Facial rejuvenation refers to the combination of cosmetic procedures used to restore your facial features to their previous youthful appearance. While a facelift is often the anchor or foundation for many facial rejuvenations, other procedures can complement and enhance the result. Surgical procedures such as eyelid surgery, brow lift and facial implants can help correct specific problem areas on the face. Nonsurgical treatments including fillers, neurotoxins (botulinum toxins) and fat injections can be used for volume enhancement and wrinkle and fold eradication. Laser skin resurfacing or other light modalities can be utilized to improve skin texture and correct skin blemishes or age spots.
These are the top three pros and cons to weigh when considering facial rejuvenation. If you want to focus on what is unique to you, please consult with your aesthetic plastic surgeon.
Are you a good candidate for facial rejuvenation?
The following are some common reasons why you may want to consider facial rejuvenation:
If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.
Careful planning and sequencing of procedures is necessary for facial rejuvenation. Your aesthetic plastic surgeon will determine the best order of procedures in your particular case.
After healing from the surgical component of facial rejuvenation, additional refinements can be performed during follow-up office visits.
There are multiple treatments that can be combined to give you a more youthful appearance. The procedures chosen will be tailored to your specific aging problems and concerns so that they provide you with optimal treatment.
What are the brand names for products used in treatments for facial rejuvenation?
The facelift incisions will vary, depending on the type of facelift performed. Likewise, eyelid surgery, brow lift, and facial implant surgery come with their own set of incisions. For a detailed explanation, visit these sections.
It’s important to choose your surgeon based on:
Members of the American Society for Aesthetic Plastic Surgery are experienced and qualified to perform your aesthetic procedure. Learn how to select a surgeon.
After finding a board-certified plastic surgeon in your area who is experienced in performing facial rejuvenation procedures, you will need to make an office appointment to set up your consultation. Generally, because of the in-depth nature of the consultation, there is a cost associated with the initial visit.
During your initial consultation, you will have the opportunity to discuss your cosmetic goals. Your surgeon will evaluate you as a candidate for facial rejuvenation and clarify what facial rejuvenation can do for you. Understanding your goals and medical condition, both alternative and additional treatments may be considered. (See related procedures).
You should come to the consultation prepared to discuss your complete medical history. This will include information about:
Based on your goals, physical characteristics and the surgeon’s training and experience, your surgeon will share recommendations and information with you, including:
For a general list of questions to ask your surgeon about his or her background, find out about plastic surgery safety, and to plan your procedure visit the Planning Toolkit.
To get the most benefits from your initial consultation, here is a list of questions to ask your surgeon. We developed these questions to help you:
It is important for you to take an active role in your surgery, so please use this list of questions as a starting point for your initial consultation.
Before treatment, you may be placed on a pretreatment program during which you will apply special creams, lotions, or gels to your skin for a few weeks or longer. You may also be given certain oral medications that you should begin taking prior to your treatment. Your surgeon will provide you with pretreatment instructions, answer any questions that you may have, take a detailed medical history, and perform a physical exam to determine your fitness for surgery.
In advance of your procedure, your surgeon will ask you to:
Facial rejuvenation procedures are usually performed on an outpatient basis. Be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.
What can I expect on the day of my facial rejuvenation surgery?
Your facial rejuvenation procedures may be performed in an accredited hospital, free-standing ambulatory facility, or office-based surgical suite. Most facelift procedures take at least two to three hours to complete but may take longer.
Your surgeon will discuss how long it will be before you can return to your normal level of activity and work. After surgery, you and your caregiver will receive detailed instructions about your postsurgical care, including information about:
See options for short-term recovery locations in Aftercare and Recovery (Planning Toolkit).
Immediately after facial rejuvenation
Your appearance immediately after facial rejuvenation will depend on the type of facelift performed and the number of associated treatments that are added. Your resurfaced skin may be covered with petroleum jelly or other protective ointment, and in some cases, dressings, tape or a bandage may be applied. If facelift, fat grafting, and laser surgery are combined, your face will be swollen and bruised initially but these signs of surgery will resolve over the next week to ten days and you will be able to fully appreciate the improvements that have been achieved. After neurotoxin or filler injections, the results are obvious after a few days and the associated pain is related to the specific products used.
When the anesthesia wears off, you may have some pain. If the pain is extreme or long-lasting, contact your physician. If you are concerned, contact your surgeon to find out if your pain, redness, or swelling is normal or a sign of a problem.
Recovery time frame
It is vitally important that you follow all patient care instructions provided by your surgeon. This will include information about care of drains, taking an antibiotic if prescribed, and the level and type of activity that is safe. Your surgeon will also provide detailed instructions about the normal symptoms you will experience and any potential signs of complications. It is important to realize that the amount of time it takes for recovery varies greatly among individuals.
Although it is impossible to totally reverse the pull of gravity and the natural aging process, the results of facial rejuvenation will be long lasting. The complementary procedures, filler and toxin injections, which can be repeated periodically, will help you to maintain your youthful appearance. The fat grafts are permanent and will age as you age. Laser resurfacing will have a permanent effect.
Maintain a relationship with your aesthetic plastic surgeon
For safety, as well as the most beautiful and healthy outcome, it’s important to return to your plastic surgeon's office for follow-up evaluation at prescribed times and whenever you notice any changes in your face. Do not hesitate to contact your surgeon when you have any questions or concerns.
The cost of facial rejuvenation varies from doctor to doctor and from one geographic area to another. It also depends on the number of different treatments that are combined.
These numbers only reflect the physician/surgeon fees last year and do not include fees for the surgical facility, anesthesia, medical tests, prescriptions, surgical garments or other miscellaneous costs related to this procedure.
Because facial rejuvenation procedures are considered elective, insurance does not cover these costs. Many surgeons offer patient financing plans to make the procedure more affordable.
Choose your surgeon based on quality, training, and experience—not cost.
See why ASAPS members are widely recognized for upholding the highest standards in the area of aesthetic plastic surgery by viewing their basic credentials, training, and certifications.
Fortunately, significant complications from facial rejuvenation are infrequent. Your specific risks for facial rejuvenation will be discussed during your consultation.
All surgical procedures have some degree of risk. Some of the potential complications of all surgeries are:
Other risks specific to rejuvenation are outlined below:
You can help minimize certain risks by following the advice and instructions of your board-certified plastic surgeon, both before and after your facial rejuvenation surgery.