Facelift in Beverly Hills
Rejuvenate Your Appearance to Look as Young as You Feel!
Facelifts can tighten or reposition underlying facial tissues and muscles,
smoothe loose skin on the face and neck, remove excess fat in the face
and neck regions, diminish creases and wrinkles, and restore the natural
contours of the face. Facelifts are one of the most popular procedures
performed in plastic surgery today and each facelift Dr. Gabbay performs
is customized to meet your individual needs. There are many variations
to the Beverly Hills facelift procedure and the technique Dr. Gabbay chooses
will depend on your features and overall aesthetic goals.
Candidates for a facelift surgery (technically referred to as rhytidectomy)
seek to improve a number of visible signs of aging in the face and neck.
These signs include:
- Sagging in the middle of the face
- Deep creases below the lower eyelids
- Deep creases along the nose extending to the corner of the mouth (nasolabial folds)
- Fat that has become displaced or fallen
- The appearance of “jowls,” and deep creases between the base
of the nose and corners of the mouth due to a loss of muscle tone in the
lower half of the face
- The appearance of a “double chin” due to loose skin and excess
fatty deposits under the chin and jaw
Facelifts are often performed in conjunction with other facial rejuvenation
procedures, such as a brow lift or eyelid surgery.
Before & After Photos
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The facelift procedure has continued to evolve, as advances in technology
have enabled plastic surgeons to perfect the procedural details, resulting
in far more natural results and shortened recovery times. Facelift procedures
of the past focused on simple skin tightening, which often left patients
with distortions of the facial features that appeared to be pulled back,
or stretched too tightly. Today’s facelift incorporates more complex,
deeper tissue lifting techniques, that result in a natural, “refreshed,”
“well-rested,” or “rejuvenated” appearance. Dr.
Gabbay prides himself on staying current with all of recent the surgical
advances made possible by new technology and believes that education is
a constant process that does not end after the completion of medical school.
There are many variations to the facelift procedure, and the technique
Dr. Gabbay chooses will depend on your facial bone structure and your
overall aesthetic goals.
Facelift variations performed at Gabbay Plastic Surgery include:
Standard, Conventional or Traditional Lift: a traditional rhytidectomy involves lifting and tightening the skin around
the face in order to smooth out folds and lines, and the removal of excess
skin. The incision lines for this procedure are usually made along or
behind your hairline.
Contemporary Face Lift: the contemporary facelift involves manipulating and sculpting the underlying
fat and musculature of the face in order to produce a comprehensive and
natural result. During this procedure, the descending facial fat is removed
and restored to a more aesthetically desirable location on top of the
cheekbones, thereby creating more youthful facial contours.
SMAS (Sub Muscular-Aponeurotic System) Lift: The SMAS is responsible for an individual’s facial movements, expressions
and animation. This SMAS or “superficial” facelift technique
involves a two-layer lift and the manipulation of the underlying foundation
of the skin and prevents the creation of an “over-stretched”
result. Specific SMAS techniques include:
Lateral SMASectomy: the skin is resected and tightened over the parotid gland.
Conventional SMASectomy: the skin is lifted vertically as a flap towards the cheekbones
Extended SMASectomy: the skin flap is extended over a larger area towards the nasolabial fold
in order to provide comprehensive correction of the mid-face.
SMAS-plication: a tissue-sparing technique wherein the SMAS layer is folded in on itself
to restore youthful contours in the face with less fullness
S-Lift: this technique was developed in the late 1960’s and utilizes an
incision made directly in front of the ear, and the lateral manipulation
of the skin layers. The upper facial areas and eyes are not affected by
the S-Lift procedures, making it a suitable technique for patients seeking
to rejuvenate the lower third of the face (i.e. jawline, jowls, and neck).
MACS-lift (Minimal Access Cranial Suspension) and Short-Scar Facelifts: these procedures are often referred to as ‘mini’ facelifts
because they are less invasive and were designed for patients with fewer
requirements for facial rejuvenation. Mini facelifts rely on a limited
facelift incision, conservative skin flap creation, and MACS-lift—the
use of sutures in a loop configuration (purse-string) to lift the deeper
tissues. Mini facelifts are less effective for patients with sagging skin
in the neck or more severe wrinkles and folds; however, they are ideal
for younger patients with good skin elasticity and mild facial aging.
The mini-face lift addresses the appearance of the cheeks but does not
include the neck, as a full facelift would.
Subperiosteal Midface Lift: this technique was designed to lift the sub-orbital area, as well as the
midface, and offers the benefit of not leaving any visible scars. It is
performed for cheek elevation when the neck and jowls do not need lifting.
An incision may also be made intraorally, similar to performing a midface
implant procedure, and this technique is often combined with an endoscopic
The Deep Plane and Bi-Plane Facelift: these techniques are ideal for patients who need lifting and tightening
of the neck and cheeks. The incision is the same as the short-flap facelift
but extends into the hairline behind the ear. During this deep plane facelift,
the SMAS muscle is either elevated (separated from the underlying layers)
and lifted with the skin, while the bi-plane face lift involves an elevation
of the SMAS muscle as a separate layer. These facelift procedures are
similar to the SMAS lift technique, but also address the nasolabial area
(the grooves that run from the side of the nose to the lips).
Secondary Facelifts: secondary facelifts are beneficial for patients who are dissatisfied with
the results of their original facelift, or whose original facelift results
have been marred by the natural aging process.
Some facelift results can be maximized by the addition of gentle liposuction,
in order to remove extra fat from the face and neck, while other results
may benefit from fat injections in order to restore youthful volume to
During your consultation, Dr. Gabbay will determine the optimal type of
anesthesia for your facelift surgery–-either intravenous sedation
(twilight) or general anesthesia. The facelift procedure usually lasts
2-5 hours and involves incisions in front of, and behind the ear. Dr.
Gabbay takes great care to ensure that surgical incisions are very inconspicuous,
and are carefully hidden around the ear. Each patient’s facelift
is a unique procedure, depending on the goals you would like to achieve
from your surgery. Muscle tightening, as well as liposuction of the neck
and jowls, may be performed, and excess skin is either removed or repositioned.
After your facelift surgery, you may be permitted to go home after a few
hours, although some patients may need to stay overnight in an aftercare
facility. It is essential to understand that the amount of time it takes
to recover from facelift surgery varies greatly between individuals. Elevating
your head after surgery is extremely helpful in reducing the initial post-operative
swelling. The majority of facial swelling is generally noted in the first
24 to 48 hours and can take 3-4 weeks to completely subside, while most
bruising resolves within 2 weeks.
Dr. Gabbay looks forward to evaluating and discussing how the facelift
procedure could benefit you, as well as if any additional surgery in the
chin and neck areas would improve your optimal outcome. The goal of facial
rejuvenation surgery is to produce a balanced result centered on your
facial anatomy and to improve, but never change who you are. Many satisfied
patients will attest to Dr. Gabbay’s personable and compassionate
manner, as well as to the results they achieved. If you would like more
information about facelift surgery, please contact Gabbay Plastic Surgery
and we will be happy to answer any and all of your questions, and to schedule
an initial, complimentary consultation with Dr. Gabbay. You may also click
the link below to read a more in-depth description of the facelift procedure.
Are You a Good Candidate for a Facelift in Beverly Hills?
Facelifts are one of the most popular procedures performed in plastic surgery
today, and each facelift Dr. Gabbay performs is customized to meet your
individual needs. Facelifts can tighten or reposition underlying facial
tissues and muscles, smooth loose skin on the face and neck, remove excess
fat in the face and neck regions, diminish creases and wrinkles, and restore
the natural contours of the face. If you are interested in learning more
about facelift surgery, please call Gabbay Plastic Surgery and let us
schedule your personal consultation with Dr. Gabbay. During your meeting,
Dr. Gabbay will discuss your overall expectations and aesthetic goals,
in order to determine whether facelift surgery is a suitable option for you.
You should come to your consultation prepared to discuss your medical history
(including any past surgeries), present medical conditions, allergies,
and medications. It is imperative that you are honest and provide complete
information, as numerous medical conditions can potentially increase the
risks and complications associated with surgery. If Dr. Gabbay feels that
you are a good candidate for facelift surgery, he will explain the different
techniques, costs and potential side effects before scheduling your procedure.
When choosing Dr. Gabbay, you can be assured that you are in the hands
of a surgeon who has undergone extensive training and is highly esteemed
by his colleagues and patients alike.
Particulars About the Facelift Procedure
Dr. Gabbay and the professional staff at Gabbay Plastic Surgery are committed
to making every effort to ensure that you have a safe and comfortable
facelift experience. A facelift normally takes 2-5 hours to perform and
utilizes general anesthesia (less extensive facelifts may be performed
with IV sedation). Medications will be prescribed pre- and post-operatively,
in order to make you more comfortable, reduce postoperative side effects,
and shorten your recovery time.
After administering anesthesia and making the initial incision, Dr. Gabbay
will tighten and lift the facial skin and subcutaneous facial tissues,
remove the excess skin, and then close the incision with a combination
of sutures and small clips. Following the completion of your surgery,
a pressure-dressing bandage will be applied around the side of your head
and you will be released to a family member or friend after a few hours
of rest in our recovery room. After your procedure, your eyes may feel
tight and quite tender when the anesthesia wears off, but any discomfort
can be managed with pain medication.
After your facelift surgery, some degree of swelling and bruising can be
expected, and you should sleep with your head elevated for the first week
and use cold compresses to keep swelling to a minimum. Most swelling will
subside within two weeks, and all sutures and staples will be removed
within 5-10 days. You will be instructed to avoid physical activity and
to report any undue discomfort. Recovery usually takes 2-3 weeks and your
scars may be concealed with makeup until the healing process is complete.
Although rare, potential facelift complications include infection, hair
loss, scarring, bleeding, skin necrosis, pigment changes, sensory nerve
injury, motor nerve injury, and contour irregularity.
Call Gabbay Plastic Surgery today at (310) 928-2558 to schedule your