How to Speed Up Facelift Recovery

Dr. Amiya Prasad uses local anesthesia with LITE™ IV sedation

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When you think about cosmetic surgery, what often comes to mind is the facelift. For years, facelifts have been the gold standard in facial rejuvenation surgery to address sagging skin in the cheek, neck, and jawline areas. It’s generally assumed that facelifts require a long recovery process. In the past, this prolonged recovery time was afforded by predominantly wealthier people.

facelift recovery facility

Facelift was considered a surgical procedure for wealthy people due to the cost and long recovery process

 

When I was training in facial cosmetic surgery, facelifts involved general anesthesia and an overnight hospital stay. It also meant weeks of uncomfortable swelling that required large dressings and drains. While observing this process, I began thinking of ways to make facelift surgery less difficult and stressful for patients. I wanted my patients to get the most out of having a facelift procedures without compromising on quality and longevity of results. In the course of my practice, I’ve developed methods and systems, which allow my patients to enjoy an improved appearance with minimal risk and minimal downtime.

General Anesthesia vs. Local Anesthesia

One significant cause of longer facelift recovery is having general anesthesia. Under general anesthesia, a patient is completely unconscious and paralyzed which requires a breathing tube in the throat and a mechanical respirator to keep you alive. General anesthesia carries risks and complications which are specific to this type of anesthesia. Recovering from general anesthesia can be uncomfortable and prolong the recovery time

Patient on respirator during surgery

Patient under general anesthesia needs a respirator for breathing during surgery

 

In many cases, recovering from the effects of general anesthesia is more difficult than recovering from the actual surgery. After surgery, facelift patients can still suffer from the effects of general anesthesia such as nausea, vomiting, and memory loss. Oftentimes, patients are required to stay overnight at a recovery facility for monitoring and postoperative nursing care.

facial patients require extensive facial and neck bandages

Facelift patients under general anesthesia take longer recovery time and require extensive facial and neck bandages (this is not an actual patient)

 

Facelift patients often also require extensive facial and neck bandages, as well as drains that require regular dressing changes.

In my practice, I use local anesthesia with LITE™ IV sedation when performing facelift surgery. LITE™ IV sedation allows my patients to be in a relaxed state throughout the procedure. They are generally more comfortable and feel good after surgery. We perform surgery at our own operating facilities within our own office. Our facilities are managed like hospital facilities which reflects our commitment to safety, sterility and maintaining appropriate emergency equipment should the need arise.

Dr. Amiya Prasad uses local anesthesia with LITE™ IV sedation

Dr. Amiya Prasad uses local anesthesia with LITE™ IV sedation when performing facelift surgery. A light facial dressing is used and you can return home shortly after surgery

 

After surgery is completed, a light bandage is placed without the need for any drains. We typically monitor our patients for 1-2 hours before they go home. A responsible adult is necessary to accompany you going home.

What To Do After A Facelift?

Post-op care instructions involve putting antibiotic ointment where sutures are placed.

Staff attending to patient after operation

Antibiotic ointment is placed on the sutures after surgery

 

Antibiotic ointment is used for about 3 days to minimize the risk of allergic reaction to the antibiotic. A petrolatum-based ointment is used after 3 days to maintain a moist environment for optimal wound healing. Pain medication are typically not necessary. Sutures are removed after one week and patients can return to work in about a week to 2 weeks after surgery.

Antibiotic ointment

Over the counter petrolatum based ointment helps incision healing

 

Whether it’s a limited mini lift to an extended face and neck lift surgery, there is no compromise in the quality of the surgery to insure the best results. The deeper tissue often referred to as the superficial musculoaponeurotic system, is addressed the same way as any facelift procedure typically performed under general anesthesia. I perform the full range of facelifts with this approach, from short scar mini lifts with SMAS plication, SMAS flaps or imbrication as well as deep plane facelifts.

Deep plane facelift and neck lift before and after

Dr. Amiya Prasad performs different types of facelifts  such as short scar mini lifts, SMAS and deep plane facelifts

Quick Recovery Facelift

An important aspect of healing after facelift surgery is related to the length of the incision. Traditional facelifts often have longer incisions that go behind the ear and into the hair. In a procedure with a shorter scar such as a MACS facelift, the incisions can extend to the outer corner of the eyelid and be conspicuous.

Before and 1 week after short scar quick recovery facelift

Length of incision is a contributing factor to facelift surgery recovery. Quick Recovery Facelift has shorter incisions that can look good after about a week

 

Incisions for the Quick Recovery facelift are typically barely noticeable. I design the placement with you so you understand the reasons for the design and know where the incisions will be before you have your procedure.

Short Scar and Deep Plane Facelifts

The short scar facelift I perform is not a short-cut procedures. I typically choose this type of facelift for people who have minimal neck skin excess as well a people who’ve had previous facelift surgery.

Some patients are candidates for deep plane facelift surgery. The term “deep plane’ refers to a level of tissue and is a technical term. It does not mean that it’s a better procedure as is often claimed by surgeons trying to market themselves. I discuss with you the option of having a deep plane facelift and the potential benefits of this approach.

Deep plane face and neck lift before and after

Deep plane face and neck lift is a procedure more suited for patients who have significant skin laxity in the neck and under the chin

 

The type of incision is based on the specific objectives of the surgery. Generally, if there is a significant amount of excess neck skin, a face and necklift surgery is appropriate.

Face and necklift incisions are customized to the needs of the individual patient

 

Some doctors may claim to only perform deep plane facelifts exclusively, implying that they know techniques that other surgeons don’t. Surgeons who are trained formally such as through The American Board of Cosmetic Surgery are trained in the full spectrum of facelift surgery including deep plane facelift.

I  routinely use regenerative technology such as PRP or platelet rich plasma. I routinely apply a regenerative wound healing material called extracellular matrix or Acellular matrix.  This technology enhances healing so that I often see in about a month the incisions are usually virtually imperceptible.

1 month after using Acellular matrix

Regenerative medicine technology with acellular matrix enhances healing so that 1 month after the incisions can be practically unnoticeable

A Natural Aesthetic Style

A quick recovery time is important as is the aesthetic outcome. Whether it’s eyelid surgery or facelift surgery, I believe in a natural aesthetic. I strive to maintain the character of the face so my patients look like themselves after any procedure. My facelift and eyelid surgery patients often tell me how much they like looking like younger versions of themselves.

Full recovery after facelift surgery

Dr. Prasad philosophy is that facelift patients should look like younger versions of themselves

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    A New Face for the New Year!

    facelift for a new youAs is always the case with the New Year comes our New Year resolutions – for many of our patients the colder winter months and lack of major Holidays is the best time to consider their cosmetic surgery options. One of the most popular procedures is a Facelift. In recent years, partly due to the dramatic increase in nonsurgical options for facial rejuvenation, patients often are confused as to what is the best solution for them. How do nonsurgical options really compare to a facelift?

    Recovery: A short recovery time is one of the main advantages of nonsurgical treatments like BOTOX Cosmetic, injectable fillers and skin tightening lasers. These procedures can be performed on your lunch hour, taking only twenty or thirty minutes, and you can return to work–immediately after. No downtime, and little discomfort. A traditional surgical facelift, on the other hand, usually involves an overnight hospital stay with a private duty nurse. A traditional facelift can also result in a slanted or pulled look.

    For patients who seek a better alternative to other facelifting procedures available, the Quick Recovery Facelift developed by Dr. Prasad has many advantages compared to a traditional face lift. The Quick Recovery Facelift is performed under local LITE™ Anesthesia, which is safer than general anesthesia used for most face lift surgeries. The Quick Recovery Facelift produces a shorter scar as the incision is a lot smaller and does not go to the temple. Because of the way the incision is made, hair loss is minimal (if any) and the sideburn is preserved. With the Quick Recovery Facelift, the patient goes home on the same day of surgery. The Quick Recovery Facelift restores the natural relationships of the skin, tissue and muscles of the face, resulting in a natural, youthful appearance that will last long.

    Longevity Comparison of Surgical to Non Surgical Facial Rejuvenation:  Surgical facelifts give much longer-lasting results than nonsurgical treatments. A recent survey showed that 69% of facelift patients still saw significant results from their facelift over 12 years after surgery. On the other hand, nonsurgical treatments have a much shorter lifespan. From 3 months for BOTOX Cosmetic to a year for Juvederm, no nonsurgical treatment even approaches the lifespan of a facelift.

    Cost comparison:  Cost is another factor that may drive patients to select a nonsurgical treatment. People see the $12,000 average price tag for a facelift and balk, but the $500 for a BOTOX Cosmetic injection seems reasonable. But is it when you compare the costs over the lifespan of a facelift? Let’s assume that you get longer-than-average results from BOTOX Cosmetic, about four months, which means you need three sessions a year. Three sessions a year for ten years is $15,000, significantly more than the cost of a facelift. Even if you finance a facelift and end up paying more, the overall cost for the two procedures is comparable.

    Get the Best Rejuvenation for Your Face
    Another important factor in this comparison is remembering that these two procedures are not really directly comparable because they treat different symptoms of facial aging. Before making a decision, you really need a personal evaluation with Dr. Prasad to determine what is the most appropriate procedure(s) for your specific case.

    Vampire Facelift™ Video – Performed by Dr. Prasad

    New York’s Dr. Amiya Prasad explains and performs The Vampire Facelift™ on a patient. Dr. Amiya Prasad was trained by Dr. Charles Runels, inventor of the “Vampire Facelift™, and now offers his patients in New York and Long Island The Vampire Facelift™. Used to treat hollowing under eye area and cheeks losing volume with age as well as the area around the mouth, The Vampire Facelift™ is a great non-surgical solution without any downtime.

    The patient undergoes a Vampire Facelift™ performed using a combination of hyaluronic acid (such as Restylane or Juvederm) with platelet rich fibrin matrix (activated platelet rich plasma or PRP) using the Selphyl of RegenLab system in an artistic way to restore the lost volume in the face. Dr. Prasad’s Vampire Facelift™ patients enjoy natural results using their own blood that is then specially processed for use as a natural filler for the face, eyes, cheeks and mouth with immediate results and minimal bruising and swelling.

    Administered like an injectable filler, the benefit of the Vampire Facelift™ continues over time after the procedure as the growth factors in the blood stimulate the body to create collagen and new blood vessels which create a beautiful complexion to the skin and enhance the face.

    Dr. Prasad offers the Vampire Facelift™ procedure at his offices in Manhattan and Garden City, Long Island.

    To schedule a consultation with Dr. Prasad for the Vampire Facelift™, call 212-265-8877 or email contact@karldrogba.com

    Vampire Facelift (TM)

    Vampire Facelift (TM) doctors
    Drs. Charles Runels and Amiya Prasad

    I had the unique opportunity this past weekend to visit Dr. Charles Runels in beautiful Fairhope, Alabama. Dr. Runels is the creator of the famous “Vampire Facelift (TM)”. The day with Dr. Runels and his assistant Laura left me with a great impression. Many of my colleagues perceive Dr. Runels from his videos and website as being a “fringe” physician. Nothing could be further from the truth. Although his personal style (which is seen on his YouTube videos) and passionate desire to protect the quality of his creation “The Vampire Facelift (TM) can be interpreted as “strange”, my feeling is that he is an exceptionally creative and caring physician whose mission is help people live life to their fullest potential.

    He was very gracious and specific in instructing me on how to perform the Vampire Facelift (TM) which is a method to enhance areas of the face which are sunken using hyaluronic acid (such as Juvederm and Restylane) and your own blood’s growth factors (drawn like you would for a routine blood test) which are processed into something called “PRP or Platelet Rich Plasma”. This combination as designed by Dr. Runels is very safe and creates instant results with typically no downtime. The clients of Dr. Runels I met at his office were huge fans of the procedure and could not say enough about how happy they were. In unapologetic Southern style, one client said “I’d follow Dr. Runels anywhere for my Vampire Facelift!” (the accent and voice made the phrase unforgettable). The idea of using your own blood to create a youthful appearance is a concept which has great appeal to many of our clients who have heard about the “Vampire Facelift (TM) on the TV show “The Doctors”.

    My wife and I enjoyed a very educational day with Dr. Runels and Laura with only a little time to enjoy the beauty of Fairhope. We did have a wonderful dinner at Camellia Cafe with them and I have to say the service and food was on par with top Manhattan restaurants we’ve been to.

    Just in time for Halloween, the “Vampire Facelift (TM)” is now a procedure we are offering at our offices in Manhattan and Garden City, Long Island.

    Once again, I want to acknowledge Dr. Runels for his creativity and passion and thank him for his instruction and hospitality.

    Do I Need a Facelift? What Happened to Me? I Look 20 Years Older

    Dr. Amiya Prasad, author of “The Fine Art of Looking Younger” answers RealSelf.com Question:

    Q. Do I Need a Facelift? What Happened to Me? I Look 20 Years Older

    Hello.. I am 34 years old, 5″2 147lbs..I am about 20 lbs overweight, however looking at my face and all the fat concentrated on my neck looks like I am more like 50 lbs overweight…I already had a chin lipo 2 years ago. Should I get a facelift? Am I too young? my family says I am paranoid..but I see other people with beautiful jawlines specially TV anchors..My eyes are also droopy…What happened to me? How can I look younger? My skin has large pores also.

    View Dr. Prasad’s video response below.

    A. Lifestyle adjustments or facial cosmetic surgery to look younger

    You’ve described a lot of elements of what a youthful face is, and many people on television illustrate that: bright beautiful eyes and a sharp jawline makes one look young or even energetic. When you are younger and overweight, not just on the body but also in the face – due to genetics and the way the fat is distributed- can make you look older. You have choices for procedure. However, if you are 20 pounds overweight, adjustments to your lifestyle and diet will build a strong foundation for your appearance. Being in peak physical fitness and looking young goes together – basically, being healthier helps! To better define the jawline, you can opt to have facial liposuction or other procedures determined by a board certified cosmetic surgeon. If you do consider improving the appearance of the eyelids, eyelid surgery is an option.

    “Facing” the Holidays … A Pre-holiday Pick-Me-Up Can Help You Through The Busy Season!

    Plan Now to “Face” the Holidays … Here’s my Seasonal Timetable for Personal Facial Rejuvenation.  With the holiday season fast approaching, I’d like to remind you that October through mid-November as the ideal time to rejuvenate your face for the holidays – not just to look better, but because with all the emotional stress the holidays can bring, looking your best can be an incredible confidence boost.

    For many people, what should be a joyous season of fun, family and fellowship becomes a season of foreboding instead.  School plays, office parties, winter weddings, family portraits, social activities, holiday dinners, shopping, and religious events all put demands on individuals – including demands to look their best.  From mid-November through New Year’s Day, the stress-filled list of “must-attend” soirees and celebrations can feel endless.

    I see it every year.  When you become overwhelmed by these social obligations, the holiday blues can start to set in.  The result?  You start to feel tired and stressed, your confidence can slip and self-doubts can surface. Gazing in the mirror and noticing a few extra laugh lines, frown lines, puffiness in the eyes – or even slight sagging at the jaw line or neck – all of these only make the thought of socializing during the holiday season even more agonizing.

    Every year, I’ve witnessed an increase in surgical and non-surgical treatments during this time of year – and, for a lot of reasons, this is a good thing.  Men and women want to present their ‘best’ at this time of year, and each year thousands of them realize that – when facing activities they are obligated to attend, they want the added confidence that a facial rejuvenation procedure delivers.

    However, if you are considering a facial rejuvenation, scheduling the procedure well in advance of the holiday is important, both to allow full healing and to let the added self-confidence that naturally comes with a facial rejuvenation procedure to “sink in.”

    You can’t wait until the night before the family photo or party to have a botox, restylane or other injectible procedure, much less a facelift.

    To assist you in planning ahead, I have developed a timeline for scheduling your cosmetic appointments, leaving a sufficient time to recuperate, and to prepare for a successful and enjoyable holiday season.   You can learn more about these procedures at: www.prasadcosmeticsurgery.com

    Facelifts – Forget the Six-week Healing Process

    The healing process for a traditional facelift takes up to 6 weeks – sometimes longer. However, with the minimally-invasive surgical techniques I have pioneered, the recuperation time for my natural-appearance facelift is diminished considerably – generally to 2-to-3 weeks.

    Four Weeks Before The Event

    If you are looking for a Sculptra session to fill in the minor fatty tissues that, when lost result in wrinkles, or if you want to minimize wrinkles with the Pelleve process, book these treatments at least four weeks before your first event.

    Two Weeks Out

    Even just a few weeks before the festivities begin, eyelid rejuvenation, cheek implants, brow lifts, and fractional CO2 laser treatment– which lessens the visibility of wrinkles, scars and discoloration – can be performed, and recovery completed.  Book these no later than two weeks before your first event.

    One Week and Counting!

    With just a week to go, either a light chemical peel – or the use of injectibles – is the best way to combat those laugh and frown lines. There are many types of injectibles, each targeting a different part of the face. Botox focuses on the brow bone area and around the eye, fighting frown lines found between the eyebrows. Restylane is used for diminishing wrinkles and replenishing areas lacking firmness.  Juvederm is used for reducing wrinkles and used as a filler for facial areas and lips.  Finally, Radiesse is also used for lessening wrinkles. Injectibles should be given a week before you expect to see effective results.

    If you want to have a successful, relaxed and beautiful holiday, plan now to rejuvenate your face, roll back the clock and experience the beauty that is waiting to be revealed.
    Dr. Amiya Prasad (www.prasadcosmeticsurgery.com) is a pre-eminent Manhattan and New York area facial cosmetic surgeon with offices in Park Avenue Manhattan and Garden City Long Island.  He is the author of the forthcoming beauty guide, “The Fine Art of Looking Younger – A Leading Cosmetic Surgeon’s Guide to Long Lasting Beauty.”