Facelift Surgery in Dallas

Want to get a facelift in Dallas? People know us by our faces, and naturally we relate the face to our identity. Our facial features are among the most delicate and are particularly susceptible to changes due to aging, stress and sun exposure. As men and women age, many grow unhappy with their facial appearance due to the formation of fine lines, wrinkles and folds, as well as a loss of skin elasticity. While prescription-strength creams and cosmetic treatments such as injectable fillers can go a long way to minimize these signs of aging, many individuals desire a more comprehensive and long-lasting solution.

Facelift surgery, performed at Dr. Toledo’s Dallas plastic surgery office, is an advanced surgical procedure that can turn back the clock, helping men and women look and feel younger. Dr. Toledo has more than 30 years of experience performing facelifts, and is able to achieve natural-looking results that make you look as good as you feel. Dr. Toledo also specializes in revisions and “botched” facelifts. Learn more about facelift surgery below and email Dr. Toledo’s office today for a consultation.

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How Much Does a Face Lift Cost?

Face Lift Procedures Fee Range
Face Lift – Standard $9,000 – $11,000
Face Lift – Standard with Neck Lift $11,000 – $13,500

Exact pricing requires a personal consultation. These are fee range estimates only and are subject to change. Actual plastic surgery prices depend on your specific anatomy, operating time involved, surgical technique used, and type of anesthesia.

The Best Candidates for Facelift Surgery

Ideal candidates for facelift surgery are men and women who are in good health and are dissatisfied with signs of aging on the face and neck. Because everyone ages differently, there is no particular age when surgery is appropriate, though most Dallas facelift patients are in their mid-40s or older. Patients who achieve the best results from facelift surgery are nonsmokers who have good bone structure with some skin elasticity. It is important for facelift candidates to understand the risks, benefits and limitations of the procedure. While a facelift can help you look younger, it cannot stop the aging process.

Dr. Toledo Face and Neck Lifts

The Risks and Benefits of Facelift Surgery

Like all surgical procedures, a facelift does carry some risk. Complications, though rare, that can occur include nerve damage, infection, poor reaction to anesthesia and poor healing of the skin. It is important to disclose all health conditions and medications to Dr. Toledo prior to the procedure so that he can assess your candidacy for surgery and ensure your safety. Dr. Toledo uses only the latest and safest surgical tools and technologies to minimize the risk of the procedure and ensure a speedy recovery.

For patients who do undergo facelift surgery, the benefits are many, and include:

  • Reduced appearance of fine lines and wrinkles
  • Firmer, more voluminous skin
  • Improved self-confidence
  • Results can last up to 10 years

Your Consultation

As an experienced plastic surgeon, Dr. Toledo understands that each patient has unique needs and motivations for treatment. He takes a personalized approach to patient care so that he can understand your cosmetic goals and provide the results you deserve. During a facelift consultation, Dr. Toledo performs a full examination of the facial features, assessing the signs of aging that are present and making recommendations for treatment. He also takes the time to thoroughly explain the procedure and address any questions or concerns. This open communication and unhurried approach allows patients to feel comfortable about pursuing treatment.

What to Expect from Facelift Surgery

A facelift is one of the most sought after and satisfying aesthetic surgical procedures. It can remove many, but usually not all, wrinkles.  It can remove much of the sagging skin of the face and neck. Excess fat can be removed or sculpted as needed. The facelift will give you a more youthful appearance, but your expectations must be realistic. There are limitations to what surgery can accomplish. Magazines and non- medical articles may lead you to believe a facelift is a simple procedure; in fact, it is major surgery. It requires complex incisions and extensive dissection of the skin, fat and muscle. It should be performed only by a qualified, capable, and experienced plastic surgeon.

A facelift can turn back the clock, but will not stop the process of aging. The length of time, usually five to ten years, before considering another facelift, if at all, varies with each person. Heredity is important; if your parents aged slowly, you probably will too. Your diet, general health, time spent in the sun, smoking, weight gains and losses, emotional traumas, and type of skin will all play a role in determining how long the improvement will last. For many men and women, other procedures such as rhinoplasty, eyelid surgery, forehead lift, dermabrasion, or lip augmentation can enhance the results achieved by the facelift and are frequently performed together.

The Preoperative Visit

This visit will be scheduled approximately two weeks before surgery. It will give you an opportunity to ask questions you might not have asked previously. We will review your medical history, give you a preoperative examination, arrange lab tests, and discuss what to expect during surgery.  If you are over forty years of age or have a history of heart abnormalities, we will arrange for an electrocardiogram. We will also take preoperative photographs, which become a permanent part of your medical record and remain strictly confidential. Your operative consent will be read and signed, preoperative instructions reviewed, and prescriptions given for the medications you will need.

Payment of your fee will be due at this time. Facility and anesthesia charges are separate from the surgeon’s fee.

Arrangements to facilitate overnight or postoperative care will be made to suit your individual needs. Most face lift patients stay overnight at the Highland Park Plastic Surgery Center.

What to Expect During Surgery

Facelifts are usually performed at the Highland Park Plastic Surgery Center under general or twilight sleep anesthesia. A board certified anesthesiologist or anesthetist will be present to make you comfortable and unaware throughout the procedure.

Before surgery begins, you will be asked to change into a surgical gown and then will be taken into a private operating room. An intravenous line will be inserted into a vein in your arm. This will make it possible to administer fluids and to deliver the necessary medications to make you comfortable. Monitoring devices will be connected to you to assure your safety.

Dr. Toledo will talk with you and use a surgical marking pen to draw several lines on your face. These will guide him during the operation. Your hair, face, ears, and neck will be cleansed with an antiseptic solution. The incisions extend from within the temple hair above the ear, downward, inside the ear canal under the earlobes, and up behind the ear into the hair. Usually a small incision is made under the chin. The incisions are well hidden and made as inconspicuous as possible.

After the incisions are made the skin will be lifted from the underlying tissue and will be drawn upward and backward. Excess skin and fat will then be removed, and loose deep muscle and supporting tissues under the skin will be tightened with deeper stitches to retard the sagging process of aging.

After the incisions are closed with sutures (surgical clips in the hair), bandages will be applied to form a soft helmet around your head and face. A small drain attached to a drain tube will be inserted behind your ear and will be left in place for one day, or longer if the drainage is excessive. Neither your mouth nor your eyes will be covered with the bandages.

Your facelift will take about three hours. If done in conjunction with eyelid surgery or any other procedures, surgery will naturally take longer. If additional procedures are performed, we will tell you approximately how long you can expect to be in surgery.

What Happens After Surgery

When the bandages are in place, you will be transferred to a recovery room adjacent to the surgical suite, where you will be continuously monitored as you recuperate from the effects of the surgery and anesthesia. After the recovery period you will then be transferred to our overnight suite adjacent to the ambulatory surgery center. A private duty nurse will stay with you throughout the night. She will be getting you out of bed at night to ambulate around the room. This circulates the blood in your legs and helps prevent blood clots.

The next morning, before you leave, we may remove your drain and change the dressing on your head. You must arrange for a responsible person to be with you 24/7 for the next 2-3 days. We will give them instructions for your care before you leave. Have them read this paper prior to your surgery. You will not be able to care for yourself immediately following surgery, so it is absolutely necessary that we help you with these arrangements. Ideally you will want to stay in the Dallas area for 5 to 7 days so we can remove your sutures and make sure there are no complications.

Because everyone is different, it is impossible to write post op instructions that apply equally to everyone. For example, some patients can have sedation vs. general anesthesia or outpatient vs. inpatient surgery. Some patients have only a single procedure and others may have multiple surgeries in a single setting. Occasionally we leave the drains in place for several days, if you have bruising or bleeding tendencies. Use these instructions as a general guideline, but don’t panic if we vary on some issues.

Preoperative Guidelines

Bathe your entire body with CLn body wash the 2 nights prior to surgery and again the morning of surgery. CLn body wash is an anti-bacterial, antiseptic liquid soap. Sleep on clean sheets the night before surgery and wear clean clothes to your surgery.

Medications: Take all the medications we prescribed according to the instructions on the bottle. You may feel a bit drowsy, so have someone help you. If you need a refill, call the office and give us the number of your drugstore or pharmacy. Do not take aspirin or ibuprofen for four weeks before and two weeks after your surgery.

TED Hose: The Hose we instructed you to buy and wear is for the prevention of deep venous thrombosis (blood clots). Deep venous thrombosis affects mainly the veins in the lower leg and the thigh. This clot may interfere with circulation of the area, and it may break off and travel through the blood stream. This clot can then lodge in the brain, lungs, heart, or other areas, causing severe damage to that organ or even death. Any surgical procedure that will inhibit your activity post operatively, especially a facelift, there is a risk of blood clots. You will be required to wear your TED Hose during surgery and keep them on for 2 weeks after.

Smoking: Smoking or nicotine use (chewing tobacco, nicotine gum, or snuff) can have a severe detrimental effect on wound healing. The nicotine decreases the vital blood supply to the skin and can cause poor healing or even skin death.

STOP ALL NICOTINE PRODUCTS 2 MONTHS BEFORE AND AFTER SURGERY.

Caffeine: Excessive use of products with caffeine such as coffee, tea, or soft drinks, especially Diet Coke, can have similar effects as nicotine.

STOP ALL CAFFEINE PRODUCTS 2 WEEKS BEFORE AND AFTER SURGERY.

Hormone replacement therapy and birth control pills increase the incidence of blood clots. STOP 2 WEEKS BEFORE AND AFTER SURGERY.

Postoperative Guidelines

You should expect:

  • Moderate swelling, bruising, and bloodshot eyes, which may last for one to three weeks. Don’t be concerned if blood appears on your bandages, especially behind the ears the first few days.
  • Sensation of tightness, which subside slowly over several weeks to months.
  • Intermittent sensations of tingling, burning, itching, and numbness of the face, ears and neck, which gradually improve over several months.

REMEMBER THE BRUISING, SWELLING, AND NUMBNESS will RARELY LOOK SYMMETRICAL.

Call Dr. Toledo’s office at (214) 363-4444 if you have:

  • Severe pain which doesn’t respond to medication.
  • Significant swelling, and/or unrelenting pain that occurs more on one side than the other.
  • Shortness of breath or labored breathing can be a sign of a blood clot in your lungs.
  • Any problems or questions which haven’t been covered on this instruction sheet.

Physical Activity
For approximately five days you will be at home taking it easy. It is important to get out of bed and walk the first 2 – 3 days to increase the circulation in your legs and avoid blood clots.

You may feel more comfortable sleeping with your body a little flexed- like having a pillow under your knees if you are on your back or you can sleep on your side with your hips flexed. By keeping your head elevated above your heart, swelling can be minimized. Because of your medications, you may feel lightheaded and need assistance getting to and from the bathroom for several days.

Pain
The period of greatest discomfort usually lasts 24 to 48 hours. Thereafter, you should have less discomfort and less need for medication. Occasionally it lasts a bit longer, as different people have different pain tolerances.

Alcohol
Do not drink alcohol for five days after surgery, or if you are taking pain medication.

Driving
You may drive as soon as you feel comfortable, usually in about 5 to 7 days. Never drive under the influence of pain medication or sedatives.

Diet
Start with liquids the first day, then progress to your regular diet as you desire.

Hair
You may wash your hair forty-eight hours after your drains are removed. We suggest you wash your hair in a shower with ordinary shampoo. You may dry it with a towel, or blow-dry with a cool dryer. Do not use a hot hair dryer, electric rollers, or curling iron for three weeks following surgery. Do not color or bleach your hair for three weeks after surgery.

Makeup
You may apply makeup when the incisions are healed, usually 7 days after surgery.

Sun
Do not sit in the sun at all for three weeks after surgery. If the incisions are ex- posed, apply sunscreen for six months.

Sports
Strenuous sports, such as tennis, swimming, jogging, aerobics, or bicycling, may be resumed after three weeks. Refrain from any activity that significantly raises your body temperature, blood pressure, or heart rate for three weeks after surgery.

Work
Depending on the kind of work you do, you may be able to return to your job as soon as you are comfortable. If your work is fairly sedentary, you may go back to work in five to seven days.

Postoperative visits

These will be determined by your progress. The drains are sometimes removed the morning after surgery and your dressings will be changed. Leave the new dressing on for another 24-36 hours; remove it yourself, and then you can shower. Your 1st set of sutures will be removed four to six days after surgery. The 2nd set of sutures and staples (metal clips) will be removed 8 to 10 days after surgery. We will then see you back in one month, four months, and then yearly if needed.

You will be more comfortable using our private post-operative waiting room for your initial post-operative visits. Park in the handicap spot in front of the Sherry Lane door. Ring the doorbell and we’ll open the door from the inside.

Please feel free to call us at any time during your healing period. THE OUTCOME OF YOUR SURGERY IS IN YOUR HANDS AS WELL AS THE DOCTOR’S. IT IS YOUR RESPONSIBILITY TO FOLLOW ALL INSTRUCTIONS GIVEN TO YOU.

Possible Problems and Complications

No surgical procedure is without risk. Most complications associated with facelift surgery, however, are minor. Here are some possible problems:

  • Collection of blood under the skin (hematoma). This can be removed.
  • Small areas of numbness around the ears. This may be temporary or may persist.
  • Soreness and itching around the incisions. When these sensations occur, they will usually disappear.
  • With aesthetic surgery, as with other surgical procedures, depression sometimes occurs postoperatively. This is generally attributed to the normal response of the body to surgery and anesthesia; be patient as it will soon go away.
  • Widening or thickening of a scar (keloid formation). If this happens, it may be revised at a later date in a simple office procedure. Sometimes cortisone injections help reduce these scars. Incisions can never be guaranteed to “heal” in a certain way.
  • Hair loss around the incisions. If this occurs, the hair generally grows back in a few months, or it can be revised.
  • Asymmetry. No patient is identical from side to side. Small differences exist in all patients. In the occasional patient with a major difference, this can usually be improved with a secondary procedure.

Rare but more severe complications:

Infection

Poor healing or loss of skin (necrosis) can occur, especially in smokers, caffeine addicts, and diabetics.

Injury to a branch of the facial nerve which may cause temporary or permanent paralysis.

Deep venous thrombosis (blood clots) affects mainly the veins in the lower leg and the thigh. This clot may interfere with circulation of the area, and it may break off and travel through the blood stream. This clot can then lodge in the brain, lungs, heart, or other area, causing severe damage to that organ or even death. This is the reasons we have you stop hormones, wear TED hose, and walk every 3 hours the night of surgery.

Complications of a severe nature which could be life threatening.

Infection Alert

There is evidence of an increased incidence of MRSA (methicillin-resistant Staphylococcus aureus) and other antibiotic resistant bacteria in our community. In the past, these resistant bacteria were typically found only in hospitals, but they are now found everywhere. Frequently people can be a carrier of the bacteria without their knowledge. An infection with this bacteria can cause severe damage to the skin and even death. We are diligent in cleaning and sterilizing our facility and try to limit the exposure of outside bacteria from patients into our surgery center. We therefore have implemented the following hygiene steps to help prevent the contamination of our facility and therefore decrease your post-operative infection risk.

Bathe your entire body with CLn body wash the 2 nights prior to surgery and again the morning of surgery. CLn body wash is an anti-bacterial, antiseptic liquid soap. Sleep on clean sheets the night before surgery and wear clean clothes to your surgery.

YOU MUST ENTER INTO YOUR SURGERY FULLY UNDERSTANDING NOT ONLY THE BENEFITS, BUT ALSO THE POSSIBLE PROBLEMS.

OCCASIONALLY, MINOR REVISION MAY BE NECESSARY TO ENHANCE THE FINAL RESULTS.

What You Will See in the Mirror

It will be difficult to evaluate your facelift during the first several days after surgery. Discoloration and swelling will be most noticeable on the second or third day, but will gradually diminish. As the swelling goes down, a number of fine wrinkles which were not evident with postoperative swelling, may reappear.  This is because your surgery was so planned to give you a rested, more youthful, natural appearance, and not to tighten the skin so much that your face seems mask-like. Surgical scars will be permanent, but will fade in time. Every effort is made to conceal and make them inconspicuous. For most of our patients, the results of facelift surgery are so favorable that the scars become a minimal consideration.

The instructions above are general and some portions may not apply to all patients. Changes in the instructions depend on your medical history, number and type of procedures and type of anesthesia.

Schedule a Consultation with Dr. Toledo Today

Dr. Toledo has more than 30 years of experience in facial plastic surgery and is double board certified by the American Board of Plastic Surgery and Otolaryngology, Head and Neck Surgery. His extensive training in cosmetic and plastic surgery of the face allows Dr. Toledo to produce results that improve your appearance without sacrificing your unique features. If you have been considering plastic surgery, learn more about your options at the Highland Park Plastic Surgery Center by calling 214-363-4444. In addition to performing facelift surgery, Dr. Toledo is also a leading provider of nose reshaping, brow lift and eyelid lift in Dallas.

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