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What You’re Afraid of – and What You Want

If you are like many others considering a facelift, we assume you have one big concern: you do not want to look fake, “plastic,” or pulled.  You want a youthful look, but don’t want to risk looking like you had “work done.”  We understand completely.  A correctly-performed facelift shouldn’t give you a new face: It should enhance your look by restoring a natural, youthful appearance to your existing features, without all the pulling. You should still look like you – just more to your liking. Dr. Siegel is a double board-certified facial plastic surgeon in Houston who understands the balance you want to strike, and knows how to achieve the look you want, mainly through an approach called deep plane facelift. You can contact our office to book a consultation with Dr. Siegel, or read on to find out more.

A Great Facelift Makes Your Features Easier to Tell Apart

Beauty requires differentiation.  That’s why a majestic house isn’t a giant box, a delicious-looking plate of food isn’t a pile of brown mush, and a breathtaking sunset requires the sun to touch the land or water.

The main goal of a facelift is to re-establish proper volume, contour and definition: to restore a smooth but distinguished jawline, and to restore certain muscles and fat compartments to their original positions on your face.  Time and gravity have a way of shifting things – and in the case of one’s face, shifting them down.  How the surgeon remedies that sagging is what determines whether you will love or hate the results – and whether you’ll look and feel refreshed and youthful or look and feel like you had plastic surgery.

A typical, traditional, disappointing facelift relies mostly on pulling skin and superficial muscle (usually back), resulting in the wind-swept, or too tight look Dr. Siegel’s application of deep plane facelift approach an his innovative Vertical Facelift™ does not involve pulling, and the results look natural and last longer.  (More on that in a moment.)

Signs a Facelift May Be Right for You

  • Your outward appearance does not match how your internal perception.
  • Non-surgical options have failed you- Botox, injectable fillers, lasers, and skin tightening devices have not given you the results you hoped for.
  • You are looking for a low-maintenance, long lasting treatment.
  • You want to look 10 years younger.
  • You are concerned with a loose, and “heavy neck”
  • When placing your fingers in the middle of your face, and pulling your tissues up and back, you think to yourself: “I only need that, and I would look so much younger.”

Beautiful Results

Before & After

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The Facelift Process

A Personal, In-Depth Consultation

The first step for undergoing a facelift is a consultation with Dr. Siegel. The amount of information available online regarding various types of facelifts can be confusing, inaccurate, and overwhelming for most patients. During your visit, Dr. Siegel will discuss with you which options are best, which are just fads, and (most importantly) what is best suited for you. During this time, he will listen to your concerns, discuss your desired outcomes, and examine the unique contours and features of your face. He will then craft a personalized option to restore your appearance to the fresh, natural, youthful, look you once had or always wanted. Dr. Siegel can generate a three-dimensional facelift “before-and-after” image so you can know what results to expect. With your input on that imaging, Dr. Siegel will work with you to make any modifications you’d like to ensure the final look is what you expect and want.

Preparing for a Facelift

Since each facelift surgery is different, the guidelines Dr. Siegel gives you to prepare for your procedure may vary.  Other pre-operative safety precautions – like staying properly hydrated and not taking medications that could interfere with anesthesia or thin the blood – are standard for all surgeries. We will provide you with a clear and comprehensive list of everything you need to do (and not do) prior to surgery.

The Facelift Procedure

Because your procedure is customized to you and your needs, the specific techniques Dr. Siegel uses for your facelift will depend on the current condition of your facial skin, the degree of sagging, drooping, jowls, creases, lines, wrinkles, excess fat, or loss of facial volume. The duration of a facelift can differ, but it typically lasts about 2 to 4 hours. Most often, Dr. Siegel will recommend the safest anesthesia options for each particular patient. Options include a combination of local anesthesia with intravenous sedation, and/ general anesthesia.

The Facelift Procedure

As each procedure is customized, the specific techniques Dr. Siegel uses for your facelift will depend on the current condition of your facial skin, the degree of sagging, drooping, jowls, creases, lines, wrinkles, excess fat, or loss of facial volume. The length of a facelift can differ, but it is typically about two to four hours. Most often, Dr. Siegel uses just twilights sedation- a combination of local anesthesia with intravenous sedation, rather than general anesthesia.

Older facelift techniques involved pulling the sagging skin, removing the excess, and repositioning it over the existing muscle structure, often resulting in an odd, over-stretched or “windswept” appearance. Dr. Siegel evolved the Vertical Facelift™ method after years of performing facelift surgeries. As gravity causes the facial tissues to descend, Dr. Siegel “re-suspends” them in a vertical, or “antigravity” direction.

Why a Deep Plane Facelift Is Probably Best for You

Dr. Siegel is one of relatively few facial surgeons (only about 5% at the moment) who perform deep plane facelifts for patients.  We describe deep plane facelifts more on this page, but we can also describe them briefly here.  It will make more sense if we first describe the main alternative:  the traditional facelift. 

Traditional Facelifts, or SMAS Facelifts 

There are several kinds of traditional facelifts: full facelift, mini facelift , lower facelift, weekend facelift, ponytail facelift, and S-type facelift (to name just a few).  But they all have one thing in common: they rely on the traditional technique for facial rejuvenation, in which the skin is separated from the underlying fibromuscular layer of the face, known as the SMAS. The SMAS is then pulled horizontally, or backwards, to reverse the signs of aging. This approach creates skin tension and leads to the distorted, pulled, “always looks surprised” appearance everyone fears.

Deep Plane Facelifts 

The deep plane facelift, devised and refined only in the last decade or so, has become the gold standard.

It allows for natural-looking results and longer-lasting results, and it requires much less recovery time.

In a deep plane facelift the skin is not separated from the SMAS. Rather, the surgeon releases key ligament groups weighing the face down, around the cheeks, jaw, and neck and moves those tissues vertically.  That counteracts the pull of gravity and recreates the natural facial contours lost in the aging process.  Because essentially the “cutting” happens at a deeper layer, the face does not look as though it is under constant tension, because it is not.  The result is a face that has both definition and a relaxed look.

Volume replacement is another advantage of the deep plane facelift.  By working under the muscle, it allows access to the fat compartments that have sagged along with the muscle. The skin, muscle and fat, can be repositioned as a single block, restoring the volume loss of the face, and a more youthful appearance. 

Natural results 

A deep plane facelift focuses mainly on the midface – the area of the face most affected by gravity. Correction of this area softens jowls and nasolabial folds (lines running from the nose to the outer chin). It also addresses the droopy fat pads of the midface – the cheeks that often look deflated or flattened because of aging

Less bruising and swelling 

Because the skin has not been separated from the underlying tissues and there is no tension placed on it, the edges where incisions have been made can heal easily and with little scarring.

It can be done as a “ponytail” facelift

The deep-plane technique, coupled with masterfully placed incisions, allow Dr. Siegel’s patients to still wear their hair in a ponytail, without worrying about visible telltale signs of facelift surgery.

A deep plane facelift is a great option even for men

More and more men are seeking plastic surgery. One should know certain factors about a male facelift to maintain not only a natural appearance, but also to avoid obvious signs of a facelift. The incisions are different from those in a female facelift. Because of the facial hair associated with men, incisions need to be designed differently, so as to camouflage the final appearance of the incisions. Dr. Siegel will modify the incision on each patient to account the unique facial hair pattern of each patient, and thus achieve incisions that blend in and are not visible to the naked eye.

No more filler fatigue

Though fillers may provide an option for volume loss as we age, fillers fill: they DO NOT lift saggy facial features. Many of Dr Siegel’s patients first came to him with “filler fatigue,” a term used when patients have grown frustrated from repeated filler treatment, only to appear over-injected but not rejuvenated. Repeated filler treatment costs also add up, often approaching or exceeding the price of a facelift.

Facelift Aftercare and Recovery: What’s Involved?

Dr. Siegel’s expertly-placed incisions – resulting in imperceptible scars, minimal use of anesthesia, and exceptional surgical skills, help you to recover far more quickly and easily than you might expect. There are many natural ways to speed facelift recovery, but typically you can expect to return to work after just a week with little to no sign of having undergone facial surgery.

Facelift FAQ's

The cost: Only about 5% of facial plastic surgeons have the technical expertise and medical experience to perform a successful deep plane facelift, and that is reflected in the price tag. A deep-plane facelift can cost almost double of a traditional facelift, depending on where you go. But in the right hands, it yields uniquely natural-looking results with minimal downtime, and results that lost about twice as long as those of a traditional facelift.

Yes.  Every patient is different.  Despite all the advantages of a deep plane facelift, sometimes one simply is not necessary to achieve a patient’s best look.  Dr. Siegel will look at your unique face and discuss your unique needs and goals with you.

Usually 40+, though everyone’s situation is different.  Most facelifts are performed on patients over 40 years old who notice facial drooping and who want a refreshed look. The most common age for a facelift is between the ages of 50 and 60. The right age for you to have a facelift will depend on your skin quality, health, and your personal aesthetic vision.

Each person is different, so is no one answer to this question. When performed properly with advanced techniques, like those Dr. Siegel uses, facelift results can last up to 15 years or even longer. You can help preserve your facelift results by taking excellent care of your skin, coming to see Dr. Siegel for follow-up appointments as necessary, and perhaps using injectable treatments to boost the rejuvenating effects of your procedure.

Because the suspension is deep in relation to the muscle, and no tension is placed on the skin, the ears will not look pulled forward.

The tragus, or cartilage in front in front of the ear, is always preserved, regardless of the type of facelift, which yields results that look natural and show no signs of surgery.

Dr. Siegel technique, experience, and expertise in facelift surgery assure tension-free skin incisions, allowing you to heal quicker and without any visible signs of surgery. This will allow you to wear your hair in a ponytail, without any tell-tale signs of surgery.

Dr. Siegel’s experience and deep plane facelift approach, requiring less injury to tissues, which obviates the need for drains, or tubes, after surgery.

Dr. Siegel’s experience and deep plane facelift approach result in a 7 – 10 day recovery, allowing patients to be seen in public at that time with minimal bruising and swelling.

Dr. Siegel’s approaches each aspect of the facelift procedure in meticulous fashion, including how incisions are designed. Dr. Siegel uses hair-sparing incisions in front and behind the ear. Your hairline will not change, so you will be able to wear your hairstyle normally.

People travel from across the US and the world for an improved look by Dr. Siegel, but many are right here in the Houston area. We often see patients from Cypress, Spring, Bellaire, Sugar Land, Fulshear, Humble, Katy, and other nearby communities. We also see many patients from other areas in Texas, including Austin, San Antonio, Dallas-Fort Worth, Midland, Odessa, to name a few. Wherever you are, we look forward to helping you achieve your best look.

July 1, 2021 Update:

Our office is open and we are following the recommended guidelines for maximum safety.

  • To make this transition as safe as possible, and to comply with physical distancing, we will be limiting the number of people in the waiting room to only one person.
  • To prevent having multiple people in the waiting room, we will space out appointments.
  • To minimize personal contact please be punctual for your appointment.
  • Please be on time for your appointment. If you are early, please wait in your car. If you are running late please call the office at 832-900-4818, so we can make proper arrangements.
  • For new patients, please fill out all your new intake forms at home. We will send you a link for registration when you make an appointment.
  • Patients must wear a mask that covers the nose and mouth when in the waiting room or walking back to the exam room.
  • If you are wearing gloves, please remove them when you arrive, we will provide you with hand sanitizer.

Please contact our office with any questions you have!

-Dr. Siegel & Staff

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