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In my previous blog post, I highlighted the difference between a mini facelift and a traditional facelift. A mini facelift can be an excellent cosmetic option for patients who possess signs of aging on the face but show no significant signs of aging on the neck. Though there is significant variability in the way the procedure is performed by different surgeons, I personally conduct mini facelift surgery in almost the exact same manner as a traditional facelift (minus addressing the neck), in order to maximize rejuvenation and longevity of results.

During surgery, an incision is made along the natural creases and curves where the cheek meets the ear. The skin is then lifted off the muscle layer, and the underlying muscle layer – known as the SMAS layer – is gently tightened. Following this, the skin is re-draped over the muscle layer, and any excess skin is trimmed. Sutures are used to carefully close the incisions, and a mini facelift dressing is applied. The entire procedure is performed under sedation anesthesia or general anesthesia, and some micro liposuction may be administered on the jowls if needed.

Following the mini facelift procedure, bruising and/or swelling will typically be apparent for about one to two weeks. Most patients are able to return to non-strenuous employment within seven to ten days. Longevity of the surgical outcome will depend on many factors such as age, ethnicity, history of smoking, and sun exposure. Results usually last 7 to 10 years before signs of aging become apparent enough for patients to even consider a second operation. It is worthwhile to note that even beyond 7 to 10 years, a patient will always have some degree of improvement from the initial surgery compared to never having had it done. Interestingly, the vast majority of patients do not seek a second operation, despite additional signs of aging over time, possibly because they are happy with their long-term results.

Lawrence Tong, MD

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