Yes, you will always need some type of maintenance after pretty much any kind of surgery.  Specifically for facelift, it’s important to realize that you need to take care of your skin and overall body after surgery.  The biggest things that help maintain your  long-term results after facelift surgery are-

–  excellent  facial skin care

–  small maintenance procedures, including Botox and dermal fillers

–  monitoring of your facelift incisions for up to 18 months after your procedure

Facial skin care is an absolute must after surgery.  This includes sunscreen, prescription grade skin care, such as Obagi, as well as chemical peel, IPL, dermabrasion,  and laser resurfacing.  Although your facelift is the gold standard for facial rejuvenation, your skin will continue to age.  It’s important to be pro-active and protect your skin with treatments that work.

Avoiding sun exposure, smoking, the tanning bed, and  wound healing diseases are also ways to improve your long-term results.  Sun will increase wrinkling, as well as smoking and indoor tanning.  I would recommend a tan from a bottle, because it’s safer than actual skin darkening.

Despite facelift surgery, your facial muscles will come back.  Botox is very useful for avoiding the wrinkles that may come back in the forehead muscles, the crows’ feet areas, and the muscles between the eyebrows.  If you continue to lose facial volume despite a facelift, then you may also need some type of dermal filler for your cheek areas as well.

Scars usually heal, or mature, over a 6-18 month period.  Even though you may feel that your face is healed, you may still need to monitor your facelift incisions over a long period of time to ensure that they heal well.  If you scar is less than 18 months old, then non-surgical treatment will usually help the scar look better.  If you ignore your unsightly scar, and come for a consultation to your plastic surgeon for revision, then he/ she may recommend cutting out the scar, as opposed to an easier non-surgical treatment.  Generally, non-surgical treatment of your scar only works while the scar is still maturing, and not after the scar has fully healed.

If you’d like more information on getting a facelift in San Francisco, please go to my web page at

To schedule a consultation to learn more about the benefits of having a facelift, San Francisco residents can contact Caroline, my Patient Care Coordinator, at or 415 362 1846.


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