Dr. Holcomb and Dr. Salzman will use the facelift technique that is most appropriate for each patient. Common concerns include skin laxity of the face and neck, heavy skin folds near the mouth, jowls, fullness under the chin, prominent neck bands, and volume loss in the midface area. A well-executed facelift procedure will address each of these concerns if present.
Facelift Surgery | Holcomb Kreithen Plastic Surgery
The facelift procedure begins with contouring of the neck, jawline, and area under the chin. Some patients may require only minimally-invasive neck contouring, requiring only a needle puncture for traditional (cold) laser-assisted or radiofrequency-assisted liposuction, while others need to have contouring of the platysma muscle (platysmaplasty) to reduce the appearance prominent bands at the front of the neck. Many patients need both liposuction and platysmaplasty to achieve the best results. Dr. Holcomb has extensive experience in radiofrequency assisted facelift and neck lift with both laser lipolysis (co-developer of AccuLift procedure) and radiofrequency assisted lipolysis (RFAL).
Both procedures can be used as standalone neck contouring procedures, but are frequently used in conjunction with facelift surgery. Next, a vertical facelift of the mobile SMAS is performed. This is the most contemporary and effective approach that can effectively lift and sharpen the jawline while also softening the marionette and smile folds. It also mobilzes volume upwards into the mid-face while reducing volume in the lower face to bring back the heart-shaped contour reminiscent of youth. At Holcomb - Kreithen Plastic Surgery and Medspa, facelift procedures are typically performed in our AAAASF-accredited outpatient surgical facility under IV sedation. General anesthesia is not required.
If you have jowls that are easily visible and partially obscuring your jawline when you look in the mirror while standing or sitting, try looking with a hand mirror while lying on the bed or sofa. What happens? In many people, this results in the jowls moving upwards into the lower face and backward toward the ears so that the jawline is magically restored to a youthful state.
Guess what position patients are in during facelift surgery? If you guessed flat (supine), you are correct. So, in this position, the jowls are simply not visible in many cases. They have temporarily migrated up into the face, where surgeons do not perform traditional liposuction. So what happens to the jowls? If you have a facelift procedure that doesn’t directly address the jowls, the jawline will generally look better right after surgery, but over time, and often sooner than later, the jowls will become apparent again — even if the skin is relatively tight across the jawline.
A vertical facelift is done by marking and then placing an incision along the hairline and around the ears to access the SMAS (superficial musculoaponeurotic system). The ligaments are then released, and the tissues are lifted vertically as one unit. Once everything is placed, the incisions are then closed. By lifting the deep tissue vertically, your surgeon can address the sagging cheeks, lower face, and neck all at once, resulting in a much more natural and youthful look.
Unlike traditional facelifts that target superficial layers, the deep plane facelift delves into the deeper structural components of the face. This advanced procedure achieves a refined and more youthful appearance by addressing sagging muscles and connective tissues.
With their extensive experience in facial plastic surgery, Dr. Holcomb and Dr. Salzman excel in providing significant results, particularly in areas such as the cheeks, nasal region, and neck. Working beneath the superficial muscular aponeurotic system (SMAS) layer, their approach offers patients a refreshed look with potentially minimized visible signs of surgery.
The deep plane facelift's focus on the deeper facial structures sets it apart from traditional methods. While a facelift mainly addresses the skin and superficial muscular aponeurotic system (SMAS) layer, the deep plane technique repositions the skin and muscles, resulting in a more natural appearance and longer-lasting results. This technique especially benefits individuals seeking a rejuvenated mid-face area, including improvements around the cheeks and nasolabial folds.
Facelift Surgery | Holcomb Kreithen Plastic Surgery
Dr. J. David Holcomb, M.D. is a double board-certified facial plastic and cosmetic laser surgeon (American Board of Facial Plastic and Reconstructive Surgery, American Board of Otolaryngology) who has practiced in Sarasota, Florida since 2000. Dr. Holcomb is recognized as a Castle Connolly Regional Top Doctor for the specialty of plastic surgery (cosmetic and reconstructive facial surgery, laser surgery).
In addition to laser surgery, Dr. Holcomb specializes in cosmetic surgery of the face and nose including brow lifts, eyelid surgery, facelifts, neck contouring, rhinoplasty, and otoplasty. He is frequently asked to perform revision cosmetic surgery. Dr. Holcomb has more than twenty years of surgical experience. Currently a member of the Florida Medical Association, Dr. Holcomb is a past president of the Sarasota County Medical Society and of the Florida Society of Facial Plastic and Reconstructive Surgery and has received numerous accolades.
Dr. Marc Salzman is a board certified plastic surgeon who has been practicing for over 30 years. He is originally from Miami, FL. He completed his Undergraduate studies at the University of Florida where he was a Presidents’ Honor roll student and was selected to both Phi Beta Kappa and Phi Kappa Phi honor societies. He holds a patent for the development of the Ouchless Needle®.
He is a member of ASPS and the Aesthetic Society, where he is regularly asked to present his expertise in Plastic Surgery at both national meetings of ASPS and The Aesthetic Society.
If your facial skin has lost a significant amount of its elasticity, you could be a good candidate for a facelift. Ideal candidates for the procedure should meet the following requirements:
A facelift can provide all of the following benefits:
During your consultation at Holcomb - Kreithen Plastic Surgery for a facelift, our board-certified plastic surgeons, specializing in facial rejuvenation, will conduct an expert evaluation. During a detailed assessment, Dr. Holcomb or Dr. Salzman will assess your facial anatomy, skin quality, and muscle tone. This evaluation is complemented by an in-depth discussion where your surgeon will listen attentively to your aesthetic goals, understand your motivations for seeking a facelift, and address any questions or concerns.
You’ll also receive comprehensive education and guidance about the facelift procedure, including:
This information empowers you to make confident decisions about your treatment journey. If you're considering alternative treatments or additional procedures, such as a neck or brow lift or non-surgical enhancements, these options will be discussed to create a comprehensive approach to facial rejuvenation.
At HK Plastic Surgery, the cost of a facelift ranges from $8000-$19,000. Please note: Each plan is customized to individual situations and includes facility fees, IV sedation, medication, and post-operative appointments.
Schedule an appointment with the doctor to discuss the details of your surgery, and he will provide a customized plan and quote for you.
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