The gold standard in dramatic age reversal has long been the facelift, which lifts and tightens the entire face. The aged and saggy skin, muscle and fat are repositioned to restore a youthful and refreshed look. Lines, wrinkles, bags and droopiness are all addressed. Chicago plastic surgeon, Dr. Karol Gutowski, believes in a more realistic, natural-looking facelift and works closely with the patient to achieve the desired look. The ultimate goal of the facelift is to erase years off of the patient’s face and restore lost confidence without the face appearing overly tight or worked on.
"I feel natural, and I can't put a price tag on how I feel with self confidence - After having 4 kids naturally I was uncomfortable with how my body looked. Nursing had depleted my breasts and my belly button still stuck out like I was 9 months pregnant. My husband and I agree that my body needed some attention. I needed a breast augmentation and surgery to push my belly button back in. After an intensive research process which also included 4 in-person consultations in..."- B. / RealSelf / May 28, 2017
"Wouldn't go to anyone else - I saw Dr Gutowski in the Champaign office. He is awesome. He listens to you and what you are wanting to acheive. I have always had a hollowness under my eyes and it has gotten worse with age and medical problems. He gave me Radiesse under my eyes. He has a special technique that gets the filler where it needs to be with very little pain. It looks great! I also had Restylane Lyft for lip..."- S. / RealSelf / Aug 25, 2017
"Breast Implant Revision - Honestly, if you are looking for the best, look no further because I can’t recommend him enough!!"- L. / RealSelf / Jun 11, 2017
"Best PS in Illinois - Chicago, IL - After consulting 4 other doctors I knew my search was over when I met Dr. Gutowski. His bedside manners were impeccable, he asked the right questions, was realistic with me, and kept me informed the whole time. I knew my case wouldn't be easy because I have a pre-existing condition that causes Chronic Anemia. For my story to be a success I needed a PS who excels at what he does, and 4 weeks..."- X. / RealSelf / Jun 08, 2017
"Couldn't be happier! - Could not be more grateful that I choose Dr. Gutowski to perform my explant. Long story short...I have always wanted breast implants and then one day decided to do it. However, they came out bigger than what I had wanted and after 3 years and just couldn't do it anymore. Hard to sleep, workout, breathe..just wanted them out. I chose Dr. Gutowski because I felt comfortable with him and his..."- L. / RealSelf / Jun 04, 2017
The technique used during a facelift is dependent on the patient’s facial features and conditions. Most surgeons will always aim for the less invasive technique, but some patient cases are severe and will require internal tissues, fat and skin to be manipulated. Patients must also understand the procedure in detail, including the level of invasiveness, placement of incisions, what layers of tissues will be corrected, and what risks may be associated with the surgery before moving forward.
Also referred to as the cutaneous facelift, this technique removes excess and loose skin to create a tightened look. The remaining skin is repositioned to lift sagging cheeks and jowls. It also improves the profile along the jaw line. With this facelift technique, the muscles or fat tissues are left untouched. As the treatment focuses on the skin only, recovery is quick. This is ideal for those who still have good tone muscle and distribution of fat, but find the skin losing elasticity in some areas.
Traditional Facelift (SMAS)
SMAS is the superficial musculo-aponeurotic system, which is a muscle complex that is primarily active when it comes to facial expression. With normal wear-and-tear due to age, gravity and personal habits, muscle tissue loses its form and becomes displaced significantly for those over 50. This particular facelift is considered the standard when it comes to this cosmetic procedure. With lengthy incisions on the side of the face, from the temple to the lower hairline behind the ear, the skin will be peeled and lifted to reshape contours. If there is excess fat and skin, these will also be removed.
Deep Plane Lift
For those who have severe cases of drooping and skin folds that are normal with aging and extensive sun exposure, a deep plane lift may be the best approach. This is especially true for those whose facial profiles need extensive reshaping on areas that typically have the volume and tight contours. This involves a highly specialized skill set and the plastic surgeon must be carefully selected as the nature of procedure has a high chance of damage to the facial nerves.
Also called as a short-scar facelift because of the shorter incisions made, a mini lift is a quick treatment that corrects the middle and lower face. Many patients initially consider this technique, but this doesn’t correct any severe issues and usually renders short-term results. Patients who undergo this procedure are most likely to also stage a full facelift as a final step to fully rejuvenate and reshape the face to its youthful curves.
All facelift procedures are performed in an accredited surgical facility with general anesthesia. Even though this is considered an outpatient procedure, there are some cases where the patient stays overnight for monitoring. It is normal to experience bruising and swelling after the surgery, and patients will feel as if their face is being pulled tight. This subsides within a couple of weeks. Optimal results will be evident after several months. It is important that activities are limited to help create a safe and quick healing.
Plan Your Procedure
- Procedure Recovery Location
Cosmetic surgery is constantly evolving and always finding ways to minimize the invasiveness of procedures. There are countless options that are considered less invasive than a facelift, including wrinkle relaxers such as BOTOX®, injectable fillers, microdermabrasion and chemical/laser peels. These alternatives aim to correct signs of aging such as wrinkles, as well flatten and soften folds and contours. The effects, while effective, are often short-term lasting about 6 months to a year. Although these procedures can be safely repeated, for some, a facelift may be a better, more permanent option.
Immediately following a facelift procedure, the patient will feel tightness and a pulling sensation. This is normal as the facial tissues, skin and muscle adjust to their new positions. It is important to choose a reputable plastic surgeon that has years of experience in facial cosmetic surgery. A doctor with experience in facial surgery will create natural, smooth results that will last for years to come.
A tradional facelift requires a long cut from the temple to the lower hairline, but the scars will be well concealed within the hairline and natural creases on the face. With the lesser invasive techniques, the scars heal pretty well and will almost be completely invisible to the naked eye.
Anyone can consider a facelift as soon as evidence of aging starts taking a toll on the skin. Generally, patients who are age 50 to 70 consider a facelift. Personal habits and environmental conditions can impact the skin and there are patients who are only 40 that are also good candidates for a facelift.