Downtime After Mini Face Lift and Neck Lift or Lower Face/Neck Lift

Woman with brown hair smiling

Imagine this scenario… Your jowls have been driving you crazy for a decade and you finally decide to rejuvenate your look with a facelift. But you’re an avid runner, love to get facials, and have family Christmas photos in three weeks.

So you get a hold of your surgeon and ask the question everybody wants to know, “Okay doc, what’s my downtime going to be?”.

Downtime after surgery is one of the most common questions we get asked in our practice and the short answer is that, it varies. Here are a few specifics that may help you pick a surgery date and decide if a facelift is right for you:

  • A “mini-lift” or “weekend-lift” may have less downtime than a full lower face/neck lift, but your desire for a shorter recovery period should not dictate your choice in procedure. Ultimately, your goals and your anatomy should be the central driving forces in making your decision.
  • Anything that elevates your heart rate and blood pressure (exercise, annoying spouses, etc) has the potential to cause complications after surgery. It can increase your risk of bleeding, swelling, and impaired healing.  After three weeks, you should be completely clear to resume any activity.
  • If you can’t stand the idea of taking it easy for three weeks watching Bravo TV, you should be able to stretch your legs on a long walk by the one-week mark.
  • For two weeks, you should avoid lifting anything heavier than a gallon of milk (~10lbs). Be ready to tell your significant other that it’s their turn to take out the trash and that it’s doctor’s orders.
  • We typically advise waiting 3 to 4 weeks before getting a facial or getting your hair dyed after surgery. Be sure to plan ahead.
  • Most people are ready to go out in public after a lower face/neck lift after two weeks. At that point, any residual bruising can be covered with makeup and most of the swelling should be gone. Although ultimately, your incisions will be hard to find, in the early stages, it helps to keep your hair down while they continue to heal.
Contact our practice today to learn more or schedule your consultation for Face Lift or Neck Lift surgery at (301) 652-8191.

What is the Best Face Lift and Neck Lift Technique?

Blond woman with black long sleeve blouse

When the latest reality TV star’s face looks unnaturally windswept and surgically overdone, nobody cringes more than a plastic surgeon. It gives the facelift procedure a bad reputation, when in reality, all facelifts are not built the same. The term “facelift” is a blanket term used to describe a broad range of surgical procedures to help rejuvenate the lower third of the face and in some instances, the neck as well.  Let’s break down some key aspects of the surgery and how our techniques provide natural, long-lasting, and exceptional results.

Scarless surgery?

While science has yet to invent a way to perform this surgery without incisions, we hide your incisions in the nooks and crannies around your ear, sideburn, and posterior hairline. We ultimately engineer these incisions so that your hair grows directly through them, rendering them practically invisible after you heal.

Pro-move: Our incisions allow for maximal surgical improvement while never changing your hairline!

The terminology used to describe the type of lift can be confusing for patients and surgeons alike. Some describe specific anatomic structures, while other terms are just marketing ploys. Ultimately, your surgeon will base their decision on your particular anatomy and their comfort level in manipulating your specific anatomy.

Superficial musculoapo-WHAT?!

The SMAS (superficial musculoaponeurotic system) is a fibrous muscular layer that is deep to your facial skin that suspends the fat pads within the face. As we age, areas of the SMAS become weak, allowing gravity to pull our fat compartments down.

Facelift techniques differ based on how they manipulate the SMAS layer. Some tighten the SMAS without significant dissection deep to that layer (imbrication, plication, etc.), while some completely reposition the SMAS by dissecting deep to it (deep plane).

We primarily perform the extended deep plane technique due to its ability to completely release and reposition the facial fat compartments and achieve natural-appearing rejuvenation.

Why Choose a Surgeon Who Performs The Deep Plane Technique?

There is no other technique that mobilizes facial fat pads to restore midfacial volume, improve jowling, and recreate a youthful jawline. It can address facial aging to a much more significant extent than the other techniques.

When done correctly, it provides the longest lasting and natural-appearing results. Most patients can turn back the clock by a decade or more!

What About My Neck?

The lower face and upper neck are intimately related, so we often extend the deep plane technique into the neck so we can address the aging neck at the same time.

We occasionally will make a small incision under your chin if we need to address additional anatomy in your central neck.

Why Doesn’t Every Surgeon Perform The Deep Plane Lift?

Dissection deep to the SMAS can be dangerous in the hands of an inexperienced surgeon. There are numerous nerves, salivary tissue, and muscles deep to the SMAS that deter the average facelift surgeon from performing this technique. However, in experienced hands, the complication rate has been proven to be the same as other techniques at about 1%.

We occasionally will augment your facelift with fat grafting, buccal fat pad removal, or skin resurfacing at the same time. It all depends on your goals and your anatomy!

Contact our practice today to learn more or schedule your consultation for Face Lift or Neck Lift surgery at (301) 652-8191.


How Visible Are Scars After A Facelift?

Portrait of Mature Female faceOne of the biggest concerns Dr. Porter hears during initial consultations with her potential facelift patients is whether or not their facelift scars will be visible. This is a valid concern, and Dr. Porter completely understands. After all, she knows you don’t want to take the time to have a facelift only to be left with clear scars that tell everyone in the Washington, DC area that you’ve had work done. At Chevy Chase Facial Plastic Surgery, Dr. Porter’s goal is to provide each of her patients with superb treatment a complete understanding of their treatment options and expected results. To learn more about the facelift procedure and where you can expect scars to be located, keep reading.

Incision Placement For Addressing Cheek and Jowl Laxity And Facial Wrinkles Around The Nose And Mouth

To address skin laxity around your  jawline and neck, Dr. Porter will make an incision in your hairline. This incision will begin just above your ear, travel down and around your ear, and end at the bottom of your ear - all being placed within the hairline. While this is a long incision, it is needed in order to give Dr. Porter the access she needs to the structures under the skin and soft tissues to make the changes necessary to provide you with a rejuvenated appearance, such as:
  • Reducing jowl formation
  • Removing loose skin in the face
  • Reducing drooping in the cheeks
  • Improving neck laxity
  • Improving the jawline
Dr. Porter is skilled and experienced in performing facial surgeries for her Washington DC patients. Rest assured that your scars after a facelift will be well disguised and you will only be left with a natural-looking enhanced appearance.

Incision Placement For Addressing Neck Laxity

To address skin that is sagging below the jawline of her Washington, DC patients, Dr. Porter will place a tiny incision underneath the chin. This small incision gives her access to remove this excess skin and resolve jowls and even a turkey neck. While this incision isn’t hidden within the hairline, it is positioned in  a natural crease under the chin. The only way any of your friends or family members might be able to see this scar is if your head is tilted all the way up. Additional incisions are made in the crease behind the ear and into the hair behind the ear. The length of the incisions is variable and depends on the patient and the amount of laxity 

What You Can Do To Improve The Visibility of Your Scars After A Facelift

In order to give you the best results possible and minimize your scarring, it’s important that you follow Dr. Porter’s orders during your recovery. These post-surgery instructions include:
  • Wear your surgical dressings for the time recommended by Dr. Porter
  • Don’t wash or touch your face until Dr. Porter clears you to do so
  • Do not smoke or use other nicotine products
  • Stay hydrated
  • Get plenty of rest

Choose Washington, DC’s Dr. Porter For Your Facelift

If you’ve been considering a facelift to restore your youthful appearance, there’s no one better trained or experienced in the area than Dr. Porter. As a Washington, DC native with more than 20 years of experience and dual board-certification, she knows just how to give you the natural-looking results you want. Call her office today at (301) 652-8191 to schedule your initial consultation.

How Much Younger Will I Look After A Facelift?

Facelift Washington DC When men and women in Washington, DC see Dr. Porter at Chevy Chase Facial Plastic Surgery to discuss facelift surgery, they often ask how much younger they can expect to look after their procedure. And that’s a very understandable question. After all, ensuring you get your money’s worth out of a cosmetic procedure is important to everyone. Dr. Porter believes in fully educating each of her patients, and she wants you to move forward with your elective procedure only when you feel informed and comfortable with your decision. All Washington, DC patients are different and have different needs for their facelift, so results also differ from patient to patient, but to learn a little more about what you can generally expect from your facelift results, keep reading. 

The Facelift Procedure at Chevy Chase Facial Plastic Surgery

When getting a facelift at Dr. Porter’s office, it’s important to remember that the facelifts of today are much different than those of the past when doctors took a one-size-fits-all approach to this cosmetic procedure. In earlier years, doctors would merely stretch and tighten the facial skin and men and women would often look windblown or done up. Thank goodness for new and advanced techniques! During your facelift procedure, Dr. Porter won’t try to make you look a certain age, but instead, her goal will be to give you natural-looking results and make you look like a younger, more refreshed version of yourself. During a facelift, Dr. Porter will focus on:
  • Tightening and smoothing the skin on the mid to lower portions of the face
  • Removing jowls
  • Removing the excess skin on your neck
  • Improving the appearache of the jawline
That being said, there is no set guideline for how young a Washington, DC patient will look after their facelift. There are several factors that will affect each patient’s results, such as;
  • The extent of wrinkles due to sun exposure
  • The degree of skin laxity
  • The overall health of the patient
  • The patient’s age
On average, patients who see Dr. Porter for a facelift should expect to look between 5 and 10 years younger, though it is possible for men and women to look even younger under the experienced hand of Dr. Porter. Additionally, if patients choose to have additional surgeries at the same time that they receive their facelifts, such as a brow lift or eyelid surgery, they could experience more balanced results.

Your Consultation With Dr. Porter

The best thing you can do to find out what kind of results you can expect from your facelift is to visit Dr. Porter in her Washington, DC office for a consultation. During your visit, she will be able to look at your medical and health history and perform a full examination to get a more accurate idea of the condition of your skin. She will then be able to collaborate with you to discuss your expectations and develop a treatment plan that can give you the results you want. To book your initial consultation with Dr. Porter, or to learn more about the facelift procedure, call her office in Washington, DC today at (301) 652-8191.

The Rising Popularity of the Facelift

Chevy Chase Facial Plastic Surgery is located in Bethesda, Maryland. The plastic surgeon Dr. Jennifer Porter founded it in 2003 and, she is also the medical director. Dr. Porter offers a wide array of cosmetic services, including facelift surgery. Dr. Porter completed her undergraduate training at Brown University and earned a full tuition merit scholarship at Duke University School of Medicine. After earning her medical degree there, she completed a residency in Otolaryngology at Baylor College of Medicine. She then undertook further training in facial plastic and reconstructive surgery under Dr. M. Eugene Tardy, Jr. and Dr. Dean Toriumi. Dr. Porter has earned board certification from both the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS). She is also a Fellow of the American College of Surgeons.

What kinds of services does Chevy Chase Facial Plastic Surgery offer?

Chevy Chase Facial Plastic Surgery offers both surgical and noninvasive procedures that include the following: • Facelift surgeryDermal fillersRhinoplasty • Chemical peels • OtoplastyMicrodermabrasion

What is a facelift?

A facelift is a surgical procedure done to correct loose facial muscles and sagging skin. While muscle relaxers like Botox and dermal fillers like Juvederm can also be used to tighten facial skin, their effects are temporary and usually wear off after a few months. A facelift’s effects lasts years. During a facelift, the surgeon tightens the facial muscles and removes any excess skin and fat. The client thus has a younger-looking face with youthfully taut skin. The recovery period lasts several weeks, and the patient will have to take off from work for the first one or two weeks after surgery.

What is the VISIA® Complexion Analysis?

The VISIA® Complexion Analysis is a technology used to analyze a person’s skin and compare it to that of other people their age. The machine looks a bit like a high-tech photo booth, and the patient places their head in the machine, so the technology can collect images of their face. The technology then analyzes the patient’s skin according to eight criteria: wrinkles, UV spots, texture, spots, red areas, porphyrins, pores and brown spots. Porphyrins are accumulations of natural oils and bacteria. The device then provides percentile scores based on how the patient’s skin compares that of other people of the same age, sex and skin type. A high score indicates healthy skin, while a low score indicates skin with problems. The VISIA® machine can store the results of the analysis, so the doctor can use it during follow-up appointments to check the patient’s progress. The doctor will then recommend a skin care regimen based on the results of the analysis, and they will also suggest skin care products they believe would be most helpful. Chevy Chase offers a large selection of medical-grade skin care products that they get directly from the manufacturers and store in a climate-controlled room to ensure their strength and reliability. If you are in Washington, D.C. or the surrounding area and are interested in finding out if a facelift is right for you, our trusted plastic surgeon can help you learn more at Chevy Chase Plastic Surgery in Bethesda, Maryland. Contact us today to schedule your initial consultation.

Who is a Candidate for a Facelift?

A facelift is a skin repositioning procedure that corrects sagging, folding, and wrinkling of the facial skin. Candidates for this procedure are mature adults who are experiencing difficulty in improving their facial appearance via other treatment techniques. Many adults will find that non-surgical treatments work fine for several years, but eventually the deeper sags and folds persist. This is often caused by a buildup of fat underneath the skin. The skin is also poorly supported by the time the individual reaches the mature adult years. At this time, a more involved corrective procedure may be necessary in order for the facial skin to regain its more youthful appearance.

Skin Sags and Wrinkles

This often occurs on the cheeks and along the jawline. The fat buildup causes drooping of the skin on the lower cheeks, and this results in the appearance of jowls. The diagonal folds on the sides of the mouth also become more apparent. Fine lines, wrinkles and crow's feet become visible between these folds and the corners of the mouth.

How We Perform a Facelift

We will first consult with the client and provide information on how to prepare. A facelift is usually performed as an outpatient surgery, so there's no need for an overnight stay at the clinic or hospital. Of course, the details of each facelift procedure vary from patient to patient. However, during your facelift procedure, our surgeon may raise the skin away from the subdermal tissues and remove or reposition fat and muscle. He may also drape the skin back into place and pull it upward and outward. The results of a facelift procedure can be quite dramatic. The skin is now smoother, and wrinkles are virtually eliminated. The jawline has a more natural, youthful contour because the fat has been removed.

Schedule a Consultation Today

Make an appointment at Chevy Chase Facial Plastic Surgery in Bethesda, Maryland to get more information about facelift procedures. If you feel you are an ideal candidate for this type of cosmetic treatment, we're here to help you. We proudly serve clients in Washington, DC and the surrounding areas. Contact us today to schedule a consultation for a facelift!

“Don’t Call It a Facelift, Call It a Comeback!”

There has been quite some buzz recently about reality stars getting plastic surgery. One of which I read about was a “Real Housewife” who had a facelift and necklift performed. She debuted her results 2 weeks after her surgery on live TV and raved about the results. She was quoted as saying, “Don’t call it a facelift, call it a comeback!” I thought that was great! She regained her confidence and vitality with a surgery and felt reinvigorated. This is a common feeling after a facelift! Many patients tell me they feel that improving their jawline and neck gave them back the youthfulness to match their spirit. If you’ve been considering the surgery and are curious regarding the recovery afterwards I am here to help. After surgery, the downtime can vary for each individual but most patients are back to their normal routine by 1-2 weeks. Bruising is common after the surgery and usually after 1 week, any residual bruising can be covered easily with makeup. After the surgery, dressing and wraps are used around the face and neck. These are used for compression and to protect the incisions. The day after surgery fresh dressings are replaced. I advise all my patients to take at least 1-2 weeks off from exercising and heavy aerobic activity. This allows your blood pressure to remain stable throughout the recovery process and prevents complications related to bleeding. When done right, the surgery can be life changing. I always ask my patients after the recovery if they would do it all over again and they have always given me the same answer. A resounding YES! It is worth the result. If you’re interested in the procedure or have any questions, please schedule a consultation at Chevy Chase Facial Plastic Surgery. We are always happy to answer your questions and help you put your best face forward!

Look Years Younger with a Facelift

When most people think about a cosmetic procedure that is designed to help a person look younger, one of the first things that pops into their head is a facelift. While there are a lot of tools, treatments and techniques that can be used to help a person regain some of their youth, a facelift is one of the procedures that is going to give the most dramatic and longest-lasting results. You may be wondering how young a person can actually look after getting a facelift. Interestingly, there have been quite a few tests and studies done on this subject. Time and again, the studies have revealed that after a person has this surgery, they are likely to look anywhere from five to ten years younger. They have done studies in a variety of ways, and each time the results show that a facelift can reverse the aging process and help a person get some of their youth back. When you come in for your initial consultation, we are going to ask you questions about why you feel unsatisfied with your appearance. This will help us to come up with a facelift procedure that is tailored to meet your wants and needs. The vast majority of our facelift patients have used less invasive procedures like BOTOX®, dermal fillers and skin tightening treatments. However, there comes a time when they do not get the results they are looking for any longer. They decide that something more dramatic is necessary in order to help them look their best. There are different ways that a facelift can be performed in order to help you improve your appearance and look younger. The techniques used will depend on your unique situation. Please feel free to schedule a consultation at Chevy Chase Facial Plastic Surgery to learn more about what this procedure can do for you. Dr. Porter, Dr. Chu and their team would love to meet with you and talk about how a facelift can help you look years younger. We know that when our patients look young, they feel young. We want to help you look and feel your best, no matter how old you truly are. A facelift can help you look at least five years younger or more. Located in Bethesda, Maryland, Chevy Chase Facial Plastic Surgery happily serves clients in the Washington, DC and surrounding areas. Contact us today to schedule a consultation for a facelift.

Is There a Right Time for a Facelift?

The aging process starts slowly. In fact, when you were a child, it was not called growing old; it was called growing up. It was not until you hit your thirties that it was no longer you becoming an adult, instead it was referred to as you getting older. It is usually in your mid to late thirties that you start to see clear evidence that you are aging. Some of the evidence includes things like deep facial lines, loss of facial volume, sagging skin and dynamic wrinkles. When a person starts to see these changes, they start to think about what they can do to slow them down. That’s because everyone wants to grow up, but no one wants to get old. When it comes to getting a facelift, there is a fine line between getting a procedure done too soon and waiting too long to get it done. The best results for facial rejuvenation are achieved when you get the procedure as early as needed as opposed to waiting until the aging changes are so severe that the chances for the best results are diminished. While every person’s case is different, you are going to want to take action to prevent the signs of aging in your early forties or early fifties. Part of this process may include getting a facelift, as well as using volume enhancers to keep you looking young. One of the reasons why getting a facelift in your forties or fifties is a good idea is because you are still young enough to not be plagued by the same health issues a person in their sixties deals with. When a person gets a facelift in their forties or fifties, it is easier for them to recover and the results are more dramatic. Another reason why choosing to get a facelift in your forties or fifties is preferable to waiting is because you are still very active socially. Single individuals in their forties and fifties are still in the dating scene. Most people still have their job, and many have a career where looking young and fit determines how well they perform. If a person gets a facelift or other cosmetic procedures in their mid-forties, they will be able to enjoy the results for many years and during a point in their life when they are still active enough to get the most out of their facelift. Many plastic surgeons who started in the field 30 or more years ago comment that when they first started performing facelifts, their average patient's age was around 60 years old. Today, their average patient is under 50. What is most important is not the age when you get a facelift, but whether or not your face has signs of aging that can be corrected by a facelift. The purpose of a facelift is to make you feel better about the way you look. It is also to make you happier about what you see when you look in the mirror. A good facelift will make you look and feel years younger and give you the energy you need to get the best out of your life. If you are considering a facelift, set up a consultation at Chevy Chase Facial Plastic Surgery in Bethesda. We proudly serve Maryland and surrounding areas. Contact our office today to schedule your appointment.

Top Tips When Having Facelift Surgery Chevy Chase

As you accumulate in more years to your life, you are vulnerable to having loose skin and excess fatty deposits all over your face. If it’s in your genes and worsen by other factors like daily stress, having the mentioned visible signs of ageing can get out of control. It can be a nightmare to have so much sagging in the midface, deep creases around eyelids, or the so-called jowls under the chin. If you are experiencing any of these facial skin troubles, it is right time to assess whether you should have a facelift surgery or rhytidectomy. To assure that the surgical procedure work for you, below are top tips when thinking of having a rhytidectomy: 1. Look Yourself in the Mirror – have a good idea what exactly are your facial skin problems, where they are located, and how you want them to be changed. Your facial concerns may involve drooping eyelids, extra deposits of fatty skin, or fine lines and deep facial folds. 2. Make Yourself Healthy – one of the major considerations that the surgeon will look into before undertaking a procedure is whether or not you are healthy enough to have a surgery. This consideration entails you being healthy medically and mentally. Among other things, you may be asked to stop smoking before and some days after surgery. The surgeon also expects that you are realistic about facelift results. 3. Pick Your Surgeon Well – this means that the surgeon you choose should be highly experienced and ideally a bona fide plastic surgeon who can perform facelift surgeries with remarkable aesthetic results. Dr. Jennifer Porter is a Board-Certified Facial Plastic Surgeon. For so many times, she has proven her expertise in meeting the aspirations of patients for natural-looking facial skin rejuvenation. 4. Communicate Your Desires Clearly – you should really be straightforward in sharing your aesthetic aspirations to Dr. Porter. On the other hand, she will discuss with you regarding the risks and possibilities that may be encountered once you fully decide to have a Facelift. It is great that to be optimistic about the surgery, but you should temper your enthusiasm with what’s possible based on your present skin condition. 5. Not Over After Surgery – this means that achieving your aesthetic aim with the rhytidectomy procedure does not end after surgery. You should religiously follow the recovery steps to be given by Dr. Porter. There’s no shortcut to it. Bear in mind these tips if you finally decide to undergo a facelift surgery with Dr. Porter. Schedule a consultation with us by calling (301) 652-8191 or submitting this Email Contact Form. The post Top Tips When Having Facelift Surgery Chevy Chase appeared first on Chevy Chase Facial Plastic Surgery.