Dr. Kouli's Before and After Gallery - San Diego Cosmetic Surgery

Facelift San Diego

A facelift, or rhytidectomy, is a surgical procedure that improves visible signs of aging in the face and neck, such as:

    • Sagging in the middle of your face
    • Deep creases below the lower eyelids
    • Deep creases along the nose extending to the corner of the mouth
    • Fat that has fallen or has disappeared
    • Loss of skin tone in the lower face that creates jowls
    • Loose skin and excess fatty deposits under the chin and jaw can give even a person of normal weight the appearance of a double chin
    • The loss of youthful contours in the face can be due to a variety of factors, including heredity, gravity, environmental conditions, and stress.


The signals that cause our patients to seek a San Diego Facelift consultation:

As you age, the skin of your face and your cheek volume change significantly. This could be the effects of gravity, sun exposure or weight loss. The development of folds, skin creases and wrinkles is inevitable. A Facelift is designed to turn back the appearance of the aging face to younger appearing face. This can be performed at the same time as other procedures such as eyelid surgery, fat transfers, or forehead/brow lift.


Face lift complications:

      • Hematoma: Postoperative hematoma is the most common facelift complication. It has a reported incidence of 2–3% in women and up to 8% in men.
      • Sensory nerve injury: The terminal branches of sensory nerves to a facelift flap are routinely divided when the flap is raised. The consequence is a self-limiting paresthesia, which usually recovers completely in 6–12 months. A painful neuroma can also develop. In this area, some permanent numbness is possible.
      • Motor nerve injury: Fortunately, permanent paralysis of any degree is a rare event, and has been reported as being less than 1%.
      • Unsatisfactory scars: Scars can potentially be obvious and deforming. Excessive tension can lead to loss of hair, depigmentation and widened scars. Some scars can be improved with scar revision at a later date. Hypertrophic scars can be dealt with by steroid injection, and scar revision if necessary.
      • Alopecia: Loss of hair can occur along the incision line or within the hair-baring scalp, which has been raised as a flap.
      • Skin loss: Facelift dissection creates a large relatively thin random pattern skin flap, which is then placed under tension; it has a remarkable ability to survive. Factors, which can contribute to a vascular loss of skin, include smoking. Established skin necrosis should be dealt with conservatively; the majority of such cases will eventually heal spontaneously. Scar revision can be done at a later date.
      • Infection: Infection is reported to be rare in facelift surgery, with various series indicating an incidence of less than 1%.


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