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Facelift Surgery

The facelift is an exacting process requiring deep
knowledge of anatomy combined with the
trained eye of an artist.

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Essential Guide to Facelift Surgery

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Dr. Pradeep Sinha

Dr. Pradeep Sinha is Double Board Certified in Facial Plastic and Reconstructive Surgery as well as in Otolaryngology-Head & Neck Surgery.

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Facelift Infographic By Dr. Pradeep Sinha.

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Facelift in Atlanta infographic cover what is Face Lift, Face Lift procedures, facts and results.

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Dr. Sinha is Atlanta’s choice for artistic and natural facelifts.

The facelift is an exacting process requiring deep knowledge of anatomy combined with the trained eye of an artist. When you’re searching for a truly exceptional Atlanta facelift surgeon, trust Dr. Sinha’s double board certification and vast experience.

We offer several different facelift options for mitigating the harsh aging process and offering a younger, fresher appearance, even as the years pass.

Dr. Sinha specializes in facelift surgery. He often performs facelifts in conjunction with other surgical procedures, such as blepharoplasty (eyelid surgery), rhinoplasty and chin liposuction to help enhance overall rejuvenation results. All facelift surgeries take place under general anesthesia in an accredited and licensed ambulatory surgical center next to our office. During the facelift procedure, he removes excess skin and repositions sagging facial muscles.

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Facelift Infographic By Dr. Pradeep Sinha.

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Facelift in Atlanta infographic cover what is Face Lift, Face Lift procedures, facts and results.

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reviews

“Dr Sinha may be the best doctor I have ever met. He listens, he is meticulous in his work and had the best bedside manners. I couldn’t be happier with the natural looking results of my facelift. Thank you Dr Sinha and staff!”

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turn back the clock and restore the refreshed, youthful appearance With The Facelift Surgery

As we age, our body slows its natural production of collagen and elastin – two proteins that contribute to the underlying structure, quality and resiliency of your skin. Eventually, you lose volume in your face, resulting in deep wrinkles, jowls along the jawline and a “turkey neck” – loose, crepey skin under your chin and on your neck.

While all these issues are a completely natural part of growing older, it’s understandable that you may feel self-conscious about your aging face and neck. However, with a facelift performed by a board-certified cosmetic surgeon, you can turn back the clock and restore the refreshed, youthful appearance you enjoyed years ago, or even address premature signs of aging before they settle in.

FACELIFT – The art and science of the modern facelift

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When patients come in for a face lift consult, they often say, “Hey, what is a facelift?” In my mind, I try to break it down. There’s actually, in my head, four different regions of the face that we can lift. We can lift your brow, we can lift your cheek, you can lift your jowl, and we can lift your neck. It’s very important to define what does a face lift mean to the patient. Which of these or maybe it’s all of these areas that they want lifted. Of course, on top of that, we have the eyes, which is in the middle of it all. Often we will do a procedure on the eyes and then lift one or more portions of the face.

Each of those areas of the face though age differently. They age at different times and they age in different ways. That’s why you have to be able to customize a facelift based on what sort of aging that you see. For example, the cheeks are probably the first thing that fall. We generally see this and women around their forties. The cheeks start to drop. We start to see the nasal labial fold get deeper, the corners of the mouth come down. More importantly, this prominence right here, which gave nice cheeks and a nice youthful look, tends to start flattening and heading south, eventually becoming a jowl. Often, this is the first time people start talking about a facelift. As well, right around this time, the brow start to drop. We start to see the brows coming down, heaviness on the upper eyelids, and sometimes asymmetrically. One brow will drop unfortunately before the second brow drop. That puts another dimension into the problem.

Jowling which is where some of this tissue falls below the jaw line and start getting the hang like grandma had, that certainly is something that we see as well, too.

Finally, the neck is actually a threefold problem. You can have extra skin, you can have extra fat, or you can have muscles that just kind of pop out and create some of those turkey gobbler lines.

All face lifts are not so simple, and we assess every patient and we see what’s going on. I also tell patients that there’s actually two ways you age. You age by things dropping toward the ground or gravity, but people also age by deflating. When you deflate, surgery is not the answer to that. More importantly, when things fall toward the ground, fillers are not the answer to that. You have to actually come up with a game plan of not just lifting. Perhaps we need volumization. This is something that we have to look at when we’re doing the consultation. Often, I see dermatologists fixing everything with syringes of filler. Sometimes I see surgeons fixing everything by pulling it up as tight as they can. Neither one produces a natural, good-looking result. We try to understand what is what, and try to come up with a game plan that addresses all aspects of aging.

dr-sinha-liquid-facelift

Learn More About
Dr. Pradeep Sinha

Dr. Pradeep Sinha is Double Board Certified in Facial Plastic and Reconstructive Surgery as well as in Otolaryngology-Head & Neck Surgery.

Click Here to Learn more

What Is a Facelift?

During a facelift surgery, a qualified surgeon such as Dr. Pradeep Sinha will lift and firm the underlying facial muscles and remove excess skin, which smooths deep folds and leads to a tighter and more uplifted appearance.

According to WebMD, the best candidates for facelift surgery are people who have begun to show wrinkles, sagging skin and other signs of facial aging, but whose skin elasticity is still of good enough quality to allow them to bounce back from the procedure.

Additional factors that will influence your decision to get facelift surgery include:

  • Loose skin on your face and neck makes you feel self-conscious about the way you look
  • You wear clothing such as turtlenecks and scarves to mask your aging neck
  • When you see yourself in photos or in the mirror, your face makes you look much older than you feel
  • You are concerned that your aging appearance has begun negatively affecting your career or personal relationships

reviews

“Dr Sinha may be the best doctor I have ever met. He listens, he is meticulous in his work and had the best bedside manners. I couldn’t be happier with the natural looking results of my facelift. Thank you Dr Sinha and staff!”

View All Reviews

Choosing a great facelift surgeon

When you’re planning to get a facelift, the most important decision you have to make is which facelift surgeon you’re going to choose to perform the surgery. Choosing the right surgeon can very easily be the difference between you being delighted with the results, or wishing you never had it done.

 

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Understanding Your Facelift Options

No two facelift patients are alike, both in terms of unique facial anatomy and surgical goals. That’s why there is no “cookie-cutter” approach to facelift surgery.

If you’re considering getting a facelift, the first thing you should know is that there are two types: a full facelift and a mid-facelift. Though both options involve the surgical removal of excess skin and the tightening of the facial muscles, a full facelift requires a longer incision and is a more extensive surgery. This type of facelift addresses the area just below the lower eyelid, the nasolabial folds and the jaw area.

View Transcript

Patients sometimes ask me what are the bad results from surgery, which of course I respond, I don’t know, I don’t get them. But in all honesty, we all get some degree of complications, but I think the bad results they’re talking about is the things that come in from poor planning and poor design and poor execution of what you’re supposed to be doing. So in the face, maybe starting top to bottom, brows. Brows that are pulled too high up giving people the surprise look. This comes from not knowing exactly where a brow was supposed to sit when you’re planning a brow lift.

Eyelid surgery, two big things we often see, too much skin being taken out of the eyelids. This requires very precise measurement. Again, this is where millimeters turn into miles. If you take too much out, sometimes people just look like they’ve had a triple, quadruple espresso, they have that wide eyed look. Sometimes it can be functional problems, especially on the lower lid. We get lid pull downs or lids that turnout. And unfortunately lid complications are sometimes very difficult to treat and the best way to treat them is by not getting them. So when we do our eye lifts, we don’t try to go after every possible wrinkle at the risk of creating a complication. Talking about this in the consultation process, again, helps us avoid this by setting the proper expectation and not having the patient expect the surgeon is going to be a cowboy in surgery and try to pull as hard as they can.

Face lift complications, again, occur because of lack of understanding of where things should be pulled to and how hard they should be pulled. So the answer to the face lift is not just pulling everything straight back like this. Of course, people come into a consult and they’re like, “Hey, can you do this?” Yeah, I can do that but the cheeks got to go up, the jaw’s got to go 45 degrees, the neck’s got to go straight back. The sub mental area underneath the chin has to come up this way. We have to create a 90 degree angle this way. So, again, there’s a lot of different parts of the face and each one is treated individually so the final result is excellent.

The mouth, another way to see a facelift not done well. Sometimes people smile and they’re like Julia Roberts times five, the smile comes way out to here. So, again, when we do a face lift, we make sure that we respect the function of the eyes, the mouth, and those things continue to function normally after the lift and we don’t pull or suspend or do something that distorts that area of the body…..Read More Here

If your primary concerns are sagging and wrinkling around your mouth and jawline, but you do not have sagging in your lower eyelid area, you may be a good candidate for a mid-facelift. During your consultation, you and your doctor can determine which type of facelift will suit your needs, or if a different procedure would be better for helping you meet your facial aesthetic goals.

How to Choose a Facelift Surgeon

Facelift surgery is a highly complex procedure that requires a thorough knowledge of facial anatomy and a specific skill set, in addition to a highly developed eye for aesthetic detail. Not all physicians who practice cosmetic surgery are trained to perform facelifts, which is one reason it’s so essential to do plenty of research before choosing a facelift surgeon.

View Transcript

Hi. I’m Cathy Carlson. A few years ago, I was interested in having a facelift. I had known the Sinhas for many years because we had taught their children tennis. The time that we had met them, I had no idea that Dr. Sinha was a plastic surgeon. I knew he was a doctor, but did not know he was in the field. Talking to [Rajinan 00:00:22] as a friend, I had talked to her about my concerns and she said, “Did you know that Pradeep was a plastic surgeon?” I said, “I had no idea.” She said, “Why don’t you come in and talk to him?”

Danny, my husband, and I had a consultation with Dr. Sinha. He made us feel so comfortable. He asked me what my goal was and I said I wanted to look rested and of course youthful, but I knew I could never be 25 again. My main concern was when people saw me, they would tell me that I looked good and that I didn’t look tired all the time. That was my main concern.

Without a doubt, the most important factor in choosing a cosmetic surgeon to perform your facelift is board certification. That’s because anyone with a medical license is legally allowed to advertise their services as a plastic surgeon, even if their training and expertise is in a different branch of medicine.

Choosing a board-certified cosmetic surgeon will ensure you are working with a doctor who has specific hands-on experience in cosmetic surgery, including facelift techniques, and that your procedure will be performed in an accredited surgical facility.

When you are meeting with potential cosmetic surgeons, ask about their background: Where did they earn their degree? How long have they been in practice? Also, find out how many facelift procedures each has performed, and be sure to ask to see lots of before-and-after photos to help you get a feel for a cosmetic surgeon’s aesthetic approach.

If you are a male patient considering facelift surgery, ensure each cosmetic surgeon you interview has experience performing facelifts for male patients; since male and female facial anatomy are unique, men and women require different surgical approaches. Get more helpful tips on choosing a cosmetic surgeon from the American Board of Cosmetic Surgery.

FACELIFT – Anatomy And Structure Of The Face

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So, some technical parts of the traditional facelift. I think this is very important to understand, because what you lift determines the result you get, and more importantly, how long it lasts. In a nutshell, think of your face like an onion. You generally have three important layers that sit upon a fourth layer, which is your facial skeleton. In between each of these layers is kind of a thin, wispy layer. Layer one, the first layer of the onion, is your skin. Second layer below that is something that is where your facial muscles are, and some thick, fibrous tissue that connects all the facial muscles together, which we call this mass SMAS. SMAS stands for, in medicalese, superficial muscular aponeurotic system, but commonly known as SMAS S-MAS. And that’s a very important layer, which I’m going to touch on in a second.

The next layer down is a layer that covers some of the glands and deeper muscles of your face, and this layer is very important because this is the danger layer. This is where the nerves that control your facial movement go, and it’s very important that the surgeon have a very good working knowledge of this anatomy, because it’s very easy to get into the wrong layer. And finally, I think there is the deepest layer, which is the tissue that’s covering the bone. And there’s actually many surgeons that actually do lifts down in this layer. It’s called a subperiosteal facelift. I think all of these lifts have advantages and disadvantages, but I think for all of them, if the surgeon respects the layers of the face and the underlying anatomy of each of these layers, we can really tailor-make the proper type of lift that will meet the needs of the patient.

Most of the lifts are in that second layer, the SMAS layer. The reason we like to do lifts in this layer and not just in the skin, which is the way many people lift the face, is that guess what. Skin stretches. Ask any pregnant woman. Ask anybody who’s gained weight. Skin just stretches. So if you’re relying on the skin to hold your face up, it’s going to look great for a short period of time, but just like what happens anywhere else, the skin will stretch and it will drop. And often, sometimes, the scars will start to stretch too and become more noticeable. So we kind of reject skin-only lifts. We don’t think that they last and actually create more problems than they help. Again, some people will say, “Hey, we can do this for half price. We can do it under local anesthetic,” but like many things in life, it’s great in the short term and not so great in the long term…Read More Here

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What To Expect During Facelift Surgery?

There are many doctors in atlanta performing facelift procedures. However, only a few have the combination of art and science to achieve a truly excellent result. If you’re seriously considering Facelift Surgery then you’re likely very curious about exactly what to expect. Many people are understandably nervous when it comes to getting cosmetic surgery, especially on their face.

 

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404-256-5428

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Learn More About
Dr. Pradeep Sinha

Dr. Pradeep Sinha is Double Board Certified in Facial Plastic and Reconstructive Surgery as well as in Otolaryngology-Head & Neck Surgery.

Click Here to Learn more

The Top 5 Benefits of Facelift Surgery

What can a facelift do for you? You may wish to consider facelift surgery if you have one or more of the following concerns.

1) You have significant skin laxity and sagging.
Younger people have plenty of the so-called “building blocks” of skin – collagen and elastin. Collagen acts like the scaffolding of your skin, while elastin is what gives it resiliency and firmness. However, as we age, our natural production of these two proteins diminishes significantly, leading to loose, drooping skin. During facelift surgery, your surgeon will remove this excess skin and tighten what remains, leaving you with a refreshed and youthful appearance.

2) You have deep facial creases and wrinkling.
Severe facial wrinkles may also result from lost collagen and elastin. By lifting the underlying tissue of the face, a facelift can lessen the look of the nasolabial folds or “parentheses lines” that form between the mouth and nose. Your skin will show fewer lines and creases as a result.

3) You have excess skin around your neck, chin and jawline.

Excess fat and skin often accumulate around the lower face and neck area among aging people, leading to the appearance of jowls and an overall lack of definition along the lower jaw. By tightening lax facial tissue, a facelift can significantly improve the appearance of your lower face, while providing enhanced contour and tone to your jawline and neck area.

4) You have significantly less facial volume and muscle tone than you used to.

A lack of volume and muscle tone – particularly in the mid-face area – is another consequence of the aging process. Lifting and tightening the underlying muscles provides them with a stronger foundation, as they will no longer be stretched out. This process will create a fuller and more youthful face.

5) You always look fatigued, sad or angry.

The combination of lax skin and deep-set wrinkles can make you look constantly tired, unhappy or upset, even if you’re normally a cheerful person. You may be projecting a message that you are unapproachable, which could cause others to avoid you due to your perceived mood. A facelift can soften your facial expressions by smoothing wrinkles and making your face appear more uplifted. Facelift surgery can help reveal your true self by showing the world how relaxed and happy you are on the inside.

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CALL US NOW
404-256-5428

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Learn More About
Dr. Pradeep Sinha

Dr. Pradeep Sinha is Double Board Certified in Facial Plastic and Reconstructive Surgery as well as in Otolaryngology-Head & Neck Surgery.

Click Here to Learn more

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Fast Facelift FAQs

If you still have concerns about getting a facelift, here are answers to some of the most frequently asked patient questions.

What is the ideal age for a facelift?

As cosmetic surgery becomes more common, there’s really no such thing as a “typical age” for a facelift anymore. People in their late 30s have facelifts, as do people in their 70s and every age in between. As long as your doctor determines your skin quality is sufficient, you can get this life-changing surgery.

What should I expect at my facelift consultation?

View Transcript

The facelift consultation, like all consultations is a very important piece of the facelift process. This is where, again, the doctor and the patients get in sync with what’s going on, what the goals are and how we’re going to achieve those goals.

I really like it when facelift patients bring in pictures of themselves from 20 years ago. It really helps me as the doctor figure out where we want to go because, again, we don’t want to create a look that’s different. We want to essentially create a look that’s you, but from 10, 20, 30 years ago.

We also want to make sure that we don’t make you look odd. Often, we’ll see faces that are pulled as tight as possible. Well when you were 20 years old or 30 years old who looked good with their face looking like the stepped out of a wind tunnel? But unfortunately, people ask for this or people see this, and it’s not something that I like to do and not something that I like to see. Our goal, again, is to restore and rejuvenate the patients and put the tissues back where they belong.

Some of this requires an understanding of what happens. For example, the cheeks move a certain way, the jowls move a slightly different way, the neck moves a slightly even more different way. So if you pull everything in the same direction, one or more of those areas is not going to look right. So when we do face lifts, what we do is we say, let’s see which direction things move, and we put things in exact reverse direction. So it’s a nice way to turn back the clock, and that’s exactly what we’re doing with the facelift.

Your consultation is your opportunity for both you and the surgeon to ask each other a list of questions and get a feel for whether you can establish a solid partnership that will help you get your ideal surgical outcome. Be honest about why you think you need a facelift, then listen carefully while the surgeon gives you a realistic evaluation of what is possible. Bring photos of yourself from when you were younger to show how you used to look; that way, your surgeon can give you the most natural results possible. At your consultation, you and your surgeon will also discuss fees, anesthesia and any risks associated with a facelift procedure.

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Recovery And Post Op

Following a facelift surgery, you’ll need to follow Dr. Sinha’s post op recovery advice in order for the healing process to go smoothly. Once the surgery is finished, the incisions on your face will be bandaged and some swelling is completely normal.

You will usually have a follow-up appointment with your surgeon the day after your facelift surgery so they can check that everything is healing as it should be and there are no unexpected problems.

 

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Is facelift surgery safe?

In general, facelift surgeries have a long track record of safety and effectiveness. In fact, nearly 127,000 facelift procedures were performed in the U.S. in 2017 alone, according to statistics from the American Society of Plastic Surgeons. Naturally, the more years of experience your surgeon has, the better your outcomes will be.

The most common facelift risks include a chance of infection, hematoma, nerve damage and resulting numbness, and permanent discolorations caused by the bruising. During your consultation, you will need to be up-front with your surgeon about your health history. If you have specific risk factors, you may not be qualified to get this surgery safely.

How much does facelift surgery cost?

According to 2017 statistics from the American Society of Plastic Surgeons, the average cost of a facelift is $7,448. However, facelift costs can vary widely, based on factors such as where you live, surgeon’s fees, anesthesia fees, prescription medications, operating room costs and other related expenses. During your consultation, ask about all these separate expenses so you do not have any surprises on your final bill.

Will my health insurance cover any of the costs of my facelift?

Most health insurance policies do not consider a facelift surgery to be medically necessary, so they will not usually cover the costs. However, ask your chosen cosmetic surgeon if they offer any financing plans to allow you to pay for your surgery in installments, rather than in one up-front fee.

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Are You A Good Candidate?

Facelifts are one of the most popular forms of cosmetic surgery performed today. They provide both men and women with an extremely effective way to combat the common signs of aging on the face. As we get older, our skin begins to sag and this can be a very undesirable thing to many people, especially when it starts affecting the appearance of their face.

 

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What does the surgery entail?

A facelift operation is an outpatient surgery performed while you are under general anesthesia. It typically takes between three and five hours to perform; longer if you choose to have additional procedures performed at the same time. Your surgeon should place the incisions as inconspicuously as possible in areas such as your hairline or behind your ears. In the simplest possible terms, a facelift surgeon will loosen the facial skin from the underlying fat and muscle, tighten the muscles underneath, then re-drape the skin, trimming off excess tissue before suturing it into place.

FACELIFT – Are you ready for a facelift?

View Transcript

A question I often receive is, when should I do a facelift? The easy answer to that is when you think you need a facelift. When you start seeing things sag, that’s the time to do it. There’s no magical age or number that happens like, “Hey, I see my face sagging but I got to wait until I’m 55 because that’s what somebody said.” I would say that gives you more years to enjoy what you’re doing.

One of the other misconceptions are as well, if I lift the face now will my face be stretchier or will I age faster because I did a face lift? It’s quite the opposite. Actually, I think doing a face lift is like daylight savings time. Once you do a lift and you look 10 years younger, you always look 10 years younger. Of course you’re going to keep aging. The aging process starts right when I tie the last knot on the last stitch. You’re going to start growing old from that time forward.

But if you were to split yourself in half and person A gets a facelift and looks 10 years younger and person B doesn’t get a face lift, 30 years from now, you’re both going to age 30 years. But the person who got the facelift will have aged 30 years minus the 10 years they had with their face lift. The person that didn’t get the facelift just looks 30 years older. Actually I think the reality is that facelift actually lasts forever because it always gives you that one hour of daylight savings time or in this case, the 10 plus years of daylight savings time.

Generally what I see from my observations, people start seeing facial aging right around the age of 40. Generally it’s their mid face. They start seeing a little line underneath their eye. The cheek flattens. The nasolabial fold starts. The corner of the mouth turns down. They get some very early jowling that occurs. There’s a lot of limited procedures we can do to help people that have this problem and certainly there’s a lot of nonsurgical procedures. Fillers, Botox, what some people coined the liquid facelift, is a way to get a result without actually going under the knife. In our practice, we have all the options available depending on downtime, investment, money and what you want to get.

Generally when people reach their 50s though is when we generally start doing more traditional facelifts. In the 40s, we’ll do some more of the mid facial lifts, the mini lifts, the liquid lifts. This is also the time where we start doing brow lifts. Because again, brows also drop a little earlier. In the 50s we start doing a lot of eyes. I shouldn’t say 50s. Maybe late 40s to 50s. Then as we get into the later 50s, we start doing the big full lifts. Eyes plus facelift.

A face lift done properly should last you 10 or 15 years and people are living longer, and frequently in my practice, I’m seeing people who I did lifts on in the ’90s that are coming back and getting lifts. Maybe in 2010 or 2005 to 2010, they’re actually coming back now for their third lift. Each of the lifts have lasted about 10 years. Sometimes people just love the way they look and they don’t want to give it up. Sometimes people do a lift and then they do some other things. They just tweak it with Botox and fillers. They’re enjoying that 10 year bump they got 30 years later.

The answer to the question, when do you need a face lift? It’s different for everybody. It’s when you see things that are happening and when you decide that amongst all the options that are available, liquid lift, surgical lift, what meets your goals, how much you want to invest financially, and what you’re comfortable with personally. Come in for a consultation, and we can answer that question for you.

How long is the recovery time?

The average recovery time for a full facelift is 10 to 14 days, while you can expect a slightly shorter recovery process for a mid-facelift. Your face will be swollen, sore, tender and probably bruised for several days. You will go home with your face bandaged, and you will need to wear these dressings for the first few days after surgery. Sutures are usually removed during the second week. Swelling will be at its worst about three days after surgery, and will begin to disappear within the first few weeks. Your doctor will send you home with specific post-operative instructions to minimize discomfort, bruising and swelling as much as possible. Following these directions to the letter is key to a smooth recovery process.

View Transcript

The day of surgery, my husband and I, Danny, got up very early. We drove to Dr. Sinha’s office. I think I was the first one on his schedule that day. The staff was there ready to meet us. They could not have been any sweeter and made me feel so comfortable. They took me to the back and prepped me, got me ready. I put on a gown. My husband got to stay back with me. They talked to us and told me again what we were going to go through. I stayed back in the back room for about 20 to 30 minutes. Then Dr. Sinha came in and again, he told me to relax, take deep breaths, that he was going to take care of everything. He went over again exactly what he was going to do.

At that time, my husband left the room. The anesthesiologist came in and he talked to me again and he was very nice. They put me to sleep. But before that, because I had my brows lifted, Dr. Sinha said, “I’m not going to try to shave your hair or anything.” He took little pieces and took them back and pinned them back so I wouldn’t lose any of my hair. Then the anesthesiologist came in and very nice, and he gave me the epidural. That’s all I remember until I woke up.

When I woke up, my husband was back there with me and the nurses were there. They came in, and I had my head all wrapped up and I was very afraid that I was going to be nauseated, but I was not. Stayed back in recovery properly for about an hour or an hour and a half. Dr. Sinha came in several times to check on me, and the nurses came in. I was in a little pain, but not what I had expected. They showed me a mirror. I have to be honest, I was scared. It looked like I’d had brain surgery, but they kept reinforcing what I was going to look like two or three weeks down the road.

We stayed for about an hour and a half or two hours, and then they gave me a prescription for pain medicine and told me what to do at home. Danny and I went home. We got home for about an hour. Luckily, I was in pain, but I did not have to take any pain medicine. After that, I slept pretty good that night. I was instructed to sleep on my back. That was probably one of the hardest things I had to do because I’m a side sleeper. The next morning we woke up and again, I look to the mirror and I thought, “Oh my goodness, what have I done?”

Danny kept saying, “Remember what they said. In two or three weeks, you’re going to look great.” We were very patient. Two days later we came in and they took the head wrapping off. They took some of the stitches off. Luckily I was not as bruised as I had seen in some of the pictures. I was swollen. Actually, I looked pretty good swollen actually, and bruised just a little. They took the stitches out, and they talked to us again. We went home and came back again in two days. They took more stitches out. Dr. Sinha told me to keep putting the ice packs on and to not do anything, to get any of the places infected and to keep me greased up, the stitches greased and to keep clean. I came back within a week and I looked remarkably better. In two weeks, I went back to work, and I had a complete facelift.

Will I have any scarring?

Scarring is a given with all surgery, but the incision lines from a facelift usually heal extremely well. As mentioned above, your surgeon will make the incisions in discreet areas, so they should be relatively unnoticeable once they heal fully.

FACELIFT – Avoiding scarring and improving your facelift results:

View Transcript

Scarring is a very important concern for patients and understandably so and this is one of the reasons why we develop hidden ways of getting to the tissues we need to get to to perform a facelift. So general principles are we try to hide scars in natural creases and shadows in the face. So where do we find these? We use the ear and I do not go in front of the ear except in some men who have a beard line that comes very close to the ear. Generally in women, we go in the natural crease in front of the ear. We go behind this little cartilage called the tragus so there’s not a telltale line in the front, it’s actually hidden inside the ear. We kind of carry it back behind the ear and the natural crease of the ear and I generally don’t make a big back cut, which is very visible in a lot of facelift patients.

So with this approach on the ears, once that heals up very quickly and in fact within a few weeks, most people can’t tell there was any incision made at all. There is an incision underneath the chin. Everybody has a natural crease here. You can put your chin down and pull your neck forward and you see that crease, unfortunately very easily. I utilize that. I put my incision probably about two inches, not too big and what that small two inch incision I can do all of my liposuction. I can do all of my muscle tightening that I need to do to rejuvenate the chin area. And again, it’s underneath the chin. So our joke is, you know, only your dog or your cat can see it. So it’s something that’s well hidden, heals well and disappears very quickly. There’s of course some things that patients can do to make everything heal better because a lot of the way the scar looks is going to be based on healing.

So first and foremost, keep the incision moist. We don’t need antibiotic ointment per se. You just need Vaseline or Aquaphor. The goal is we don’t want the incision to dry out. Moist wounds heal the best. Nothing fancy, nothing special just keep it moist. Keep it out in the sun. I’m here in Atlanta and certainly there’s sun everywhere of course, but if you expose a healing incision to sun, you can have discoloration issues and scars that look a little more prominent than scars that are protected from the sun. Patients will always ask me, “Well what skincare products should I use? What special cream? What special gel?” And I generally find that they may have a role maybe later on, but these two things that I mentioned are things that the patients can do. Specifically keep the incision moist and keep it out of the sun you’ve won probably 90 plus percent of the battle. ….Read More

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reviews

“I had a facelift, brow lift, and upper and lower blepharoplasty and it all went well. I was pleased with them and really had no pain afterwards. Dr. Sinha is very patient and listens, actually encourages, questions. His staff seems to be attentive, so I have been satisfied. Itas hard for me to give anybody 100%, but Dr. Sinha is pretty darn good.”

View All Reviews

Are there any activity restrictions to expect with this procedure?

You will need to rest and take it easy after your surgery. Depending on how extensive your facelift was and how strenuous your job is, you can expect to return to work about a week to 10 days after your surgery. If you still have some residual bruising at this point, you can conceal it with makeup. With your surgeon’s permission, you should be able to resume most of your normal daily routine after two to three weeks.

View Transcript

Often patients ask what to expect on the day of surgery when we’re doing facial rejuvenation or a facelift. Again, one of the nice things we have is we have our own private ambulatory surgery center, so the experience is very nice, again, similar to checking into a boutique hotel where everybody knows your name. We have multiple doctors, of course myself, anesthesiologists, we have multiple RNs, multiple scrub techs, and other people that are all there exclusively for the patient. Because facelift is a slightly longer surgery than say rhinoplasty or some of the other surgeries I do, often it’s the only surgery I’m going to do that day, so the one patient has everybody and the entire facility just for them.

People will come in generally about an hour to an hour and a half before surgery. We do some preoperative preparation. The anesthesiologist or the nurse will start an IV, which is probably the one unpleasant experience for approximately five seconds, but once we have that IV in, we can put in some medication that can actually make it all go away. Patients come back, they walk back into the operating room with the nurse, with the anesthesiologist, sit in a nice comfortable bed, and we do a very, very smooth induction of anesthesia. Often patients don’t even realize the time lapse between when they’re going under and when they wake up in the recovery room. It seems like only about 10 seconds passed when in reality perhaps four hours passed, and that just goes to show how smooth everything is.

When people wake up from a facelift, generally we have their face wrapped with some gauze just to apply a little bit of light pressure mainly to prevent bleeding, and that combined with our surgical technique where we really respect the planes of the face and we are very precise in how we operate, we don’t need drains, and that is one of the advantages of having a facelift done in this precise and very well-executed manner. People will of course have stitches around the ear or sometimes some stitches underneath the chin when we’re working in the neck area and then this gauze area around their face. If we’re doing eyelid surgery, often there’ll be some one long running stitch both below and above the eye in the eyelid area, so actually really not a lot of bruising. Maybe some slight degree of swelling. …Read More Here

When will I be able to see the results of my facelift?

As your swelling subsides, you will begin noticing that your facial skin and underlying muscle appear firmer, usually within weeks of your surgery. Be patient, however, as it can take months for the final results to emerge.

reviews

“I had a facelift, brow lift, and upper and lower blepharoplasty and it all went well. I was pleased with them and really had no pain afterwards. Dr. Sinha is very patient and listens, actually encourages, questions. His staff seems to be attentive, so I have been satisfied. Itas hard for me to give anybody 100%, but Dr. Sinha is pretty darn good.”

View All Reviews

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dr-sinha-liquid-facelift

Learn More About
Dr. Pradeep Sinha

Dr. Pradeep Sinha is Double Board Certified in Facial Plastic and Reconstructive Surgery as well as in Otolaryngology-Head & Neck Surgery.

Click Here to Learn more

Facelift Infographic By Dr. Pradeep Sinha.

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Facelift in Atlanta infographic cover what is Face Lift, Face Lift procedures, facts and results.

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Are the results of a facelift permanent?

While a facelift can provide you with a dramatically improved appearance, it will not halt the normal aging process in its tracks. While the benefits of a facelift are long-lasting, they are unfortunately not permanent. Depending on how old you are when you have a facelift, you may need another one down the road, or you can choose to maintain your results with a liquid facelift.

View Transcript

I am a couple of years out of having a complete facelift and I have to tell you, I could not be happier with my results. I’m a big tennis player in Atlanta and I am on the senior team and the super senior team which you have to be 65 and over, and I have to say it gives me a high when I walk up to the tennis courts and some of the ladies say, “You cannot be on this team. You look far too young to be on 65 and over.”

Having said that, I wouldn’t take anything for having the procedure that I had done. I would recommend it for anyone who wants to feel better about themself when they look in the mirror, they don’t want to turn away and just have more confidence and I would recommend 100% Dr. Sinha. He is more than a doctor or a surgeon. He’s someone that listens to you and makes you feel comfortable that he’s going to do what’s best, not what’s only best for you, but will make you look the best that you can. He’s more than a doctor. He becomes family.

Each of those areas of the face though age differently. They age at different times and they age in different ways. That’s why you have to be able to customize a facelift based on what sort of aging that you see. For example, the cheeks are probably the first thing that fall. We generally see this and women around their forties. The cheeks start to drop. We start to see the nasal labial fold get deeper, the corners of the mouth come down. More importantly, this prominence right here, which gave nice cheeks and a nice youthful look, tends to start flattening and heading south, eventually becoming a jowl. Often, this is the first time people start talking about a facelift. As well, right around this time, the brow start to drop. We start to see the brows coming down, heaviness on the upper eyelids, and sometimes asymmetrically. One brow will drop unfortunately before the second brow drop. That puts another dimension into the problem.

Jowling which is where some of this tissue falls below the jaw line and start getting the hang like grandma had, that certainly is something that we see as well, too.

Finally, the neck is actually a threefold problem. You can have extra skin, you can have extra fat, or you can have muscles that just kind of pop out and create some of those turkey gobbler lines.

All face lifts are not so simple, and we assess every patient and we see what’s going on. I also tell patients that there’s actually two ways you age. You age by things dropping toward the ground or gravity, but people also age by deflating. When you deflate, surgery is not the answer to that. More importantly, when things fall toward the ground, fillers are not the answer to that. You have to actually come up with a game plan of not just lifting. Perhaps we need volumization. This is something that we have to look at when we’re doing the consultation. Often, I see dermatologists fixing everything with syringes of filler. Sometimes I see surgeons fixing everything by pulling it up as tight as they can. Neither one produces a natural, good-looking result. We try to understand what is what, and try to come up with a game plan that addresses all aspects of aging.

Meet Atlanta’s Best Facelift Surgeon

With more than 30 years in medical practice, Dr. Pradeep Sinha is the most qualified cosmetic surgeon serving the metropolitan Atlanta area. He has attained double board certification in both facial plastic and reconstructive surgery and head and neck surgery, and also maintains active memberships in professional organizations such as the American College of Surgeons, American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology.

View Transcript

One of the big misconceptions of a facelift is, “Does the face lift means you lift the whole face?” Thinking about it, that actually should be the case, but the reality is we have the forehead, which is its own zone, called a forehead lift or a brow lift. We have the eyes, which are their own little entity, technically called a blepharoplasty or an eye tuck, and then we have the rest of the face. I think the rest of the face, which specifically is the cheek, jowls, and neck are generally what people refer to when they say facelift.

Maybe a little bit more nomenclature to let patients figure out what all the jabber is out there about lifting, generally, lifting the cheek, just this area alone is known as a cheek lift or a mid facelift. Sometimes just lifting the jowl alone through a very limited incision around the ear is called a lunchtime lift, or there’s a ton of variations of this, which are all marketing terms, but essentially it’s a very minimal procedure sometimes just done under local anesthetic, where they just give you a little pull like this, and just really specifically helps this area.

Works but in all reality, if this is going, everything else is going to follow soon afterwards. I don’t think patients are doing themselves a favor, because invariably, this lift tends to fall pretty quickly within a year or two and then suddenly everything else goes, and that great deal everybody thought they got suddenly is not so great of a deal because you got to do it all over again and generally for more money, because you really figure out that, “Well, I really should have gotten a proper facelift, not one of these quick, easy, budget deals under local anesthetic.”

I think for the most part, again, understanding what the differences are that a facelift generally means a lower facelift, I think that’s important in figuring out where you want to go, what you want to do, and how much money you want to invest when you try to get a lifting procedure done.

Having performed more than 10,000 procedures, Dr. Sinha is proud to have earned a reputation as “the specialist’s specialist” when it comes to surgeries to restore the appearance and function of the face and neck. If you are ready to learn more about the benefits of getting a facelift, schedule your complimentary consultation at the state-of-the-art Atlanta Institute for Facial Aesthetic Surgery today.

Dr. Sinha is double board certified with special training in face surgery.

You cannot drive yourself home after having a facelift. There may be mild bruising or discoloration for a week or two following the procedure. Swelling is also common and should resolve within the first few weeks. You can typically expect your sutures to get removed during the second week. The incision lines usually heal extremely well. As with any surgical procedure, we will assist you in preparing to minimize swelling and bruising after the procedure.

A reputation for results that last.

Turn back the clock. A facelift in Atlanta can be a life-changing procedure when performed well. A natural and balanced result can refresh your appearance for years to come. When results matter, trust your appearance and safety to Dr. Sinha.

If you’re interested in a facelift procedure in Atlanta, please contact Atlanta Institute for Facial Aesthetic Surgery to schedule a complimentary consultation.

dr-sinha-liquid-facelift

Learn More About
Dr. Pradeep Sinha

Dr. Pradeep Sinha is Double Board Certified in Facial Plastic and Reconstructive Surgery as well as in Otolaryngology-Head & Neck Surgery.

Click Here to Learn more

Facelift Infographic By Dr. Pradeep Sinha.

cta-face

Facelift in Atlanta infographic cover what is Face Lift, Face Lift procedures, facts and results.

Learn more

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