One of the best ways to rejuvenate and restore a patient’s appearance is through a facelift, which is also one of the most popular cosmetic surgeries. A facelift involves removing excessive facial skin and fat and repositioning the skin so that it’s tighter and smoother for an overall more youthful look. The cosmetic surgeons of Cosmetic Surgery Affiliates in Oklahoma City, Dr. Erik Nuveen and Dr. Courtney Caplin, use this procedure to address neck folds, severe lines and wrinkles, sagging jowls and loosened skin. With the best possible outcome, some patients can look as much as 10 years younger following surgery.
"Dr. Nuveen is a very talented, skilled and caring surgeon. My face and neck look wonderful; not to much and not to little. He and his staff are very experienced, thorough, and supportive. I am so happy with my results and thankful I selected Dr. Nuveen and the CSA facility."- A.L. / Google / May 07, 2015
"What a great experience, I was nervous and Dr. Nuveen and his wonderful staff made me feel comfortable and at ease. I had the smart lift and I could not believe the differences in just one week. The Dr. and his staff answer all your questions even the ones you yourself don't think to ask. I HAD THE BEST CARE... I could not be happier with my results. Better then even I imagined they would be. WOW again what a great experience."- H.F. / Google / Dec 08, 2014
"This is the place to go for ANY cosmetic procedure. I couldn't be happier. From the moment I entered the office door all the way through my 3 post-op visits, I was treated with respect and dignity. NEVER was I pushed into any decision---after expressing what I was unhappy with about my face, Dr. Nuveen accessed the face and had recommendations that were left entirely for me to decide upon. His staff personnel presented several options for prices and payment again with absolutely no pressure. The day of surgery, those gals made sure I was comfortable and we just laughed and a good time. Dr. Nuveen has a very soft voice , is polite and very professional. His knowledge and surgical expertise is well documented and cannot be disputed. I am estactic with the results of my face lift--I look 10 to 15 years younger--the pictures prove it. Do not go anyway to have any cosmetic surgery except to Dr. Nuveen."- Anonymous / RateMDs / Feb 02, 2016
"Dr. Courtney Caplin is the best. My experience with her is one I treasure. I have been getting Botox for years, but her approach was perfect. I feel more confident about my looks after visiting Dr. Caplin. I've never been a fan of fillers, but I am in love with my cheekbones and lips. Plus, I feel like it looks natural. No duck face here. She is about quality, not quantity. I can't recommend her enough."- C.F. / Google / Jul 28, 2016
"I'm 10 days post-op full face/necklift with laser resurfacing and lip silikon filler. I couldn't be happier!!! Dr. Nuveen is the most caring and compassionate person ever imaginable. Over the weekend I had access to his cell phone in case I had questions or apprehension about my healing! HE'S THE BEST!!!!"- Anonymous / RateMDs / Oct 10, 2013
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)@headingTag>
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@headingTag>
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.
Depending on the technique used and the invasiveness of the surgery, the fees vary. Less invasive facelifts can average between $4,600 to $6,500. For patients whose surgical goals also include treatment of the neck area, the price is closer to $7,500.
Plan Your Procedure
- Procedure Recovery Location
What is a facelift?@headingTag>
A facelift is a cosmetic procedure that aims to correct and improve several areas of the face and neck. The procedure elevates the midface (the cheeks), improves the lower face jowls, and defines the neck. Dr. Nuveen and Dr. Caplin commonly use fat transfer to help augment and fill certain areas that the facelift may not address. The facelift does not improve the quality or the texture of the skin. For these issues, Dr. Nuveen and Dr. Caplin may recommend a laser skin resurfacing.
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 traditional 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.
Limitations to a facelift?@headingTag>
Unfortunately, a facelift cannot stop the aging process. A facelift does not change the quality or texture of the skin. A facelift, can, however, give the patient a more freshened and rested appearance.
It is rare to have complications after a facelift performed by Dr. Nuveen and Dr. Caplin. However, this is a surgical procedure and things can occur. Some of the potential complications associated with a facelift procedure are bleeding, scarring, infection, nerve injury, and poor healing. Dr. Nuveen and Dr. Caplin will discuss these with you in consultation.
Will Insurance Pay?@headingTag>
Insurance will not cover facelift surgery.
Are the Results Permanent?@headingTag>
It depends on your definition of permanent! Yes, the results will stay with you forever. But, as you know, the aging process will not stop after a facelift. That being said, you will always look younger after your facelift than if you had never had one before. It is difficult to say how long the facelift will last, since everyone ages differently.
Can I resume sexual activity?@headingTag>
You can resume your sexual activities as tolerated.
What about bruising?@headingTag>
Some bruising is normal following any surgical procedure. Once again, ice is strongly recommended to reduce bruising. If you have excessive or very dark bruising, you should contact our office or your physician if outside of normal business hours.
How do I schedule a follow-up?@headingTag>
You can call the office to schedule a follow-up appointment. We typically like to see patients at 24 hours, 2 weeks, 1 month, 3 months and 6 months following surgery.
When can I exercise?@headingTag>
You can increase your activity as tolerated but no heavy lifting or running for at least two weeks after surgery. Golden Rule: if it hurts, don’t do it. Allow your body time to heal.
Can't have a bowel movement?@headingTag>
Pain medication can cause constipation. We suggest purchasing an over the counter stool softener to assist in regularity (Colace or Dulcolax). Take one with each meal until you are finished taking narcotic pain medications. If this is not productive in 24 hours, take one quarter of a bottle of Magnesium Citrate.