Facial aging is a process that happens in all structures of the face, not only the skin. As science evolves, we are noting aging in the underlying fat, facial muscles and facial skeleton. The signs of aging become more and more apparent as time goes by and they are usually reflected in the skin first. There are a multitude of treatments to help improve the signs of aging starting with good skin care. This is something we believe should be instituted in our children from a very young age such as diligent use of sunblock. Skin care routines consisting of cleansing, exfoliating and moisturizing should be taught to teenagers and so on. The treatment of facial aging gradually turns more invasive as the underlying facial structures begin to change.

About the procedure

A facelift is an invasive procedure that aims to redirect the way the facial muscles are suspended on the aging face. The main objective is to alleviate “jowling” and re-drape the skin of the midface in a natural appearing direction. It is not meant to simply pull the skin back towards the ears. Re-suspending the facial muscles should restore fullness to the midface while gently improving the jawline. Below you will find before and after pictures of patients who underwent a Facelift. Make sure to read the comments as all patients are unique in their anatomy and requests. Since facial aging is greatly impacted by loss of fullness (losing facial fat), fat transfer is an adjunct procedure which is performed before, during and after a facelift.

What to expect during a Facelift consultation

During your consultation for a Facelift, you will initially meet with a medical assistant who will review the paperwork you fill out containing a full medical history. This is important information that will be used to determine whether you are a good operative candidate. Next, you will be able to discuss your observations and goals with Dr. Cocco, who will in turn give you an honest opinion and help you understand your options. This initial meeting should treated as a two-way interview. It is just as important that you agree and understand the recommendations given to you, as Dr. Cocco must feel she understands your expectations and is confident she can help you achieve your goals. Once a full understanding between doctor and patient is reached, a proposal will be generated and the decision to proceed with surgery will be made jointly.

What to expect after setting a surgery date

Details of the surgical process, such as instructions before and after surgery, informed consent, surgery center requirements and financial obligations will be fully discussed 10 days to a few weeks before surgery. Our medical assistant will schedule a preoperative visit where written instructions are given, consent forms signed, and pictures are taken to help Dr. Cocco prepare herself for the procedure. During the preoperative appointment Dr. Cocco will answer all your questions. As a patient, we want you to feel positive about your upcoming surgery, including being comfortable with your surgeon and confident of your decision to move forward.

What to expect after Facelift surgery

Everybody heals at different rates and this is different, even from side to side. Rest assured, the aftercare will be personally directed by Dr. Cocco. There will be a series of postoperative appointments scheduled for the following year and it is important that you follow all instructions for optimal healing. Even though the results will be immediately appreciated, it takes time for the swelling to subside and the processes of scaring in the skin to fully mature. Sometimes garments are used to help guide the way the tissues heal. We will direct you in performing lymphatic massage so that the skin redrapes evenly over the face and jawline. We are happy to take you through the process and look forward to meeting you in consultation.

To find out if you are a candidate for this procedure, contact our office to make an appointment to be evaluated in person and given a professional opinion.

Dr. Cocco | Jennyfer Cocco, MD

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