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Facelift & Mini-Lift FAQ

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Request a Consultation One of the most dramatic options Dr. Edward J. Gross offers for facial rejuvenation is the facelift and mini-lift at his Orlando-area practice. Because he customizes each facelift procedure for each patient depending on the extent of rejuvenation needed, they may have questions about what their surgeries will involve. Here, we provide answers to some of the most common questions our Orlando patients ask about facelift and mini-lift surgery.

Dr. Gross is a double board-certified facial plastic surgeon who is committed to patient education. Request a consultation today, or call our office at (407) 333-3040.

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Case 370, Facelift / Mini-Lift in Orlando

Marsha. Facelift & Endoscopic Forehead Lift. Age 64. This patient consulted with Dr. Gross to look younger and lift her falling face and neck. Facelift and Endoscopic Forehead Lift were performed in Orlando/ Lake Mary facility with very nice results. Incisions are hidden in her hairline with the new endoscopic technique. Her After photo is shown at 3 months and her jawline is now visible. 

Case 400, Facelift in Orlando

Sally. Facelift and Neck Lift. Orlando. This patient was bothered by a sagging neck, jowls, and a 'tired look'. Dr. Gross performed Facelift, Neck lift, Lower Eyelid lift, Fat Grafting and Corner of Mouth lift. Her procedure was performed in our Lake Mary location at Primera Surgery Center and recovery was 1 week. She looks 10 years younger!

Case 259, Facelift | Mini-Lift | Orlando

Blanca. Facelift and Upper Eyelid Lift. She saw Dr. Gross in consultation for drooping cheeks, neck sagging and tired eyes. We performed Mini lift, Neck lift, and Upper eyelid lift to erase years of aging.  Her facial volume is restored with a more youthful appearance and tighter jawline. Upper eyelid is brighter and she looks 10 years younger.  Neck skin is smoother and wrinkles gone. Results shown at 3 months and Blanca is very happy with her new look.

Case 58, Facelift/Mini-Lift Case

Debbie. Age 58. Facelift, Neck Liposuction & Fat Grafting. Her after photo at 1 month demonstrates a smoother jawline and no visible scar. Dr. Gross hides the incisions in camouflaged, natural creases around the ears. Her cheeks are lifted and fuller from Fat Grafting, which is a popular treatment to enhance the surgical outcome. Fat is taken from the abdomen (belly) and injected into areas of the face that are thinning. She is very happy. Her neck is also tighter due to Dr. Gross performing a Neck lift (w/ SMAS muscle-tightening for greater support and longevity). Location: Orlando/ Lake Mary,FL

Common Questions

How will a mini lift or facelift help me?

This procedure will improve sagging facial skin, jowls, and loose neck skin by removing excess fat, tightening muscles, and redraping facial and neck skin. We mostly perform this procedure on men and women 40 and older.

How long will a mini lift take?

Dr. Gross generally completes the procedure in about 3 1/2 hours, although this varies depending on individual anatomy and complexity.

What type of anesthesia is needed for a mini lift or facelift?

We require general anesthesia for this procedure.

Do you tighten the facial muscles in a mini lift?

Yes, Dr. Gross plicates (tightens) the SMAS muscle of the cheeks and neck for longer-lasting and better cosmetic results. The neck area may also require muscle tightening, which is a neck lift or platysmaplasty. "Properly addressing the muscle layer is critical to successful outcomes in facial surgery and may be overlooked or not well understood by inexperienced surgeons," Dr. Gross says.

Are there any drains used?

Yes. We use a patented drain system from Porex®, the TLS Surgical Drainage System®. This speeds healing by removing fluid under the skin and minimizing bruising. These are removed in the office on the 2nd day after your procedure.

What is the difference between a mini lift and facelift?

The main difference is the length of the incision and degree of undermining, or skin lifting. The facelift requires more time, skin elevation, and a longer incision than the mini lift. It is generally required for older patients with more sagging in the cheeks and neck, or after a great deal of weight loss. However, both procedures address all the different tissue levels, including the underlying muscle called the SMAS.

Is the minilift or face/neck lift an inpatient or outpatient procedure?

Both of these are outpatient procedures at Primera Surgery Center. Hospitalization is not necessary.

Where are the incisions placed for the mini lift or facelift?

Dr. Gross conceals the incisions behind the ear crease and in the front of the ear crease. Attention to detail in the planning, placement, and closure of these incisions is key to a nice result.

What are the common side effects?

Temporary bruising, swelling, numbness and tenderness of skin, and a tight feeling.

What are the risks of surgery?

Injury to the nerves that control facial muscles or feeling (usually temporary). Infection and bleeding. Poor healing and excessive scarring. Asymmetry or change in hairline (uncommon).

How long is the recovery time after a mini lift?

Sutures come out in 1 week. You can go back to work in 10 to 14 days. More strenuous activity should be avoided for 2 to 3 weeks or more. Bruising should subside in 1 to 2 weeks. You must limit exposure to the sun for several months. Note: Depending on the condition of the face and neck prior to surgery, 6% to 8% of cases may require a second procedure.

How long will I enjoy my results?

Usually 10 years. Some patients enjoy their results indefinitely.

How much does a facelift or mini lift cost?

At our practice near Orlando, the cost of facelift and mini lift procedures depends on several factors, but typically ranges from $10,000 to $15,000, which includes surgical fees, anesthesia, and facility costs. You will receive a more precise quote during your consultation.

Is financing available for surgery?

Yes. Financing can be arranged through CareCredit®.

I have heard about problems and complaints with Lifestyle Lift® in Orlando. What should I know?

You should know the attorney general of New York fined Lifestyle Lift for false and deceptive advertising and that the Florida attorney general has also opened an investigation into the business practices of Lifestyle Lift in our state. There have also been several deaths from Lifestyle Lift reported around the country. View this CBS investigation video on YouTube to get the bigger picture.

What is the difference between a mini lift and a Lifestyle Lift?

There are many differences between our procedure and the Lifestyle Lift. We take the appropriate amount of time to complete each person's surgery, which is typically about 3 hours — not a "facelift in about an hour," as the Lifestyle Lift claims. Dr. Gross and other board-certified plastic surgeons do not feel that speed should be a factor when performing facial surgery and do not operate on quotas or run mills, as is done at Lifestyle Lift. Also, our surgical treatment involves elevating, tightening, and repositioning the SMAS muscle of the face and neck. Repositioning and tightening the muscles of the face, taking the time to close the tissue planes in multiple layers, and tailoring the procedure to each individual's needs results in a superior and long-lasting outcome.

"Simply pulling the skin, placing thick whip stitches (which leads to noticeable and oftentimes disfiguring scarring), and applying a one-size-fits-all approach as is done in the Lifestyle Lift leads to unhappy patients," Dr. Gross says.

Our carefully performed methods lead to superior cosmetic results, which stand the test of time, look natural, and are what our patients are seeking. We also comply with state regulations regarding ambulatory surgery and have an anesthetist monitoring the patient at all times. Lifestyle Lift does not. Our facility has all necessary emergency equipment and a crash cart and is accredited by the AAAASF. Lifestyle Lift is not. Our patients are seen in a comprehensive consultation by a doctor, using a computer imager. Lifestyle Lift does not.

Typically, a salesperson with no medical training will attempt to sign up patients for Lifestyle Lift using pressure tactics and deceptive photos. There is no substitute for meeting your surgeon and asking questions about results and risks, adds Dr. Gross. "I frequently hear that patients do not meet the doctor until the day of surgery at Lifestyle Lift," says Dr. Gross, which may explain their high (42%) dissatisfaction rate. In contrast, we take an individualized approach to each patient's care and provide the experience and support of a board-certified Facial Plastic Surgeon and a dedicated team. "Don't cut corners when it comes to your face," Dr. Gross says. It's a decision many patients (from Lifestyle Lift) have deeply regretted. From your initial visit, to your surgical result, on through to post-op care, you will have a completely different and elevated experience at Primera.

"It's never too late for facial rejuvenation!"

– Dr. Gross

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