Rejuvenate, revive and renew with a facelift in Newport Beach. Dr. Grover’s Newport Beach facelift improves the most visible signs of aging in the lower face and neck by tightening loose underlying muscles and re-draping the skin. Deep-plane, short-scar or minilift techniques are available for selected patients.
Facelifts may be performed alone or in conjunction with a brow lift, eyelid rejuvenation, rhinoplasty, and/or laser resurfacing. Endoscopic (minimally invasive surgery with camera-assistance) techniques may also be used to address the aging midface or cheeks. The procedure is performed under general anesthesia in an outpatient setting.
Dr. Grover is a meticulous and compassionate cosmetic surgeon who takes the time to fully understand his patients’ wishes and concerns and provides them with elegant, natural-looking results that restore youthfulness and vibrancy to the countenance. For these reasons, Dr. Grover is reputed amongst both patients and colleagues as performing many of the best facelifts in Newport Beach.
“I interviewed many doctors over a 2-year period about a facelift…My first meeting with Dr. Grover made me feel very confident. I liked his approach, his suggestions and his candor about what to expect… He cared that I felt confident, comfortable and clear with him and what he was going to do. More importantly, my facelift was a huge success. I look exactly as I hoped to and my recovery was quick and trouble-free. I would go to Dr. Grover again in a heartbeat.”
As men and women age, they lose elasticity in their skin. The appearance of their skin changes due to photo-aging and sun damage. As time goes on, one may develop wrinkles or rhytides, volume loss with a sunken or hollow appearance, loose skin of the lower face or jowls, and/or looseness in the neck that creates muscle or platysmal banding (turkey gobbler look). In addition to lower facial aging, potential facelift candidates often see periorbital or aging of the upper one-third of the face around the eyes.
Additionally, the brow may appear to descend. The patient might appear to have extra or excess skin on the upper and lower eyelids along with lower eyelid bags. Dr. Grover’s Orange County facelift and full facial rejuvenation can address all of these signs of aging from the top down.
A facelift addresses the lower face and neck. However, patients often times feel that a facelift involves the entire face, which procedure is more appropriately termed a full facial rejuvenation. This procedure potentially entails an endoscopic brow lift, a bilateral upper blepharoplasty to remove excess skin and/or fat from the upper eyelids, a lower eyelid blepharoplasty, and a facelift including a neck lift/platysmaplasty.
Also, some facelift patients may benefit from a mini facelift, which procedure can be performed with a short-scar technique utilizing limited incisions if there is minimal aging in the neck region.
Modern day facelifts also utilize techniques that not only redrape the overlying skin but also tighten the underlying tissues. These types of facelifts are called SMAS facelifts (superficial musculoaponeurotic system facelift) or rhytidectomy.
The SMAS is a deep fibromuscular layer that descends with age and needs to be repositioned or tightened to re-define the underlying tissues. Following tightening of the underlying tissues and muscles, one can redrape the skin in a natural way so as to obtain a very authentic and more youthful appearance. In addition to the SMAS technique, which is a biplanar technique, an extended SMAS technique or MACS lift can be utilized by plastic surgeons. MACS lift is an abbreviation for 'minimal access cranial suspension-lift' which means a minilift with vertical suspension of the sagging tissue through a small incision. This technique adds a number of advantages of a full SMAS facelift to the traditional minilift.
Results from a facelift in Orange County with Dr. Grover can take up to fifteen (15) years off of somebody’s appearance and will essentially “reset the clock” as the patient will continue to age, but will do so from a new starting point.
Dr. Grover performs facelifts utilizing general anesthesia or IV sedation with a board-certified anesthesiologist in an accredited operating room or outpatient surgery center setting. The procedure takes three to seven (3 – 7) hours to complete depending on the extent of the work performed.
Full facial rejuvenation may take five to eight (5 - 8) hours in the operating room, especially if this includes an endoscopic brow lift, a bilateral upper blepharoplasty, bilateral lower blepharoplasty, facelift, and neck lift/platysmaplasty.
The deep plane facelift is similar to the SMAS facelift, but achieves a more noticeable, natural effect. Both techniques address connective tissue and muscle layer beneath the skin, but the deep plane facelift provides further benefits. The deep plane facelift addresses a wider range of underlying tissue, including the front part of the jowls and the folds around the mouth, to achieve more significant results.
The deep plane facelift also releases the four ligaments that tie and anchor the muscle and skin tissue down, which allows the face to be more dramatically lifted and newly suspended in a natural-looking, substantial improvement.
The SMAS facelift can be thought of as “stretching” the face because parts are still anchored down by the ligaments. The deep plane facelift is a true lift and redraping effect and can address more extensive facial sagging and skin laxity.
A deep plane facelift lasts longer than the SMAS facelift, providing beneficial results for 10-15 years, and the recovery time is shorter.
For patients desiring the best facelift Orange County has to offer, having barely-visible and well-placed scars is an important aspect of the desired results. The incisions for a facelift or full facial rejuvenation are hidden in such a way that make it very unlikely that friends or family will notice the scars. It is important that the plastic surgeon not pull too tightly on the skin in order to avoid the obvious signs of a poor facelift where the earlobe cartilage is either displaced or moved forward, the end of the earlobe is pulled down and extended, or wide scars behind the ears are created. Facelift incisions should be made just underneath the sideburn so as not to raise the sideburn and leave a bald spot above the ear.
The incisions are then hidden around the confines or contours of the ears so as to become so imperceptible that even patients’ hairdressers often have difficulty observing the scars. Incisions for an endoscopic brow lift are hidden within the hair-bearing area of the scalp while the platysmaplasty or neck lift incision is obscured within the crease underneath the neck. Incisions for an upper blepharoplasty are hidden in the crease of the upper eyelids, and for the lower blepharoplasty they are strategically placed right underneath the lash line extending into the crow’s feet area.
There are times when patients may benefit from a chin augmentation to improve the neck contour and definition of the jaw line. This is performed utilizing the same incision underneath the neck or in the submental crease and is placed during the same time as the neck lift procedure.
Patients undergoing full facial rejuvenation may benefit from volume replacement, which includes autologous fat grafting which is the process of taking fat from one’s own body and placing it back within the confines of the face. In order to survive, the newly-transplanted fat needs to develop a new blood supply and it may take up to three months to determine if this has occurred.
Our Newport Beach facelift patients occasionally also benefit from improvement of the skin appearance via laser skin resurfacing. This can be done either during or following the surgery depending on the extent of the resurfacing required. Resurfacing can include laser resurfacing, fractionated laser resurfacing, chemical peels, intense pulsed light treatments, or non-invasive radiofrequency treatments.
Orange County facelift surgery patients will generally have minimal bruising or swelling following the procedure. However, they should give themselves seven to fourteen (7 - 14) days of recovery time. In order to be “party-ready” patients might need to recover post-operatively for up to twenty-one (21) days.
Patients generally only need minimal pain medication following facelift or full facial rejuvenation procedures. Final results from these facial surgeries can take up to three to six (3 - 6) months to visualize and scars may take an entire year to fully mature.
The deep plane facelift is a surgical option that lifts from beneath the layer of muscle that sits well below the skin on your face. In a deep plane facelift, the tightening of facial skin, fat and muscle occurs at a level where it will produce more dramatic and longer-lasting results.
“Deep plane” refers to the anatomical layer that sits between the SMAS layer of the face and the even deeper layer of fat and muscle under it. At this level, the ligaments that are currently holding the face in an aged, sagging or d position are released and repositioned to where they hold up the skin, fat and muscle above, in a new and more youthful position.
The deep plane facelift is often an ideal procedure for older patients with a considerable degree of laxity in the lower face, jaw and neck.
Older facelift techniques often produced an unnatural look. The skin structure was tightened over the existing muscle structure and this left the face looking “windblown” or pulled and altered the facial look in an unpleasant way.
The SMAS technique produces far superior results, as it involves reshaping the deeper facial tissue. When the deep layer is restructured, this surgical approach creates a more natural, firm, and youthful look than its predecessor techniques.
A facelift procedure typically resolves issues of the mid to lower portion of the face. This procedure removes excess skin and fat and lifts the remaining skin of the face. Some patients might also require a more extensive treatment with an added browlift and eyelid lift. The SMAS facelift surgical technique will improve sagging jowls and take ten to fifteen years off a patient’s overall facial appearance.
Most facelift procedures are performed under IV sedation or general anesthetic, as these are very intricate procedures which require enough time to tighten the deeper structure of the face.
A SMAS facelift requires about three hours to perform. If the patient wants to have a full facial rejuvenation, including a brow lift and eyelid surgery, neck lift, or other additional procedures, the surgery could require up to eight hours to complete.
The incisions used in a SMAS facelift are hidden under the ear structure in the “sideburn” area of the hairline and around the ear where they will not be visible once healed.
The care with which the procedure is performed and the skill of the surgeon are the most important factors in avoiding visible scarring or alteration of ear placement. You can trust top Orange County facelift surgeon, Dr. Grover, to be conscientious and focused on creating a beautiful result when performing this surgery.
Recovery involves some swelling and bruising, and most patients will need about seven to fourteen days of recovery time before returning to work or other activities. The incision sites require up to a year to fade completely, but during this time they are not particularly noticeable, as they exist around the ear.
Some patients have extensive symptoms of aging, with droopy eyelids, undereye bags, forehead creases, and/or excess skin and fat on the neck. Full facial rejuvenation addresses all of these issues thoroughly, including via the SMAS facelift technique. If a patient lives with exceptionally sagging skin on the face, neck, and brow, s/he may choose to undergo this more extensive surgical procedure.
Not every plastic surgeon is blessed with equal talent. While to become board certified requires an extensive education, an discerning eye for symmetry and beauty is an important aspect of the ability to perform a successful facelift.
Dr. Grover is an acclaimed plastic surgeon in Newport Beach and Orange County. He has been trained and some of the finest institutions in the country and is a past member of the Board of Trustees of the American Society for Aesthetic Plastic Surgery. He has been featured on various news outlets including Extra, Access Hollywood, BBC, and others. He has often been listed as a “Top Doctor” by U.S. News and World Report and is frequently recognized by his peers in the plastic surgery field for his exceptional surgical skills.
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