face-procedures

Facelift Surgery

Facelift surgery encompasses the following procedures:

  • Lower Face and Neck Lift
  • Midface and Cheek Rejuvenation
  • Fat Transfer

Undoubtedly, the most powerful and resilient rejuvenation of the face and neck is accomplished through surgery. A lower face and neck lift restores youthfulness through careful repositioning of your natural facial volume. Excess skin is removed in a balanced fashion to create a natural esthetic that avoids an overdone appearance.

Volume loss from the midface is common and accentuates aging around the eyes. A midface lift repositions your existing facial soft tissue onto the cheekbones to restore vitality to this part of the face.

Fat taken from the abdomen and flanks is often injected in small amounts to permanently replace lost volume. This is done at the same time as the mid and lower facelift procedures to drastically improve the result.

The Facelift Procedure

RESTORE VITALITY & YOUTHFULNESS

A natural and balanced appearance is restored to the aging face by repositioning and enhancing the natural facial volume along with removal of excess, sagging skin. Vertical bands, loose skin and fullness beneath the chin are also corrected to define the jaw and neckline. Facelift procedures are often combined with eyelid and brow procedures to achieve complete facial rejuvenation. The goal is to make you look younger and refreshed, not overdone.

What to Expect

All procedures are done in a balanced and natural esthetic.

Consultation

The facelift consultation focuses on creating a personalized treatment plan that addresses your goals and fulfills your expectations. With the knowledge that each individual is unique, non-surgical as well as surgical options will be discussed. Often, the chosen plan will combine both approaches. My goal is for you to have full confidence in your decision to make the change you have always imagined.

Surgery

Surgery is performed at an accredited surgery center in Newport Beach, California, USA. Under the care of a Board Certified Anesthesiologist, general anesthesia (fully asleep) is used to ensure maximal comfort and safety.

The incisions for a lower face and neck lift are hidden in the natural contours of the ear and hairline. They gradually fade with time at which point they are nearly imperceptible. For adequate contouring of the neck, a small incision is made in the natural crease beneath the chin, which is also unnoticeable during daily conversation.

PRE-OPERATIVE GUIDANCE

1. Stop all Aspirin, Motrin, Aleve, Fish Oil, Supplements with Omega 3, Ginger, Garlic, Ginkgo Biloba and Turmeric – as these will thin the blood and complicate the surgery. You may take Tylenol as needed.
2. Medications – please notify us of any medications or supplements that you take regularly so that we may advise you appropriately.
3. Please fill all prescriptions prior to surgery so that they may be started immediately upon returning home.
4. Please no recreational drug use or smoking 4 weeks prior to and after the surgery.
5. Please have lab work completed 1-2 weeks prior to surgery.
6. Contact us immediately if you have any change in your health between your pre-operative visit and the surgery date.
7. Arrange for a driver to pick you up from the surgery center. Uber or Lyft are not acceptable. The driver does not have to remain onsite during surgery. they will be called when you are ready to be discharged from the recovery unit.
8. Make sure you have a responsible adult stay with you for the first 24-48 hours following surgery – this is for your safety.
9. DO NOT EAT OR DRINK AFTER MIDNIGHT THE NIGHT BEFORE SURGERY.

Visualizing the volumetric breast change on your own body can be invaluable to the surgical planning process! The Mentor™ 3D Breast Simulator app will facilitate the creation of a “wish picture” prior to your pre-operative visit and works best for augmentation and/or lift procedures. Simply take three pictures as instructed and begin simulating the desired look of your new breasts. When finished, you can securely send your photos to us at info@donaldmowldsmd.com.

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1. Take a shower using anti-bacterial soap – No lotions, hair products, powders, perfumes or makeup.
2. Wear loose comfortable clothing to the surgery center. We recommend wearing zip-up or button-up shirts and loose, comfortable pants.
3. Female patients will be given a urine pregnancy test at the surgery center.

We are here to help you through your recovery. Please do not hesitate to call our office.

Recovery

Patients are monitored overnight at the surgery center to ensure comfort and are discharged home the following morning. The procedure is generally well tolerated with minimal reported discomfort. Your sutures are removed painlessly in the office one week following the procedure. My patients are back to light activity the week following surgery.

POST-OPERATIVE GUIDANCE

1. Prescriptions provided at your pre-operative appointment should be filled prior to surgery and started when you arrive home. Take the first antibiotic dose at dinner time.
2. Please take a daily stool softener (e.g. Colace) or laxative (e.g. Senokot) while taking the pain medication. Stop if stools become loose.
3. Do not take Aspirin, Motrin, Aleve or herbal medications as these interfere with your blood’s ability to clot.
4. Bruising is a normal part of surgery. Over-the-counter Arnica can help expedite its resolution.
5. If you had eyelid surgery, you may temporarily have trouble closing your eyes while you sleep. Apply over the counter artificial tears before bed and as needed for irritation. Also, apply ice cold compresses to the eyes at 20-minute intervals for the first 24 hours following surgery.
6. Continue to remain hydrated following the surgery.
7. Resume your regular diet, there are no restrictions; however, soft foods may be more comfortable for the first couple of days. If you become nauseous, carbonated beverages and crackers may help settle the stomach. Zofran (Ondansetron) will be prescribed and can be taken as well.
8. Make sure you have a responsible adult stay with you for the first 24-48 hours following surgery – this is for your safety.
9. Do not remove the dressings. They will be removed at your first post-operative appointment. If they fall off prior to your first visit, please call the office to arrange an earlier visit.
10. DO NOT WEAR GLASSES OR SUNGLASSES UNITL CLEARED BY DR. MOWLDS.
11. You may wash your body from the neck down. Do not get your dressings wet.
12. Ambulate throughout the day to prevent blood clots in your legs.
13. Do not lift anything heavier than a purse and no pushing, pulling, exercise or any activity that may raise your blood pressure until cleared.
14. No smoking – this inhibits wound healing, causing undesirable complications.
15. Driving – Do not drive or perform any tasks that require coordination or judgement until cleared.
16. Please call the office if you experience fever, chills, increased pain, wound drainage or if you have any concerns. Our office hours are Monday-Thursday 9am-4pm and Friday 9am-12pm. To reach me after hours, please call the office and follow the prompts.

Results

The results are intended to be long-lasting provided patients maintain a healthy lifestyle and adhere to a comprehensive skin care regimen.

FAQs

No two patients are the same and there is no minimum age for a facelift. The most important aspect to consider is the result you are trying to achieve and the magnitude of the correction required to achieve that goal. If there is appreciable overall facial skin laxity, non-surgical options will often disappoint.

In 2018 I published an article along with colleague and friend Val Lambros, MD, which demonstrating that filler placed in the cheek does not result in a longitudinal “pull” on the lower face. As such, filler cannot be considered a reliable substitute for a surgical facelift.

Energy-based devices deliver heat to the skin and its underlying components, stimulating collagen remodeling and tightening. While these do produce a temporary and subtle improvement in perceived skin tightness, they do not “subtract” skin from the face. Patient’s intuitively understand this notion. These devices are a useful adjunct to a surgical facelift, however not a replacement.

Request Consultation

FACELIFT SURGERY

Receive an in-depth consultation where we will thoroughly review your goals to personalize a plan focused on a natural and aesthetic result. Dr. Donald S. Mowlds, MD is located in beautiful Newport Beach, CA but is also available via a virtual consultation for out-of-town patients.

Facial Procedures

Before & After

Stunning, natural results from patients.

Facial Procedures

All procedures are done in a balanced and natural esthetic.

A lower face and neck lift restores youthfulness through careful repositioning of your natural facial volume. Excess skin is removed in a balanced fashion to create a natural esthetic that avoids an overdone appearance.

Liposculpture uses various liposuction techniques to address the excess fat tissue of the neck, jowls and chin to provide an enhanced contour. The targeted approach that liposuction affords is unparalleled and results in customized contouring of the neck and jaw. Mild skin laxity is also improved during the healing process following liposuction.

A surgical as well as non-surgical rhinoplasty “nose job” should be performed in harmony with the patient’s existing facial contours and ethnicity, creating the most natural result. We will devise a comprehensive plan that balances the objectives with your natural facial features in order to achieve a beautiful, long-lasting result.

The chin is the centerpiece of the lower face and as such conveys excess or deficiency in this area. A chin augmentation utilizes a small silicone implant placed through a discrete incision to create a more balanced profile and structure to the jaw and lower face.

Excess skin and fat naturally accumulate in the eyelid as we age. Commonly referred to as bagginess, patients are uniformly displeased with the aged and fatigued look that this extra tissue conveys.

Eyebrow lifts reposition the eyebrows to the ideal location, refreshing the upper eye region. Brow lift surgery is often combined with upper eyelid surgery, or blepharoplasty, to achieve a maximal rejuvenation in this area.

Ear rejuvenation aims to restore a natural, symmetric and aesthetic appearance to the ears. Abnormally shaped ears can be inherited at birth and cause distress throughout the adolescent years and beyond.

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Services & Procedures

All procedures are done in a balanced and natural esthetic.