1. What is the average cost of face lift surgery?
The cost of face lift surgery can vary tremendously and depends on several factors including but not limited to: the experience of the surgeon, the geographic location of the surgery, the exact procedure (there are several techniques and styles used), and other variables such as the cost of anesthesia and the facility fees.
2. Do you tighten the drooping muscles?
Yes. There is a deeper layer which should be addressed called the SMAS (submuscular aponeurotic system). Essentially it is a thick tissue layer over the major salivary gland in the cheek (Parotid gland). Elevating the SMAS layer will provide longevity to the face lift and prevent undue tension on the skin which can give you a pulled or stretched look. The SMAS can be addressed in many different ways and should be discussed with your surgeon.
3. Will a facelift help the dark circles and bags under my eyes?
Generally no. Dark circles are extremely difficult to treat. However, shadowing from heavy brows or eyelids can cause dark circles to worsen and addressing the brow and eyelid can decrease the Shadow effect and help tremendously.
4. Why is a revision face lift more difficult than a first-time face lift?
This depends on the skill of the surgeon but secondary facelifts are very common and should not be too difficult. There will be some scarring from the first procedure and there can be issues with skin redraping.
5. Do I go home after plastic surgery?
This will depend on your surgeon and your overall health. There is minimal blood loss with a properly done face lift and the pain is generally well tolerated so there is no reason you would have to stay in most cases. However, medical issues such as poorly controlled blood pressure or underlying heart or lung problems may necessitate an observational period. Again, the final decision should be discussed in detail with your surgeon and anesthesiologist.
6. When can I "work out?
This will depend on your surgeon and their protocol but I insist on waiting until all bruising and swelling is gone before allowing my patients to exercise. I generally begin with light cardiovascular type exercise such as treadmill walking and then slowly advance to more strenuous activity. Exercising too early can lead to bleeding, bruising, swelling and a delayed recovery period.
7. How long will bruising and swelling last?
Bruising and swelling will last from one to two weeks.
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John Burns MD, Plastic Surgeon



