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Facelift Washington, DC

FaceliftA facelift, or rhytidectomy, is a surgical procedure to improve visual signs of aging of the face and neck. As people age, the skin and muscles of the face region begin to lose tone. A facelift improves the sagging facial skin, jowls, and loose neck skin by lifting the soft tissues.

Dr. Olding is well-known internationally for his natural-looking facelifts and his ability to analyze each patient to provide an individualized rather than “cookie-cutter” approach. He takes the time to discuss and evaluate your goals and allows adequate time for your questions, as his initial consults last usually one hour. He likes to review old photos of you from 10, 20, 30, 40, etc. years ago to evaluate the aging effects on your face and the skin, which bears the brunt of damage because of the ultraviolet light effects of sun exposure.

For some patients it is appropriate to be performed in conjunction with other procedures, such as fat injections, a brow lift, or eyelid surgery. Dr. Olding will work with you to decide whether a facelift is the right surgical procedure for you. In some cases, non-surgical techniques may enable you to postpone your procedure for years.

I don’t look old and tired so I don’t feel old and tired

A week after my facelift I was working in the yard when two women walked by. They asked “What happened to the lady who lived here?” I told them it was me – I’ve lived here for 35 years. One woman said, “Oh, it must have been your mother.” I have felt more energetic too. I don’t look old and tired so I don’t feel old and tired. Thank you Dr. Olding for changing my life at the age of 69!
Janice S.

Surgery is performed in most cases on an “in-and-out surgery” basis, and in most cases the patient breathes “on their own” without the use of an endotracheal tube (a tube that passes below the vocal cords).

The “lift” of the face and neck is just that. A thin layer of tissue beneath the skin and fat called the “SMAS” is elevated up (rather than pulled back). The skin, muscles and other tissue essentially “come along for the ride.” This creates a more “natural,” not artificial look, because there is no tension on the skin.

The skin is then re-draped and “cut along the dotted lines” under no tension, and therefore the scar is almost invisible. Because this deeper tissue (the SMAS) is not exposed to the harmful ill-effects of the sun, the result lasts much longer than any tension applied to the skin (which has lost elasticity due to the sun and aging).

Patients either spend the night at their own home or a local hotel. Arrangements are made in advance for out-of-town and international patients. Someone must spend the first night with the patient. That individual can be a nurse arranged through our office, or a responsible family member or friend. All facelift patients are seen the next day when the dressings are removed as well as any drains. Patients begin showering the next day, and suture removal starts the next office visit.

Most patients are able to socialize comfortably after 2 to 3 weeks, but that varies greatly depending upon how easily you bruise.

Dr. Olding asks that you not increase your heart rate or blood pressure (which increases bruising and prolongs the recovery period and possible bleeding) for two weeks postoperatively. That means no working out for two weeks!

Results typically last 7-10 years.

Patients experience temporary bruising, swelling, numbness, and skin dryness or tenderness. Potential complications include nerve injury (which is usually temporary), infection, bleeding, scarring, asymmetry or change in hairline, skin loss, or hair loss.

Patients interested in cosmetic facial surgery relating to aging, please bring with you any photos of yourself 5, 10, 15 or 20 years past, so Dr. Olding may see the changes in your face. Please also look at the list of all medications and supplements you may not take 2 weeks prior to your surgery.

Before & After
Before & After

* Individual results may vary.

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View before-and-after pictures of real patients of Michael Olding

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Additional Facial Procedures