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Facelift & Neck Lift

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Toronto plastic surgeon Dr. Derek Ford performs facelift and neck lift to address the numerous age-related changes that affect these areas. Wrinkles, lines, loss of volume, and skin and muscle laxity all combine to create the look we associate with an aging face. Face and neck lift address these concerns in a comprehensive way, one that goes beyond skin tightening. Today's techniques reshape the face and neck and create a more youthful, streamlined facial contour by tightening the underlying muscles of the face.

A Facelift Specialist

Dr. Ford has trained with several of the world's most renowned pioneers in facial surgery and endoscopic techniques, and can offer numerous less-invasive options. He also teaches facelift surgery at the University of Toronto, so he remains at the forefront of research and technology. He uses a customized approach for each patient, adjusting the details of each surgery to create the precise result that each person desires.

If you are interested in a neck or facelift, request a consultation online with Dr. Ford, or call our Toronto office at (416) 925-7337 or our Oshawa office at (905) 743-9888 to schedule your appointment.

Patient Results

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See the possibilities of Dr. Ford's work for yourself when you visit our gallery of real patient before‐and‐after photos. *Your results may vary.

View Before & After Photo Gallery

Dr. Ford uses a customized approach for each patient, adjusting the details of each surgery to create the precise result that each person desires.

Derek Ford, MD FRCSC

Working hard to keep himself and his practice on the leading edge of aesthetic medicine. Learn more about what sets him apart.

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Introduction and Indications

"Facelift" refers to an operation that's used to correct face and neck changes which occur with aging. These changes include:

  • Folds, wrinkles, discoloration, and thinning of the skin
  • Deepening of natural facial creases including the tear trough, nasolabial folds, and marionette lines
  • Drooping of soft tissue, particularly the lower cheeks and neck
  • Loss of volume in the upper two‐thirds of the face, resulting in hollow‐looking cheeks
  • Widening of the neck and jawline, resulting in the formation of jowls and neck fullness
  • Laxity of the platysma muscle, which creates neck bands

Face and neck lift surgeries are often performed together for more comprehensive results. Fat grafting or filler injections can complement the procedure, as well, restoring volume to sunken cheeks, hollows around the eyes, and other areas.

Combining Eyelid Surgery With Your Facelift

Because aging often affects more than the lower face, many patients choose to combine their facelift and neck lift procedures with eyelid surgery. This procedure, which may be performed on the upper eyelids, lower eyelids, or both, restores a refreshed, more youthful look to the upper face.

  • Tightens lax eyelid skin and muscle
  • Reduces pockets of fat that develop around the eyes
  • Softens puffy under‐eye bags

Together, a facelift, neck lift, and eyelid surgery provide a more comprehensive facial rejuvenation. Dr. Ford may also recommend a brow lift to extend the improvements up to the hairline. Combining procedures reduces exposure to anesthetic, overall costs, and recovery time (compared with having each procedure performed separately).

Assessment

Your consultation is an opportunity for Dr. Ford to get to know you and your expectations to determine the proper course of treatment. It's important to identify whether you have a history of high blood pressure or use any medications or supplements that can contribute to bleeding. These factors can cause complications during or after surgery. If you smoke, Dr. Ford advises you to stop at least 3 weeks before surgery as the habit can impair your body's natural healing functions and cause excessive scarring. Additionally, hormone replacement therapy can increase the risk of blood clots, so you may also need to temporarily stop those medications at least 3 weeks before surgery.

Dr. Ford recommends coming to your consultation with old photographs of yourself. With these, he can assess your entire face in different positions, noting natural asymmetries and pre‐existing weakness. He may recommend fat grafting to augment a thin face. He may also recommend skin enhancement treatments or products, as facelift does not address the texture and quality of the skin.

See What's Possible

Our practice offers Crisalix, a way for patients to preview their results in 3-D. This adds a tangible, visual element to your planning process, giving you and Dr. Ford a common, beautiful goal.

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Procedure

Because Dr. Ford offers so many advanced options for facelift surgery, it's difficult to provide an accurate overview of the surgery online. In some cases, Dr. Ford may recommend an endoscopic midface lift — a less invasive option which focuses on the middle region of the face. This option is often performed while the patient is under local anesthesia with sedation.

In a typical face and neck lift, Dr. Ford makes an incision around the ears and just behind the hairline. He tightens the underlying muscles including deeper layer of the face called the SMAS. This aims to restore a more youthful, heart‐shaped face rather than the square or bottom‐heavy look of the aging face. He removes excess skin in a conservative fashion, and avoids creating tension, which can inhibit optimal healing.

Recuperating After Surgery

Patients undergoing a full facelift usually stay overnight for maximum safety and comfort. After your facelift, it's common to feel a sensation of tightness and itchiness, especially near your incisions. This is normal and will resolve over the course of a few days. Because of the complex vascular structures in the face, bruising and swelling are common. Therefore, while you may feel physically well enough to return to some of your regular activities, you may still feel too self‐conscious to be in social situations. Dr. Ford prescribes pain medication and may also provide you with a topical ointment to keep your incisions clean and soft while they heal.

Dr. Ford advises facelift patients to keep their heads upright as much as possible, even while sleeping, for the first 2 weeks after surgery. Bending, heavy lifting, and strenuous exercise should also be avoided for at least 2 weeks. As you heal, Dr. Ford will advise you on gradually resuming these activities.

Face and Neck Lift Considerations

Face and neck lift surgeries are complex procedures which require a good deal of care. However, when performed by a trained professional, such as Dr. Ford, these surgeries are exceedingly safe. By following Dr. Ford's care instructions before and after surgery, you can ensure a safe and comfortable process and results that last for years.

Facelift & Neck Lift FAQ

How much does a face and neck lift cost?

Dr. Ford prices a combined face and neck lift at $14,080.

The price for a face and neck lift with lower blepharoplasty is $18,440, a face and neck lift with upper blepharoplasty is $16,260 and a face and neck lift with upper & lower blepharoplasty costs $20,620.

* Prices exclude taxes

Am I the right age for a facelift?

Age matters less than the degree of sagging skin when assessing whether you're a good candidate for a facelift. Genetics and a range of lifestyle factors determine the rate at which we age. In general, most facelift patients come to us in their late 40s and 50s, but both younger and older men and women can also benefit.

How long do the results last?

Because a facelift and neck lift actually tighten and reposition the tissues and muscles, the results can last for many years — but remember that the aging process continues after surgery. Think of it this way: Plastic surgery can turn back the clock, but it doesn't stop it.

Should I be concerned about scars?

Dr. Ford is careful to make incisions that result in very discreet scars. Few people, if any, will notice them once you have healed. And because of the scar placement, you won't even have to style your hair differently to conceal them.

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Derek T. Ford, MD, FRCSC