Facelift FAQ's

What is the best age to have a facelift?: The average age for a primary facelift patient has gradually moved downward to approximately 50 years of age. Performing the procedures on people in a younger age group improves the long-term results. It is most plastic surgeon’s impression that the average patient is becoming younger and younger.
Will there be any scars?: Patients often have the misconception that plastic surgeons have some medical magic that prevents scars. It should be explained that scars will be present, but the aim is to place them in the most inconspicuous location.
When do the scars disappear?: They don’t. The scars are permanent, but if healing occurs as anticipated, the scars will not be noticeable.
How many times can I have this procedure done?: There is no absolute limit to the number of facelifts that can be done; however, it is unusual to see a patient having more than three procedures during a lifetime. Miscellaneous minor procedures such as temporal lifts, neck tightening, or regional chemical peels are frequently done to improve certain limited areas of the face and neck that do not require a complete facelift.
When can I go in the sun?: The sun is a catalyst in accelerating skin degeneration. Other than the synthesization of vitamin D, no medical benefit is derived from exposing skin to the sun. People who live in the Sun Belt are more apt to expose their skin to ultraviolet rays over a long period of time. These damaging rays are cumulative and result in changes that are almost irreversible. I educate my patients about the detrimental effects of repeated exposure to the sun. It is a simple matter for my patients to apply a sunscreen on the exposed parts of her body, especially her face. While a beautiful suntan looks attractive, it can cause extensive damage to the skin of the older individual. Continued repeated exposure to the sun and the elements will eventually result in premature aging by the age of 45 or 50.
When can I have a facial?: The so-called deep cleansing process that cleans out the pores and increase the facial circulation is a treatment that many patients enjoy. Although facials thoroughly cleanse the skin, it is doubtful that they prevent or alter the aging process. A facial can be administered 6 weeks after surgery with no ill effects.
When can I use a depilatory?: Use of depilatory agents is allowed between 4-6 weeks after surgery; however, if there has been a chemical skin peel or a dermabrasion of other areas of the face, it is best not to use depilatory agents in these areas until all of the redness has disappeared, and the skin has a normal appearance, usually after 10-12 weeks.
What about electrolysis?: Electrolysis is allowed 4-6 weeks after a facelift; however, do not apply excessive heat. Most hair dryers can be used on a cooler setting or held farther from the head, and patients are advised to follow this precaution for 4-6 weeks after the surgery.
How long does the swelling last?: Postoperative edema is extremely variable. Several weeks are required for all of the swelling to subside. Most patients can be socially acceptable within 3 weeks. Some individuals require more time for the swelling to subside. If you have any important events to attend, such as business engagements or family affairs, you should allow 5-6 weeks for the swelling and discoloration to spontaneously regress.
How long does the numbness last?: The reduction of sensation in the operative site will usually correct itself in 3-4 months. My patients seem to accept this condition readily since they are forewarned. However, some patients will complain bitterly about the diminished sensation and relate that the itching is quite uncomfortable. The lack of sensation is more of a problem for men who find shaving to be more difficult in the immediate postoperative period.
Does it hurt to chew or make facial expressions during the first few days after surgery?: The supportive dressing that is left in place for the 24-48 hours will limit chewing and expression somewhat but once off, these are no superficial restrictions.
When can I exercise?: Walk is permitted after the first 2 days. You are allowed more vigorous activity such as jogging, playing tennis and water skiing after 6 weeks have elapsed. A good rule of thumb is "If it hurts, don’t do it."
When can I color my hair?: There have been no problems noted by using hair dyes after 3 weeks have elapsed, provided that healing has occurred in a normal fashion.