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Stats about Dr. Sinha and facial lifts

  • TOP Doctor Atlanta Magazine.
  • Best Doctor Modern Luxury Magazine.
  • Dr. Sinha is known for his artistic eye and delicate approach.
  • Double Board Certified in both Plastic Surgery and Ear, Nose and Throat Surgery (ENT).
  • Atlanta’s favorite facelift specialist.
  • Voted Best in Jezebel Magazine.
  • Experience. Thousands of great facelift results.
  • Look matters! trust Dr. Sinha for a beautiful and functional result.

Dr. Sinha is Atlanta’s Choice for
Artistic and Natural Face Lifts

If you have been thinking about having a facelift done, trust your surgery to Dr. Sinha. With years of experience and training, Dr. Sinha is Atlanta’s #1 facial plastic surgeon. With thousands of previous happy patients, you want Dr. Sinha’s expertise on your surgical team!

Dr. Sinha loves working with his patients to get them the best results. Want to know what it is like to be his patient? Check out our previous patient testimonials below!

#1 Facelift Doctor In Atlanta

Case Study

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.

Dr. Sinha’s Facelift 101 –
All Of Your FAQs Answered!

What is a Facelift?

Rhytidectomy (more commonly known as a facelift) is a surgery that is frequently done to reduce excess skin and lift facial muscles of the face due to the natural process of aging. A successful facelift will cause the face to look younger, tighter, and more contoured to the natural shape of your facial bones.

Facelift surgery should only be done by a board-certified plastic surgeon with extensive experience. Like any surgical procedure, a well-done facelift involves skill, experience, and attention to detail to produce the best possible results.

A facelift does result in some minor but visible scars near the ears and hairline. The scars fade over time and can be easily covered by hair, but it is essential for all patients to know that there are some visible scars after this procedure.

Want to know more about facelift surgery? Watch our videos below!

View Transcript
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.

View Transcript
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.

The SMAS lift is really good, and it’s actually the most common lift I believe done in the world, because the SMAS layer has some oomph. It has some holding power, and when you lift that layer, that’s when you get 10-year results. So the way we do it is we lift the SMAS layer, and the overlying skin layer just comes along for the ride. So it’s kind of a composite flap or a multi-flap lift. That’s important, because of course the skin lifting is what people are going to see. The SMAS letter not only gives holding power, but it brings up underlying structures too, to make your face look natural. That way, some of the fat layers and some of the other tissues of the face that have fallen with the SMAS get lifted back up, and this goes back to making the face look natural, while also making it look rejuvenated and lifted.

Again, that third layer, danger layer. It’s important to know the anatomy of this layer. My training is a head and neck surgeon, we do surgery in this layer all the time. We have to find the facial nerve for trauma. We have to find the facial nerve for tumors. Well, when we do a face lift, I know exactly where all that stuff is, so I know exactly what to stay away from. Sometimes, it’s important to have a working knowledge of where you need to be in where you don’t need to be.

One of the other advantages of working with the layers of the face is blood. Blood vessels kind of run within layers. They generally don’t run up and down, between layers. Why is that important? If you respect the layers of the face, you have very minimal bleeding and bruising. This is why we generally don’t need drains for our facelifts, and our patients have very minimal swelling and bruising, and have very, very quick recovery. It’s respect for the tissue planes and handling the tissue carefully in a precise manner that helps us almost always get an excellent result. Although this may sound a little esoteric, or medical, or whatnot, I think what it underscores is a working knowledge of the anatomy equals excellent results for the patient, excellent recovery, and less likelihood of complications.

Who Can Benefit From a Facelift Surgery?

Many people get a facelift for different reasons, such as:

● You have loose skin on your face and neck that makes your feel self-conscious
● You wear turtleneck sweaters and scarves to hide the skin of your neck
● You feel as though your face and neck make you look older than you truly are
● You have concern that your aging appearance may impact your career or personal relationships
● Your skin has started to wrinkle and lose elasticity

Want to learn if the facelift surgery process is a good match for your needs? Watch our video!

Am I 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.

What Are The Two Types of Facelift Surgeries?

There is no “cookie-cutter” option when it comes to facelift surgery. Every patient has unique anatomy and surgical goals, producing a different result every time. That being said, there are two different main types or ways of going about facelifts: a full facelift and a mid-facelift.

A full facelift involves lifting and smoothing the entire face – but also creates larger incision sites and more extensive surgical procedures. A mid-facelift is done to target specific areas of the face, most typically the lower half and chin areas.

Don’t know which option would best fit your needs? Watch our helpful video!

Designing a Custom Facelift for You

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.

What are the Top 5 Benefits of a Facelift?

What can a facelift do for you? Here are the top 5 benefits of facelift surgery:

#1 – It can reduce sagging skin
As we age, the “building blocks” of elastic skin (collagen and elastin) decrease. This causes natural dropping sagging skin. A facelift can remove excess skin to provide a more youthful appearance.

#2 – It can remove deep facial creases and wrinkles
Wrinkling is a natural result of aging. During a facelift, the underlying facial tissues can be lifted and smoothed to remove deep lines and wrinkles.

#3 – It can remove excess skin around the neck and jawline
Excess fat and skin often accumulate around the lower face as we age. This can create the appearance of jowls and causes less definition to the jawline. A facelift will create a tighter and contoured jawline by removing excess skin.

#4 – It can create a fuller appearance to your face
As we age, the round and full shape of our faces disappears. A facelift can lift and tighten the underlying muscles, creating a stronger foundation and a more youthful appearance.

#5 – It can prevent you from looking chronically tired, sad, or angry
The combination of saggier skin and deep-set creases can make you look constantly tired, unhappy, or upset. This can make you appear unapproachable, which could have an impact on your career or personal life. Facelift surgery can reveal your true self!

What is the Ideal Age for a Facelift?

There is no “ideal” age for a facelift. We see patients in their 30’s, 70’s, and anywhere in between. As long as your surgeon determines that your skin quality is sufficient, you are eligible to have facelift surgery.

What is a Facelift Consultation with Dr. Sinha Like?

The consultation is a super important component of the facelift process. It is the time that the patient and surgeon get on the same page about the procedure and set expectations. It is also an excellent opportunity to ask your surgeon questions to be sure that you are going to get the results you are looking for!

Want to help your surgeon out even more during the consultation period? Bring in photos! Photos of you when you were younger can be beneficial to guide the surgeon to produce the most natural results possible.

Want to know what it is like to have a consultation with Dr. Sinha? Watch our video below!

What to Expect During Your Facelift Consultation?

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.

People will go home or they can stay overnight with the nurse. One of the things with facelift is because it’s a longer surgery and if we’re doing a lot of procedures, for example, sometimes what we call the blue plate special, we’re doing a brow lift, we’re doing eyes, we’re doing facelift, we’re doing chin liposuction, sometimes the anesthesia can last six hours, maybe even slightly longer. When that happens, there may not be enough time for the body to get rid of all the anesthetic and sometimes it’s safer to stay overnight, but often people can go home. They can stay overnight with a nurse or go home with a private duty nurse. We actually prefer the latter if somebody is going to have a nurse because I think people heal the best in their own bed, and quite frankly the wrap is there. There’s no drains. There’s actually no need for any sort of specialty nursing care. Just somebody who can take care of you and pamper you during the first night.

We often have out of town patients that come in. Often we’ll say, “Hey, maybe you can stay in a nearby hotel overnight, and if everything’s fine in the morning you can go ahead and head out and go home.” Often after a facelift, the dressing is taken off by the patient, and by the dressing, I mean the wrap around the head after one full day after surgery. Easy enough, it’s just a little snip down here and it comes off like a motorcycle helmet, and then patients can go ahead and do very simple wound care, which is put a little bit of Vaseline or Aquaphor on the incision sites. Maybe some cold compresses on the face, keep the head up and that’s really about it.

When we do eyes, maybe moisturize the eyeballs with some artificial tears and maybe some artificial tear gels that people can freely find in the eyecare section of their local pharmacy. Again, just like other surgeries, generally the second or third day is the day where we get maximal swelling and bruising, and after that, people turn the corner, and usually it’s about seven or ten more days and we reach 90% recovery, so it’s not like the old days where you have to take a month off and go rent a beach house somewhere away from where everybody knows you. Recovery is very quick. One week, one and a half weeks, and you’re back to being publicly presentable with a little bit of judicious use of makeup.

So the recovery process is very predictable, a lot shorter than people think, and gets you to where you want to be generally within two weeks.


What is Surgery Day Like?

Our office is fully equipped with an on-site mobile operating room. Everything you would find in a regular hospital operating room is found in our office – and all of our staff are certified and qualified to assist with surgery. This allows for a private and boutique experience – you will be the only patient in the office, allowing our staff to focus solely on your needs.

After the procedure is done, all patients are kept in our recovery room until they feel more awake. Once they have woken up, patients are sent home with postoperative care instructions to follow.

What is the Recovery from a Facelift Like?

The average recovery time from a full facelift is 10-14 days, while a mid-facelift can be a little shorter. It is normal for your face to be swollen, sore, tender, and bruised for several days after the procedure. Swelling will be at its worst three days after surgery.

When you leave the office, your face will be bandaged with dressings that you will wear for the first days after surgery. Sutures are often removed during the second-week post-op.

Want to know more about the facelift recovery process? Watch these videos!

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.

Facelift Surgery and Recovery
Atlanta’s #1 Facelift Surgeon Dr. Sinha

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.

How Do I Prevent Scarring?

All facelift procedures produce scars. Thankfully, most facelift scars can be easily hidden along the ear and hairline. During the early healing stages, the scars will be more obvious. Over time, they will fade and become less noticeable.

Want to know more about facelift scars? Watch our videos from a previous patient and Dr. Sinha!

Avoiding Facelift Complications

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.

Finally, scars, the way things look around the ear, the way things will look after you heal. We see what’s called pixie ear deformity. If people pull this up too tight but don’t suspend properly, as it heals it pulls back and pulls the ear down and we get an ear that looks like Dr. Spock from Star Trek. Again, a telltale sign of a facelift that’s gone bad. Sometimes scars. Obviously with all plastic surgery we would try to hide scars in contours and shadows so they’re not very noticeable. Sometimes in face lip we see huge back cuts that go into the hairline that are absolutely visible.

Sometimes we see hair loss from scarring, from scars from facelifts. Sometimes our over aggressive surgery, not only pulling, but maybe underneath the chin where people have liposuctioned every last ounce of fat and you start seeing the muscles and the contours of things underneath the neck, which we in the profession we call cobra neck, where it’s overly caved out. So, again, everything is about moderation. And that doesn’t mean not doing a full lift, that means putting everything exactly where it needs to be in exactly the proper measure of how much need to take it out. And this is the way we avoid somebody looking at one of our patients saying, “Oh my God, what happened to them?” And we’d rather hear, Oh my God, what happened? Did you lose weight? You look rested. Did you go on vacation? Not who’s your surgeon? Although I encourage my patients to tell people my name. So, anyway, bad facelifts, again in summary, generally the result of poor planning, poor execution, and we avoid that by trying to do it right from the beginning.

Avoiding Scarring and Improving Results

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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.

There are some specialized dressings that help keep moisture in the wound and certainly those are available as well. They achieve the same goal as Aquaphor or Vaseline. Sunblock, of course, helps keep more sun out. So these are all things that we can do later on down the line. Antibiotics are not necessary and actually in many ways antibiotics increase your risk of infection. Unfortunately, we have a lot of MRSA which is resistant staph and taking antibiotics has actually been shown to kill everything except MRSA and we actually select for it and actually increase our risk of infection.

Some preoperative things we ask people to do. Cleanse with something called HIPAA Cleanse or Chlorhexidine. Although you’ll vaguely smell like a hospital operating room, it tends to decontaminate skin from, you know, things like MRSA, pseudomonas and other things that we worry about that can cause bad skin infections. Finally, we tell patients don’t smoke, drink lots of water. I mean do the things that make your body healthy. Healthy body equals healthy tissues. Healthy tissues equal good healing.

So these are some things that we just want to make sure patients are mindful of. Later on down the line, silicone gels, maybe injections of steroids to decrease risk of hypertrophic scarring or key loading. Those are all things that we take care of because I make sure that I follow all my patients through several postop visits to make sure everybody is on the proper track for healing. So with the combination of good technique during surgery, good incision selection, good postop care by the patient, and good vigilant followup by the surgeon after the fact, we can ensure that scars are at a bare minimum, and essentially invisible.

Is Facelift Surgery Safe?

Facelift surgeries have a long-standing track record of being safe and effective. As a prevalent surgery done over 127,000 times in America alone in 2017, choosing a well-trained and experienced surgeon is the best way to ensure good results.

All surgeries have risks. Some common risks of facelift surgery include infections, hematoma/bruising, and possible nerve damage. All risks will be discussed with you at your consultation appointment by your chosen surgeon.

How Do I Choose the Best Surgeon for my Facelift?

If you are interested in having a facelift done, choosing the right plastic surgeon for your needs is essential. Facelift surgery requires skill, experience, and knowledge of the complex anatomy and structure of the face – so you want to be sure to trust your surgery into capable hands.

Dr. Sinha is a double board-certified facial plastic surgeon and ENT surgeon (ear, nose, and throat surgeon). He has completed over 10,000 procedures throughout his successful career, and he prides himself on providing outstanding results and excellent patient care.

Want to know more about Dr. Sinha and facelift surgery? Check out this video!

Choosing Dr. Pradeep Sinha

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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.

Facelift Before And After Photos

Dr. Sinha Facelift Case Study 1

Dr. Sinha Facelift Case Study 2

Dr. Sinha Facelift Case Study 3

Dr. Sinha Facelift Case Study 4


Judy Munroe
Great Doc !
Amazed at the results. Had a great experience with Dr. Sinha and his staff. Dr. Sinha is very personable and willing to answer any questions. I felt confident going into surgery having selected Dr. Sinha. His staff has been extremely responsive and helpful with any post surgery questions I have had. Thanks!!!

Rachael Demjanik
Great Doc !
Dr Sinha is amazing! He is extremely professional and really cares about his patients. He answered all of my questions and I absolutely love my results. I would recommend him to anyone

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