusing on specific parts of the face, most commonly the lower face and neck, with procedures that are less invasive and require less downtime. This “lower facelift” addresses the excess skin in the neck, contours the jawline to remove jowls, and tightens the skin in the cheeks and around the mouth.

Henry D. Sandel IV, MD FACS

Male Facelift Results

Facelift FAQs

If the skin on your neck and jawline is so loose that creams, injections, and other nonsurgical treatments don’t make much of difference, a facelift is probably the only way to restore a more youthful look. If you feel self-conscious about sagging skin on your face and neck, think the face you see in the mirror is older than you feel, or worry that your aging looks are holding you back at work, schedule a consultation with us to find out how a facelift can help.

Yes. A facelift rejuvenates the middle and lower parts of the face, below the eyes. It can be combined with a brow and forehead lift to smooth and tighten facial skin above the eyes and to raise drooping eyebrows. Or it might be combined with eyelid surgery to correct overhanging upper eyelids. Because a facelift does not correct problems with the texture and tone of the skin, beyond the elimination of lines and wrinkles, you might consider following a facelift with laser skin resurfacing. You might also consider treatments to address volume loss in the cheeks, such as fat grafting or dermal fillers.

Like all plastic surgery procures, a facelift does leave scars, but they are carefully placed to be virtually invisible once they have fully healed. Depending on your procedure, they may be hidden under the chin, in the natural creases of your ears, or behind your hairline. Scars are more noticeable in the first 3-4 weeks6 months after surgery, before they fade to match your skin color. Makeup can be used to hide them but most patients don’t need it.

Contact Us Today

The Sandel Duggal Center for Plastic Surgery is one of the top plastic surgery practices in Maryland and is consistently rated the top practice in Annapolis. Schedule a consultation today with Dr. Henry Sandel to learn more about what a facelift can do for you. Contact us online or call 410-266-7120.