Also referred to as "rhytidectomy," a facelift is a standard procedure for smoothing and reinvigorating the look of the lower face and neck area. Dr. Steve Byrd, a board-certified plastic surgeon, has extensive experience in procedures designed to rejuevnate the face, neck, and head and offers facelift surgery in the Dallas/Fort Worth area. A facelift will not hault the aging process, but you can expect to gain 5 to 10 years of youthfulness that tend to remain constant as you age.
There are many exciting options available to rejuvenate your face, so you'll need a board-certified plastic surgeon with the expertise to help you choose. If you're considering a facial treatment such as face lift in the Dallas/Fort Worth area, register online for a consultation and save $100 when you come in to talk with plastic surgeon Dr. Steve Byrd.
Why Choose Dr. Byrd
- He blends the upper and lower face with two different directions of pull, thereby eliminating the "windswept," drawn look that characterizes so many facelifts.
- He avoids excess tension in the skin in order to improve scarring.
- He carefully adjusts facial fat volume as part of the lift.
- He has performed approximately 6,500 face and nose procedures.
Answers to Common Questions
Is there a typical age when facelifts are done?
There is an accelerated phase of aging that some people see in their late 30s and others in their early 50s. For most people, it begins around 40 years old (there's a reason for all those black balloons). This phase is determined by genetics, environment and lifestyle. Dr. Byrd recommends doing a definitive facelift procedure (brow and mid face, lower face and neck, the eyes, or all of the above, depending on the individual) when this phase is defined. Waiting too long compromises the longevity of the results. There are fillers, lasers, and age appropriate skin care that allow some patients to delay surgery.
I just want to look like a younger version of myself, yet I see so many people who no longer look like themselves after facelift. What can I have done so that I can accomplish rejuvenation to end up as natural appearing as possible?
Dr. Byrd feels very strongly about this topic. Facelift techniques (access, vectors of lift, undermining, depth of dissection, etc.) vary widely. These variables account for the differences seen with surgery. The surgeon must have the technical ability to pull the brow, midface, lower face and neck in multivectors. The endoscopic brow/midface lift allows Dr. Byrd to pull in a vertical oblique vector that maintains a person's own look, yet makes him or her look immediately younger. This blends well with the lower face and neck lift and avoids a pulled look.
Another aspect of natural-looking rejuvenation is to not pull so tightly, but to use well-placed microfat grafts deep in the natural fat pads close to the muscle.
In the planning phase, Dr. Byrd likes to see a sequence of photos that show various stages of aging to give him an idea of how aging has occurred. This allows a very individualized approach to rejuvenation procedures.
People are often saying to me, "You look so tired," even when I am not tired. I feel like I am too young for a facelift. What is an alternative?
Usually this comment relates to the descent of the musculature around the eyes. The endoscopic brow/midface lift or eyelid surgery is the appropriate procedure for many of Dr. Byrd's patients. Fillers in the submuscular fat pockets may postpone the need for surgery.
Is a facelift painful?
Dr. Byrd's patients report very little, if any, pain with their facelift procedures. The surgical areas are numbed with a long-lasting injectable pain medication prior to awakening in the operating room. This allows them to fully awaken in recovery without pain. As any discomfort occurs, a mild to moderate oral pain medication can be taken in the overnight stay facility. Many patients have expressed having a headache or tightness in the neck for a few days.
How long is the recovery from facelift?
Patients leave the surgery center the next morning after surgery. A dressing change and removal of the drains (not painful) is performed prior to discharge. The dressing stays in place for 2 days, after which a shower with shampoo is appropriate. Sutures are removed 6 to 7 days post-op. Swelling lasts 2 to 3 weeks. Patients return to work and activities, depending on swelling, at that time.
Internal collagen (scar) builds from 10 days out to 6 weeks and patients feel the firmness and tightness of this during that time. Even when their appearance is good, the firmness makes them second guess themselves as they wonder if anyone can tell they had surgery. This firmness begins to soften 6 weeks after surgery.
Exercise can begin at 3 weeks post-op. Prescriptive skin care begins again at 4 to 6 weeks post-op.
Learn more about this procedure on our blog.
Dr. Byrd's Approach
Dr. Byrd holds the philosophy that correcting one area of the face without addressing the others is unwise. Doing so may make the face look "out of sync." Facelift surgery addresses aging in the lower face, jowl, and neck area characterized by loose, drooping skin. Aging and laxity in the lower face and neck are almost always associated with changes in the upper face. The key to a pleasing outcome is releasing sagging tissues and skin and fixing and contouring lifted areas with precise suturing.
The endoscopic brow/midface lift is a new and valuable tool developed by Dr. Byrd and is a good option for patients who want the look of a full facelift with no visible scarring.
Before & After Photos
See real results of actual patients treated by Dr. Byrd.
Most of Dr. Byrd's Dallas facelift patients who complain of an early recurrence of the signs of aging have had one of these areas overlooked in their treatment. Often the skin has been tightened, but nothing has been done to correct the underlying fat and muscle. When the "big picture" is considered, the patient is more likely to have a very lasting, elegant, angular neck and jawline, as well as a youthful, rested-looking face with all segments seamlessly flowing together.
Advanced aging almost always involves 1 or more of the following 3 conditions in the neck:
- Fat deposits under the chin causing a double chin or "turkey neck"
- Bands that protrude when the head is turned
- Loose, sagging, droopy skin
The most pleasing aesthetic result may involve correction of all 3 areas. Further removing the fat in the sagging jowl area prevents recurrence in the area and vastly improves the contour of the jawline.
Are You a Candidate?
Signs that you might be a candidate for a facelift or neck lift include:
- Sagging or lax cheek and jowl skin
- Deep folds between the nose and mouth
- Double chin
- Undefined jawline
- Prominent, vertical bands in the neck
Ideal candidates can see the effects that gravity, exposure to the sun, and the stresses of daily life have had on their face and would like to appear refreshed and younger. Expecting to look completely different as is portrayed in some misleading and misguided movies is not a reasonable expectation. You might not look like a movie star, unless, of course, you already are one. All of the wisdom and some of the aging stay with you no matter what you do!
How the Procedure Is Performed
If you're ready to learn more, contact our practice and save $100 on your consultation, which involves a careful evaluation of your health, your face, and your expectations. All of these factors play key roles in the outcome of your surgery. Photos of the patient at an earlier age (10 to 15 years prior) are extremely helpful in establishing the plan for rejuvenation.
Prior to sedation, pre-op markings will be made on the face and neck to indicate incision sites and the direction and amount of pull that will be distributed to the skin and underlying muscles. The operative plan will be reviewed to the satisfaction of both the patient and surgeon.
The standard incision sites are behind the ear, around the earlobe at its natural crease, and finally into the scalp. Tightening the skin and muscle layers to achieve a look of elegance rather than a look of surprise is always the goal. To minimize swelling and bruising, a pressure bandage that encircles the head and neck is applied immediately following surgery.
Facelift surgery carries little risk and can be done as an outpatient procedure in any accredited facility. The majority of Dr. Byrd's cases are done at the Dallas Day Surgery Center. The staff is exceptional and extremely skilled, and the facility is very comfortable for our patients and their families.
Recovery: What to Expect
If you're interested in finding out how to look as young outside as you feel inside, print your coupon for $100 off your consultation and call us today at (214) 821-9662. We look forward to welcoming you to our offices in downtown Dallas for a consultation soon.