1. What do I do to prepare for face lift surgery?

I spend a lot of time with my patients to determine to the best of my ability what they want and if it can be done safely. First and foremost I want to know if I can make the patient happy and fully address their cosmetic concerns. I review the patient' s history and physical in detail and the notes are recorded in our office. I always make sure that I am well rested the night before surgery, and that I have gone through an individualized surgical procedure which was tailored for that very special and unique patient.


2. What happens at the preoperative face lift appointment?

It is typical for me to spend close to an hour on the first visit with patients who are seriously considering a face lift. At the first visit we focus on patient expectations and concerns. I complete a full history and physical to determine if the patient is a good surgical candidate. The physical exam involves an evaluation of the forehead, eyes, face and neck to determine structure and tone. Often, I recommend losing weight or a lifestyle change prior to proceeding with surgery to improve the outcome. We then come up with a game plan for facial rejuvenation which includes discussions on skin care, injectables, resurfacing, and surgery. After, the patient and I have decided on the best surgical intervention we review the risk of the surgery, the cost, and arrange for second consultation. At the second consultation we review and confirm the surgical plan and focus on surgical preparation, postoperative care, and recovery. We typically meet with significant others or family members who will assist in caring for the patient and then schedule the surgery.


3. What does informed consent mean?

In my opinion informed consent is one of the most important parts of any cosmetic consultation. Informed consent primarily focuses on educating patients about the risks and potential complications of a medical intervention. It should also include a discussion regarding alternative treatment options. In general, medical consents should be detailed and informative, to allow patients to make an informed decision regarding their care.


4. Where will my face lift incisions be?

The incisions for a face lift depend on the patient' s age, sex, amount of skin redundancy, facial structure, and patient' s desire. These incisions are often concealed in the crease in front and behind the ear to limit visibility. Short scar face lift can be utilized in patient with limited deformities or who are concerned about scarring.


5. What if I have a history of bad scars?

A patient with a history of bad scars may not be a good candidate for a face lift. Patients who have a history of Keloids or hypertrophic scarring should avoid elective facial incisions in most cases. Nevertheless, many patients who have formed prominent scars in other areas do not form significant scars following a face lift. A consultation with a board certified Plastic Surgeon will help patients decide on the option that is best for them.


6. What about my daily medications before face lift surgery?

There are a number of herbal medications that may help patients recovering from a face lift. In our practice we give patients detailed instructions on medications (including over-the-counter, herbal, and prescribed medications) that should or should not be taken prior to and after a face lift.


7. I take vitamins and supplements. Do I need to stop them before face lift surgery?

It is best to avoid most vitamins and supplements the week prior to surgery if you are not sure about their impact. Patients should ask their surgeon about medications that may speed recovery and limit bruising. I encourage my patients to consult with their primary care physician if they have or I have any other concerns regarding their medications.