About Facelift Surgery
Leesburg, VA plastic surgeon Dr. Phillip Chang performs a full spectrum of facial surgical treatments and has gained both a national and an international following for his facelift techniques. These techniques are publicly displayed on some of his facelift technique videos posted on YouTube and shown during teaching clinics that he gives to other plastic surgeons. Facelift surgeries are some of the most sought out surgeries at Aesthetica Cosmetic Surgery & Laser Center.
No two faces are alike. Because of this simple fact, no two facial rejuvenation procedures are the same. The principles of facial rejuvenation, however, are very simple and intuitive.
5 Principles of Facial Rejuvenation:
- Producing natural results is the most important principle
- Restore facial volume ( facial fillers like juvederm, voluma, or fat transfer )
- Tighten skin if if needed ( facelift, forehead lift, temple lift, upper and lower eyelid lift, neck lift )
- Restore aging skin appearance ( laser skin rejuvenation with BBL, Micropeel, Profractional, and/or PRP )
- Quiet hyperactive muscles ( botox for horizontal forehead lines, vertical glabellar lines, or crows feet )
The exact procedures that you will benefit from will be discussed during your consultation. The procedures obviously depend on what bothers you, the potential to perform the improve the procedures safely, the amount of down-time that you accept, and unfortunately, the budget.
If you require lifting of loose face skin, the you may benefit from one of the facelift procedures listed below.
- Mini Facelift
- Mid Facelift
- Face and Neck Lift
The facelift technique used depends on your desired outcome, the health and condition of your skin, the degree of skin laxity, your lifestyle, age, and anatomy. Some individuals are of age and have skin laxity for a full facelift, while some may only be ready for a mid-facelift.
Dr. Chang is a highly trained and experienced surgeon who understands the complexity and delicate anatomy of a facelift procedure. The overall goal is to produce a natural appearance that's gorgeous, subtle, and still striking. Call our office in Leesburg, VA to see if facelift surgery is right for you and your cosmetic goals.
"I highly recommend Dr. Chang and I can't say enough about my experience and my results. I live in California and researched many surgeons around the country before deciding on Dr. Chang to do my Facelift and facial rejuvenation. His before and after pictures really impressed me. I had a Mini-facelift and upper and lower eyelid surgeries and I am VERY happy. I would gladly travel across the country again"- D.M. / Google / Aug 07, 2013
"Dr. Chang is the best. I've been seeing him on and off for 15 years. I've had everything from botox to a mini facelift done. I like that he is honest and will tell you what you need and what isn't worth spending money on. He is also conservative. I trust him not to make me look like I've had work done. I would not go to anyone else."- P. / Healthgrades / Mar 06, 2018
"I had another excellent surgery result with Dr. Chang. Ten years ago he did a mommy makeup over on me, and I was thrilled with the results.In April I had face surgery (mini facelift, neck lift, upper eyelids and fat transfer). The results at 3 months look great. Very natural. I still look like myself... only 10 years younger! I had never heard of fat transfer, but that ended up being the change I like the most. My face didn't have a lot of sagging. It was mostly long and drawn out due to loss of volume in my cheeks. Dr. Change fixed all of that.My friends and work colleagues think I lost some weight, or got a new haircut, or took a vacation. The truth is it was all Dr. Chang's excellent surgery skills. You won't be disappointed, and his staff is wonderful too."- K.B. / Google / Aug 07, 2016
"After doing research at other practices I was discouraged. I called my primary doctor in Vienna who recommended Dr. Chang. I met with Dr. Chang for a consultation. The staff was very friendly and I immediately felt comfortable. There was no pressure to go forward with any procedures but I was provided with good information. I decided to go with Dr. Chang. The years of sun and smoking had taken their toll. I had a mini-facelift and I am extremely happy with the results of Dr. Chang's work. I would highly recommend him. He is very competent and excellent at what he does."- W.C. / Google / Aug 07, 2013
"I had a mini facelift and a upper / lower blepharoplasty performed by Dr. Chang less than a year ago. I am very pleased with the result of the surgery. The change looks so natural -- my eyes and jowl lines are more youthful. Prior to making my decision, I researched extensively for a plastic surgeon who was rated as a top certified plastic surgeon. Dr. Chang is a true professional. He and and his staff made me feel comfortable through the process. I visited his office today for a IIPL, and will continue to visit them for any future service."- C.E. / Google / Aug 07, 2016
The ideal candidate for a facelift or other facial rejuvenation surgery is a man or woman who is otherwise healthy.
There is no specific age for when you would benefit from a facial rejuvenation surgery as the surgical technique depends more upon how you look as opposed to any specific age criterion. For example, it is not entirely uncommon for us to see a woman in their 40's look like a woman in her 60's. The aging process is obviously influenced by your genetics as well as environmental factors like sun exposure and smoking.
If you are in your 30's but concerned about mild facial laxity, you might benefit from some fillers to augment the cheek and temple in addition to a Quicklift procedure. A patient in their 40's might benefit from a mini facelift but may also benefit from addressing their upper and / or lower eyelids. A patient in their 60's most often will benefit from also addressing neck laxity as well as forehead droop.
The surgical procedure for you will depend not so much on your chronological age, but rather upon HOW you are aging. Patients should be physically healthy and be a nonsmoker, and also have expectations that are realistic.
Dr. Chang's surgical techniques are fully described in some of his published surgical videos. Some of these videos are shown below. Others can be found on the videos page. These videos were recorded to demonstrate his technique to not only the general public but to visiting surgeons from around the world who aspired to learn his minimally invasive techniques which allow some of the procedures to be performed without the need for general surgery and with less recovery times.
As mentioned above, the surgical technique depends upon your personal needs.
Strategy for Treating mild facial droop ( potentially a patient in their late 30s or early 40s )
Quicklift + Facial Fillers or a Liquid Facelift
A Quicklift is a simple procedure that uses a small incision in the temple inside the hairline. The incision is used to gain access to the fibrous layer ( top-most portion of the SMAS ) underneath that has become loose. Elevating this fibrous layer can elevate some of the cheek and some of the falling jowls. This procedure is supplemented by adding some fillers to the under-eye hollows and sometimes the temples.
A Liquid Facelift is a simple procedure that is used for some patients with mild facial droop due to loss of facial volume only. The facial volume is replaced with fillers like juvederm, voluma, sculptra, or your own fat ( called a fat transfer ). The liquid facelift is also called a non-surgical facelift.
Strategy for Treating mild to Moderate facial droop ( potentially a patient in their late 40s and 50s )
Most patients struggling with mild to moderate facial droop would benefit from a mini facelift. This is a procedure that Dr. Chang has has adapted and has become an expert in the field among international surgeons. The procedure can be performed without the need for general anesthesia in the office but you are also given the choice to have it done at the surgery center asleep. This simple procedure has the goal of elevating the lower facial area including the jowls, nasolabial fold, marionette fold, and some upper neck laxity. The incision is hidden inside the temporal hairline, descends inside but in front the ear where it is hidden, and then behind the earlobe. After elevating the skin, the SMAS fibrous layer is elevated and sutured to the tough tissue along the cheekbone to give it long-lasting strength. The procedure takes about 1.5 hours if it s performed alone; but most patients will choose to have additional procedures including their upper or lower eyelids, facial fillers, or fat transfer.
Strategy for Treating Moderate to Severe Facial Droop That Usually Includes Neck Droop
Most patients with moderate to severe facial laxity also have neck laxity. The neck muscles and skin begin to sag and sometimes even split giving the appearance of the turkey waddle. These patients will need not only elevation of the face but will also need elevation of the neck. The face portion of the procedure is performed similarly to that described above for the mini facelift. The difference is that the incision is extended to the back of the ear and into the hairline behind the ear. This procedure can also performed without the need for general anesthesia using our technique. Patients in their 50s or older will most often also benefit from additional procedures including their upper or lower eyelids, facial fillers, or fat transfer. Some patients may also benefit from a brow lift. We will discuss whether you would benefit from being put to sleep at the surgery center
Additional Procedures Commonly Performed with a Facelift Surgery:
- Upper eyelid blepharoplasty
- Lowe eyelid blepharoplsty
- Forehead lift
- Neck lift
- Facial fillers or fat transfer
- Laser skin rejuvenation with either a BBL, micropeel, profractional peel, or laser resurfacing
What to Expect
No matter which facelift technique you undergo, the primary goal is to produce a natural and soft result. The procedure can be performed under general anesthesia or under oral awake anesthesia in the office.. The duration of the procedure depends on the invasive nature of the procedure, and also if other surgeries were combined. Following your procedure, there will be bruising and swelling, slight to moderate pain, and soreness, which can be eased by pain medication. Many patients feel and physically look better after several weeks. You can expect a more glowing look with less lines and sagging. Overall, the face will appear lifted and younger looking.
- Most patients return to work in 1 to 2 weeks ( longer if the patient also has a fat transfer )
- Most patients can exercise in 3-4 weeks
- 70% of patients will have their facial surgery using oral awake anesthesia in our Loudoun office
- Neck liposuction or neck lift patients will need to wear a compression wrap for 1 week
- Average bruising : face - 1 week, eyes -2 weeks, fat transfer - 2-3 weeks
- Most common issue after surgery - scar issues
- No revisions will be performed until 6 to 12 months has passed
Frequently Asked Questions
How much does a facelift cost?
The cost of your facelift will depend on the technique and other factors. In your consultation, Dr. Chang will create your unique treatment plan to match your needs and goals. When this is complete, he can go over estimates of fees. To avoid unnatural-looking results, it's better to concentrate on finding a skilled surgeon, like Dr. Chang, instead of the lowest price. Aesthetica Cosmetic Surgery & Laser Center can give you information on low-interest financing that will make your facelift affordable.
What technique is best for me?
The best technique for you will vary based on your concerns, goals, level of skin laxity, what areas are being addressed, and other factors. To produce your best results, Dr. Chang will go over the different techniques in your consultation. He can then help you choose which technique is best.
Should I get a surgical or nonsurgical facelift?
Although there are several great nonsurgical skin tightening treatments, these can only give you mild improvements. For moderate to severe skin sagging, facelift surgery is the best choice to improve your appearance. In your consultation, Dr. Chang will discuss your choices, including nonsurgical procedures, to help you decide which is best for your goals.
What about wrinkle fillers and relaxers over facelift surgery?
Wrinkle fillers and relaxers, like BOTOX and Juvéderm, have become more popular to improve fine lines and wrinkles. Also known as a liquid facelift, nonsurgical wrinkle treatments are good for early signs of aging; however, the results won't last more than 1 – 2 years. A facelift will produce more significant improvements than injectables with long-lasting results. Ask Dr. Chang about nonsurgical wrinkle treatments in your consultation.
Will my results look natural?
Some patients worry that a facelift will make their skin look shiny, overly tight, or like they are in a wind tunnel. Dr. Chang focuses on giving you results that look natural, so you appear refreshed, not fake. He listens to your concerns and goals before creating your custom treatment plan to produce your best results.
The Right Facelift for You
Cosmetic facial surgery can turn back the hands of time for your face and give you a glowing appearance. Thankfully, there are a wide variety of choices for surgery depending on your unique needs and goals. This surgery is meant to elegantly and seamlessly help take you through each decade looking natural. For more information, we welcome you to get in touch with Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA to schedule your appointment with Dr. Chang.