Dr. Turner will assess the thickness, texture and elasticity of your skin, and
the severity of wrinkles and folds. Your hairline will be examined to determine
where incisions can be placed. The structure of your face will be considered
to tailor surgery to you individually.

If your hair is short you may want to let it grow enough to cover your incisions
while they heal. If you are overweight you have a realistic desire to lose more
that 15 pounds, you should discuss this with your surgeon.

An incision is hidden in the contour of your ear, then extends around the
earlobe and back into the hairline. Following surgery, incisions can be easily
concealed by your hair or with makeup. There may also be a small incision
hidden underneath your chin.

After the skin has been pulled up and back, the excess is removed. In some
instances, the deeper tissues may be repositioned. A small incision beneath
the chin may be used to aid the removal of fatty tissue in that area and
smoothing of the cord-like structures of the underlying muscle in the neck.

Hematoma (an accumulation of blood under the skin), infection and reactions
to anesthesia are possible though infrequent. Facelift incisions are most often
inconspicuous though this cannot be entirely predicted due to individual
patterns in healing.

Most people return to normal activities within two weeks. Dr. Turner will
instruct you to temporarily avoid exposure to direct sunlight even in the long
term.

Since the healing process is gradual, you should expect to wait at least
several weeks for an accurate picture of the way you will look.

Our patients are usually happy with their appearance for many years following
a facelift, though some patients may find they want to make additional
improvements later on.

Endoscopic mid facelift

Unlike a standard facelift which primarily addresses sagging in the lower face
and neck, the mid facelift is beneficial for those who have early signs of facial
aging: naso-labial folds plus sagging of the brow and cheek fat pads.

Younger people who display these signs of aging now have the option of
achieving subtle facial rejuvenation with no visible scars.

There are two ways to perform a mid facelift. Dr. Turner will discuss with you
which approach is right for you.

The first approach is similar to a lower eyelid lift. Small incisions are made in
the lower eyelid and the underlying tissue of the mid face is gently raised,
about 90 % vertically and 10 % back. Any resulting excess skin is then
removed.

The other method of performing a mid facelift involves making a small incision
in the temple area.

These small incisions are typical of those used for a browlift. Indeed, a mid
facelift performed in this manner can be done in conjunction with a browlift.

The mid face is re-positioned in the subperiosteal pane and the sagging cheek
fat pad is lifted together with underlying muscles. This results particularly in
correction of sagging around the mouth as well as correction of the naso-labial
folds.

Like a standard facelift, you should expect to wait at least several weeks until
swelling has subsided for an accurate picture of how you will look.