The Facelift, also known as a Rhytidectomy, is a cosmetic surgery procedure designed to raise sagging tissues of the jowls, jawline, and neck. The muscles and skin is tightened to restore a refreshed appearance in both men and women. While tissues of the face are still subject to the effects of aging and gravity, the results from a Rhytidectomy will be long lasting. The Facelift can provide a more refreshed appearance, including facial rejuvenation, though it is not meant to completely alter the looks.
To prolong a youthful appearance and display a more energetic look, Renu Artful Medicine offers patients an array of surgical and non-surgical eye rejuvenation procedures. One of the most transformative surgeries is blepharoplasty, commonly called eyelid lift surgery, performed by Dr. Philip Schoenfeld of the Washington, D.C. suburb, Chevy Chase, MD.
The procedure does not address the top 1/3 of the face, so for optimal results, the Facelift may need to be paired with a complementary procedure, such as the Brow lift, Eyelid Surgery, or Liposuction of the neck.
Tissues of the cheeks, jaw, and neck will often begin to lose their elasticity with age, migrating downward on the face. One of the first noticeable signs of aging, these lax tissues can betray how good we may feel on the inside. Drooping skin and deep creases may make the appearance look frustrated, unhappy, and even unhealthy.
Confidence and self-esteem can be deeply affected by these changes in appearance. While the loss of tight skin and tissue is simply a part of the normal aging process, these changes can be further complicated by smoking, sun damage, dramatic weight loss, and illness.
Both men and women, looking to improve the look of lax facial tissue, can benefit from the Facelift procedure in Washington DC:
An initial consultation appointment will be scheduled with Dr. Schoenfeld, prior to setting up the Rhytidectomy procedure. During this visit, the patient will have time to get to know the surgeon, discuess their medical history, and learn if they are a good candidate for facelift.
Conversely, Dr. Schoenfeld will take a moment to listen to the patient’s needs and aesthetic desires. He will perform an exam of the facial tissues, review the medical history, and review all current medications. Dr. Schoenfeld will clearly explain the facelift techniques, as well as the other surgical and noninvasive options for facial rejuvenation. If the facelift is determined to the best procedure for an individual situation, a personalized surgical plan will be created.
The exact cost of the Facelift procedure will be established at the consultation. During the appointment, a patient coordinator will further review the payment choices in depth.
Dr. Schoenfeld’s Facelift procedure will take between three and six hours to complete, under I.V. sedation or general anesthesia. An overnight hospital stay is not always necessary, but may be recommended to increase patient comfort, before beginning the healing process at home.
He will begin the facelift surgery by making several meticulously placed incisions at the temple, then running down in front of the ear and behind the tragus to camouflage the incision. The incision will then be tucked under the ear lobe and then follow the crease behind the ear before entering into the hair behind the ear. Dr. Schoenfeld will then gently separate the skin from the underlying tissues.
The main pull on the facial tissues will be placed on the tissue layer beneath the skin called the SMAS (Subcutaneous Muscular Aponeurotic System). Placing the tension on this tissue layer avoids the “Facelift” appearance that people associate with a facelift, and provides long lasting, natural results. He will excise the unneeded tissues; lifting and tightening the remaining muscle, SMAS, and skin.
Finally, Dr. Schoenfeld will suture the tissue in place using two or three layers of suture so that the wounds heal appropriately and to keep the tissues in place.
This technique is also referred to as a Minimal Incision Facelift or Weekend Facelift. The procedure does not provide the extensive results seen with a traditional procedure, however the Mini Facelift has a short recovery period of about one week. Less pain and discomfort will be experienced, as well. This technique is well suited for patients in their 40s and 50s.
The SMAS – The Subcutaneous Muscular Aponuerotic Facial System (SMAS) is an area of facial muscle tissue. The SMAS is comprised of fibrous extensions connected to the upper two layers of the skin; all which move together as a single unit. As the facial tissues age, the SMAS will slowly glide downward, contributing to the sagging, drooping tissues.
Taking from one to two hours, the Mini Facelift is usually performed under local anesthesia and IV sedation. Dr. Schoenfeld will begin by making a small incision along the front of the ear, hidden within natural facial contours. Through these areas, a small amount of skin can be raised to allow for access to deeper tissues. Excess skin will be excised after the SMAS is lifted and sutured into place.
The SMAS technique is used to create tension within the deep facial tissues. For long lasting results, this will be suspended in an upward direction with permanent sutures, while removable stitches are used to close the incisions.
A deep plane facelift is an advanced surgical procedure designed to provide natural and long-lasting results in facial rejuvenation. Unlike traditional facelift techniques that primarily address the superficial layers of the face, a deep plane facelift targets the deeper layers of facial tissue.
During a deep plane facelift, the surgeon carefully lifts and repositions the underlying muscles and connective tissues of the face, allowing for comprehensive rejuvenation of the midface, jowls, and neck. This technique effectively addresses sagging skin, deep wrinkles, and loss of volume, resulting in a more youthful and refreshed appearance.
One of the key advantages of a deep plane facelift is its ability to create natural-looking outcomes. By repositioning the deeper layers of tissue, the procedure avoids the “pulled” or overly tight appearance associated with traditional facelifts. Instead, the deep plane technique restores facial contours, smooths wrinkles, and improves overall facial harmony, allowing patients to enjoy a revitalized and more youthful aesthetic.
The Rhytidectomy is one of the most well known plastic surgery procedures; it has been performed for many decades. A refinement of techniques and advances in medicine make today’s Rhytidectomy safer and more effective than ever before. The modern Rhytidectomy can provide consistent, satisfying results. As it is an invasive procedure, a small chance for complications is always present. These can include excessive bleeding, scarring, infection, nerve damage, and facial asymmetry.
Patients must take care to only trust their appearance to a respected and experienced cosmetic surgeon. Dr. Philip Schoenfeld is considered one of the top Rhytidectomy providers in the country. He is Board Certified by the American Board of Plastic Surgery, performing the facelift for over 20 years.
The facelift recovery period will depend on the technique used. Swelling and bruising are common; these will slowly resolve over the first two to three weeks. Keeping the head elevated, and intermittently applying icepacks, can be used to effectively reduce swelling. Detailed post-operative instructions will be given at the consultation appointment. Patients should read these over carefully.
Any questions that arise should be asked prior to the day of surgery. It is vital for patients to commit to stop smoking for at least one week prior to the Facelift procedure, and at least four weeks afterward. Cigarettes can impact circulation, cause delayed wound healing, and weather tissues of the face.
Immediately after surgery, two small drains may be placed to prevent an accumulation of fluid and blood under the skin. Full facelift bandages are worn on the face for the first 24 hours; this is then swapped out for a smaller dressing to be worn for the next week. Significant swelling and bruising will occur after a traditional Facelift.
Discomfort is mild, and Dr. Schoenfeld will prescribe the appropriate pain medications to keep patients resting comfortably during the healing process. Temporary tightness and numbness may also be experienced, lasting for the first several months.
A week after surgery, at the second follow-up visit, Dr. Schoenfeld will remove the bandages and sutures. Patients are normally feeling well enough to return to work or school in about two weeks.
A deep plane facelift is an advanced surgical procedure designed to provide natural and long-lasting results in facial rejuvenation. Unlike traditional facelift techniques that primarily address the superficial layers of the face, a deep plane facelift targets the deeper layers of facial tissue.
During a deep plane facelift, the surgeon carefully lifts and repositions the underlying muscles and connective tissues of the face, allowing for comprehensive rejuvenation of the midface, jowls, and neck. This technique effectively addresses sagging skin, deep wrinkles, and loss of volume, resulting in a more youthful and refreshed appearance.
One of the key advantages of a deep plane facelift is its ability to create natural-looking outcomes. By repositioning the deeper layers of tissue, the procedure avoids the “pulled” or overly tight appearance associated with traditional facelifts. Instead, the deep plane technique restores facial contours, smooths wrinkles, and improves overall facial harmony, allowing patients to enjoy a revitalized and more youthful aesthetic.
Renu by Dr. Schoenfeld is located in the heart of Washington, DC, Chevy Chase, and Maryland. The office is an easy commute from nearby Bethesda, Baltimore, and Washington D.C. For those people traveling from outside of the area, Renu MedSpa is also located close to several major airports. Contact the office at 301.652.7368 with your Facelift questions, or to schedule a consultation appointment with Dr. Schoenfeld.
Dr. Schoenfeld’s facelift will take between two and four hours to perform, depending on the exact technique and level of correction required. The exact amount of time for your procedure will vary based on specific technique utilized and whether it’s performed in conjunction with other procedures.
Philip S. Schoenfeld, M.D., F.A.C.S.
Dr. Schoenfeld is founder and Medical Director of Renu by Dr. Schoenfeld. Double board certified in Otolaryngology, Head and Neck Surgery and Facial Plastic and Reconstructive Surgery, he has been practicing facial plastic and reconstructive surgery in Washington DC and Maryland since 1998.
Dr. Schoenfeld received his undergraduate degree from Hobart College where he majored in Chemistry and minored in Religious Studies. He was a member of Sigma Chi fraternity and played lacrosse. He received his Medical degree from New York Medical College and did his residency training at the world renowned Walter Reed Army Medical Center. Dr. Schoenfeld served 10 years in the U.S Army, five of which were with the 82nd Airborne Division and as Chief of the Department of Otolaryngology and Facial Plastic Surgery at Fort Bragg, NC.
As a highly experienced double board certified plastic surgeon, I have dedicated my career to providing my patients with the best possible outcomes. I’ve specialized in facial plastic, reconstructive and cosmetic surgery in Washington DC and Maryland since 1998. My training and experience have given me a deep understanding of the anatomy of the face and body, and I use this knowledge to develop customized treatment plans for each of my patients.
I am committed to staying up to date with the latest advances in plastic surgery, and I use state-of-the-art technology and techniques to deliver the best results. I take a personalized approach to care, taking the time to understand each patient’s individual needs and goals.
When you choose me as your plastic surgeon, you can trust that you will receive the highest quality care and attention. I am dedicated to helping my patients achieve their desired results, and I will work with you every step of the way to ensure your complete satisfaction.
Here is what separates Dr. Schoenfeld from other surgeons in the DMV area:
