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Top 5 Things To Know If Considering A Facelift

Top 5 Things To Know If Considering A Facelift

Who is a good candidate for a facelift?

The modern facelift is a combination of a number of procedures tailored specifically to each patient’s degree of facial aging and their desired results. Good candidates come in all varieties. They range in age from the 40s to the 80s, and are both male and female. The best candidates have good skin quality.  Pre-operative skincare is helpful in achieving the best results. The worst candidates are smokers or those with excessive sun damage resulting in exaggerated lines about and the mouth and eyelids. Their results will be compromised by the quality of their skin.

What can be expected during a consultation?

A good idea of the patient’s expectations can be gleaned at the time of consultation, and our goals are to achieve and exceed those expectations. If pre-surgical therapies with either cosmeceuticals or laser treatments are appropriate or if there are overlying medical circumstances that need to be corrected prior to any surgical procedures, that discussion takes place at the time of consultation. Depending on a patient’s health history, a visit to the patient’s local physician may be appropriate for surgical clearance.

How is the surgery performed? How long does it take?

The surgery is generally accomplished on an outpatient basis in our accredited operating theaters under general anesthesia, which is provided by board-certified anesthesiologists. They rotate through our office on a regular basis. Some procedures can be done with local anesthesia and sedation if the patient so desires. The time necessary for the procedure can vary from three to five hours depending on all the maneuvers that may be required to achieve optimal results.

Where are the incisions and what kind of scarring should be expected?

Incisions are hidden both at and above the hairline and are tailored according to the position and nature of the amount of skin resection anticipated. Frequently, short scar facelifts are carried out in which the scar in the area behind the ear is limited in length. This is desirable when minimal amounts of skin need resection. At the same time, scars are also tailored for males vs females as the hair-bearing skin on the male face cannot be brought around the areas of the external canal of the ear as it is on females.

Scars fade over time. We have laser and Intense Pulse Light Devices that are able to fade them more quickly, and hair-bearing skin found in inappropriate areas can also be treated for hair removal with laser therapies. In general, it is only with significant scrutiny that the post-operative scars can be found after the healing period is complete.

Can other procedures be done at the same time as a facelift?

Other procedures are often combined with facelifts. Most commonly, upper and lower eyelid surgeries, called blepharoplasties, can be combined. In addition, brows can be lifted at the same time and this has advantage in that only one healing period is necessary.


   Before                                  After

Here are some quick examples of procedures completed

Facelift-Pre-Op-01-Virginia-Beach-Plastic-Surgery-VA-Cooley-Lisa Facelift-Post-Op-01-Virginia-Beach-Plastic-Surgery-VA-Cooley-Lisa


  • Lisa Turner
    Lisa Turner

    Hands down this is the most amazing plastic surgery office! No haggling and Dr. Jacobs will not perform a surgery if the scar exceeds the benefit. His words exactly which is exactly what I want to know ahead of time not after the surgery is done. Dr. Jacobs is a phenomenal surgeon and I trust him 150%. Felecia his nurse is as wonderful as Dr. Jacobs!!

  • I visited Dr. Johnathan Jacob's Office to see about getting a Lipoma removed from my upper left shoulder. After meeting Dr. Jacob's he discussed with me what needed to be done to remove it. I was very happy with the surgery and how good a surgeon he is. I was very satisfied with the procedure and the outcome. I was happy with his staff also they took good care of me. ???

  • Karolyn Lea
    Karolyn Lea

    I am very pleased with Dr. Alspaugh and staff. I appreciate his honesty and his ability to give good advice. He was very professional and made sure I was comfortable. I’m looking forward to working hard and encouraged to start on this new journey to improve my look and my health...all in one. He’s so amazing.

  • Charity Wilder
    Charity Wilder

    Felicia is the absolute BEST. If you enjoy the feeling when people say, “You look too young to have a 19 year old.” Then book an appointment with Felicia immediately. She’s the sweetest human being on the planet and excellent at her job.

  • Love the staff!! They are so friendly and take time with you to really listen to your needs. Highly recommend!!

  • Julie Jackson
    Julie Jackson

    'My experiences at Associates in Plastic Surgery have all been outstanding. I have been a patient for more than 10 years. Dr. John Alspaugh is pleasant, patient and very informative. He listens to you and your concerns. I am always very happy with the results. Cheryl, his nurse is amazing! Go see her! She is sweet and knowledgeable. She eases my nerves and answers all of my questions and concerns. She even makes me laugh. Wonderful, caring staff.