Facial aging is
the direct result of loss of skin
elasticity and tone. Visible signs
of aging most readily noticeable include
bags around the eyes, droopiness of
the upper eyelids, sinking of the
eyebrows, and loss of definition around
the jaw and neck line. A facelift
in conjunction with eyelid and brow
surgery (blepharoplasty and brow lift)
addresses these visible signs of aging
and can create a dramatic difference
in the way you look. Dr. Lee’s
goal in doing facial rejuvenation
surgery is not to radically change
your appearance but to restore the
skin, fat, and bony definition to
your face as they appeared at a younger
age. The emphasis here is the idea
of redistributing facial anatomy and
structures to their original youthful
position. Many of Dr. Lee’s
patients comment that their friends
have noticed a positive difference
in their appearance but their friends
are not able to tell exactly what
has changed. Patients are often asked,
“Have you taken a vacation?
You look so much more rested and happy”.
The goal here is to make you look
more youthful without altering your
A facelift, eyelid,
and brow surgery involve making small
incisions within your hairline (for
brow lifting), in the creases around
your upper and lower eyelids (for
eyelid surgery), and just in front
of and behind your ears (for the facelift).
These are known as “access”
incisions to gain entrance into areas
where structures require repositioning.
(Figure A1, A2) (Figure B1, B2, B3)
Once the structures are freed up through
careful surgical dissection, they
are repositioned and suspended using
sutures and also by removal of excess
skin and fat. Once healed, the incision
lines are well-concealed in the hairline
and natural contours of your eyelid
is a highly individualized procedure.
Therefore, Dr. Lee will make recommendations
regarding the need for facelift, eyelid
surgery, facial implants, and brow
lifting by examining your overall
facial appearance, effects of aging,
and skin condition.
can be an outpatient procedure. However,
many individuals choose to stay overnight
at the surgical center under direct
nursing care. Dr. Lee will see you
on the day after surgery to examine
the suture line and your overall progress.
Sutures are removed at 5 days and
at 10 days after surgery. Bruising
and swelling will be most evident
within the first 10 days.
Dr. Lee's postoperative
instructions for face lift
- Swelling and
black-and-blue discoloration around
the eyes, face, and neck are likely
to occur following surgery. It is
usually the worst between 48 hours
to 72 hours following surgery. This
is not a cause for worry. The swelling
and bruising will go away in around
7-10 days after surgery.
- Your suture line
is in the upper and lower eyelids
and around the front and back of
your ears. These areas may have
some crusting and or slight amount
of bleeding. You can clean the areas
around the ears with peroxide and
Q-tip once daily. Apply Neosporin
lightly over the incision in front
of and back of your ears once daily
for 7 days following surgery.
- Dr. Lee will
place a bandage and a neck-compression
strap over your face on the first
day after surgery. You can take
this bandage off in 48 hours and
shower. After the shower, you can
dab everything dry and wear the
neck-compression strap over your
neck and head. The rest of your
incisions can be left open to air.
- Take medications
as directed. Do not take aspirin,
anti-inflammatory medications (Motrin,
Ibuprofen, Alleve) or Vitamin E
supplements for 2 weeks after surgery.
- There may be
areas on your face which are numb
or tingly. This is normal during
the early postoperative period.
Do not apply heat or cold pack directly
on your face as you may obtain a
burn from the extreme heat or cold.
- Your eyes may
tear frequently. This is OK. This
is a sign of dryness and irritation
to your eyes. Use of artificial
tears may help this problem. You
may also experience blurry vision
early after surgery. This is usually
due to the lubricant which was put
in your eyes during surgery. If
you experience, loss of vision,
contact the office immediately and
have Dr. Lee paged.
- If you experience
sudden swelling in one area of your
face or neck or if you experience
difficulty breathing, call Dr. Lee
- No driving while
under narcotic medications for pain.
- Ask Dr. Lee in
your first follow-up visit regarding
going back to work.
- You should sleep
on your back with your head elevated
on 2 pillows for 1 week following
- Avoid alcohol
or cigarette smoking for at least
3 weeks following surgery.
- Call and make
a follow-up appointment for 5 days
- Apply cold packs
to your eyes to help with the swelling.
Check every 15 minutes to make sure
that your skin is OK. Check the
temperature of your skin with your
finger tips. Since surgery may cause
numbness around your eyelids, extreme
cold can cause burns to the eyelid
- You can sponge
bathe your body and face.
- Keep your incisions
out of the sun. Sun exposure will
make your scars red, raised, and
persistently irritated for a long
period of time. Make every effort
to avoid the sun for up to 1 year
following surgery. You can cover
up the incision with sun screen
(SPF 15 or above) or clothing.
- You may return
to normal activity and exercise
at 3 weeks following surgery.
- If you are constipated,
take over-the-counter laxatives.
You do not want to strain over the
toilet. This may lead to your blood
pressure rising and cause bleeding.
- Call with any
questions or concerns. Dr. Lee is
available through the office phone
number 24/7. Don’t ever feel
badly about calling.
For a facelift in Newport Beach, Orange County California contact this board certified plastic surgeon.