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No matter who you are, aging of the face is unavoidable. As we age, the thin skin of our face and neck begins to loosen and sag. This loosening manifests itself in the natural creases of our face. Crow’s feet appear. We develop deep furrows in our foreheads. The tissue in our jawline softens, and skin folds appear on our necks. These are all the unfortunate result of the natural aging process of our bodies.
Certain factors can also attribute to an accelerated aging process. Factors such as your genetics, habits such as smoking, and sun exposure all contribute to an advanced appearance.
For those of us who still feel youthful inside, but have succumbed to the effects of aging, there are ways to regain radiance in your appearance. One of those options is through a facial rejuvenation process called a facelift.
A facelift is the procedure of choice to reverse changes to the face and neck associated with aging, such as:
There are four basic types of facelifts: mini-lift, standard facelift and full facelift and the latest technique SmartLifts™. Each is designed to address some or all of the changes listed above to different degrees. Patients are typically individuals in their 40′s to 80′s, who desire a return of their youthful features.
Although no two patients are the same, almost all patients can be treated by one type of facelift or the other. The key is to identify the changes from aging that have occurred and the goals of the patient.
A number of considerations determine which facelift is best for a patient, all of which will be discussed with Dr. Khoury. They include, but are not limited to:
For example, a patient might not have significant changes associated with aging but may desire a preventative approach to maintain his or her youthful features. Another patient might already have had a facelift but wishes for a touch up.
In addition, any of the four types of facelifts can be combined with other facial procedures to enhance the overall result. A neck tightening procedure is the most common companion to a facelift, and they usually complement each other well.
No matter which type of facelift a patient undergoes with Dr. Khoury, he or she can expect the following::
A mini-lift is a great choice for younger patients who want to reverse early signs of aging. A mini-lift is considered a facelift, but it is more limited in scope because it need not address more extensive aging changes.
Recipients of a mini facelift will experience:
It is performed through limited incisions in front of the ear. To be effective, the muscle layer (known as SMAS in medical terms) is addressed, as this is the building block to any facelift. Recovery is usually relatively quick, and most patients can resume public life in 5 to 7 days. The procedure itself does not take very long and is performed under local anesthetic with some oral sedation to alleviate any anxiety.
It is possible to combine a mini-lift with other procedures to deliver a full facelift result for the appropriate patient. A few examples of such combinations include:

Notice the improvement to the lower face and the ability to address early neck laxity.
The result is a fresher, more youthful appearance.
A standard facelift is the most commonly performed type of facelift and will suit the needs of most patients. It will address almost all of the aging changes with few exceptions. It tightens the skin, defines the jaw line, improves the neck, softens deep facial creases, and restores youthful contours to the face.
A standard facelift is performed through incisions placed around the ear and into the hairline, all of which are well concealed. It will not alter the sideburn area, and it will not change the hairline. The muscle layer (SMAS) is addressed to produce the desired outcome and longevity of result. Recovery is slightly longer than for a mini-lift, typically 7 to 10 days before resuming public life. It may be performed under any anesthetic setting (local, sedated, or general), providing the patient with several different options.

More prominent changes are addressed with a standard facelift. As the jowls descend, the contour of the face becomes more rectangular and the jaw line less defined. The neck also displays aging changes due to skin laxity and relaxation of the underlying muscles.
A standard facelift can be combined with other procedures to yield further improvements. One common complement is a platysmaplasty, which is a type of neck tightening procedure. It is the procedure of choice to address visible neck bands (also known as “turkey neck”). It involves a small incision under the chin within the natural skin crease, through which loose muscle is tightened. The procedure tremendously enhances the overall result by really defining the neck, and it does not add to the recovery time.

Notice the definition to the neck and jaw line in addition to the tighter appearance of the skin.
Another complementary procedure for patients with fuller necks is liposculpting. It is performed through a tiny (less than 1 cm) incision under the chin within the natural skin crease. It permits removal of fat and re-establishes definition to the neck. It does not extend the recovery time and also does not add much to the total surgical time when performed in combination with a facelift.

Notice how the neck is tighter and more defined and how the chin and jaw line return to prominence.
A full facelift is also known as a deep plane facelift. It addresses the same aging changes as a standard facelift, but it also adds improvements to the midface area, namely the cheeks. The incisions are the same as those used in a standard facelift. The difference is in how the muscle layer (SMAS) is addressed. Recovery usually takes 10 to14 days. It is typically performed under general anesthetic, but it can be done in a lesser setting, depending on the patient. A neck tightening procedure is almost always performed with the full facelift.

Face Lift – Patient Photo 5
Notice how the cheeks are elevated to their more youthful position, and how the nasal crease is more shallow and softer.
Facelifts are a great way to restore youthful features to an aging face. Much advancement has occurred since the early days of the procedure. Exceptional results can be achieved with less discomfort and quicker recovery times. The days of a “pulled” look and a month-long recovery are long past. A facelift is not a one-size-fits-all procedure, but rather must be tailored to the unique features of each individual patient. In the right hands, it is an art and is truly Dr. Khoury’s passion.
Smartlifting™ is the newest and most exciting facelifting technique to be introduced in over 20 years. Using the SmartLipo laser, made by Cynosure, patients can now experience a laser-assisted facelifting procedure that produces better results than traditional facelift procedures, at a dramatically reduced discomfort to patients. Dr. Khoury is one of only five surgeons in the U.S. performing this technique. This combination of proven aesthetic principles with a new advanced technology provides a wide range of benefits to the patient. These include:
Learn more about this revolutionary new procedure:
If you’re interested in learning more about facial rejuvenation procedures in Denver, then we invite you to schedule a complimentary consultation with Dr. Khoury. He’ll answer all your questions, address all your concerns, and make sure you’re educated about all the options available to you.