Seattle Facelift - Sam Naficy, MD - Face lift, Neck lift, Eyelid lift, Brow lift in Seattle, WA



 
Naficy Plastic Surgery & Rejuvenation Center


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Announcement

"Patients' Choice Award" by Vitals.com

Dr. Sam Naficy has been awarded the "Patients' Choice Award" by Vitals.com - a website dedicated to rating the quality of physicians across the country. Out of 720,000 physicians, only 5% received this honor.


Announcement

FACE LIFT RECOVERY

Seattle, WA - Face lift recovery. Most patients are pleasantly surprised to hear that recovery from a facelift can be quite brief. Seattle facial plastic surgery expert, Dr. Sam Naficy, performs a number of innovative and minimally-invasive face lift and neck lift procedures with recovery times as brief as just a few days. Read more about the recovery here......


Announcement

THE FEATHERLIFT TECHNIQUE - As seen on Oprah

Seattle, WA - Facial plastic surgery without the scalpel!?
See how you can turn back years in just minutes with the exciting Featherlift procedure. "The Featherlift (also known as Feather lift, Thread lift, Suspension lift, and Contour lift) is quicker and more predictable than Thermage", states the Seattle Plastic Surgeon. "Combined with Botox, Restylane, Fat injections, or Sculptra, you can get the younger face you want without the down-time or expense of facial plastic surgery." Read more about the Featherlift procedure......


Announcement

DR. SAM NAFICY VOTED TOP FACIAL PLASTIC SURGEON

Seattle, WA - Face lift, neck lift specialist.
Voted "Top Doctor" by his medical peers in facial plastic surgery
Seattle Magazine


Facelift & Neck Lift

How do the face and neck age?

As we age, our skin loses its elasticity and gives in to gravity. This causes sagging of the neck and jaw line as well as loose folds of skin around the mouth. Some people may also develop fatty collections under the chin, and others get thick cords under the skin of the neck. Today, men and women in their 50s and 60s are healthier, more active, and more productive than ever before. More and more people are choosing to age gracefully by setting back the clock a few years through facial cosmetic surgery. The truth is that most people seeking facial cosmetic surgery want to look better, but they don't want to look radically different. We also feel strongly that the outcome of facial cosmetic surgery should be very natural in appearance. A great result is both in what you see and what you don't see.

What can a facelift and neck lift achieve?

A facelift (or face lift) and neck lift can reverse many features of the aging face and neck. The most dramatic improvement is seen in the jaw-line and the neck. A facelift (or face lift) may be combined with other procedures to help maintain facial balance and harmony.


Before upper and lower blepharoplasty, face and neck lift, neck liposuction, lip augmentation
Before

After upper and lower blepharoplasty, face and neck lift, neck liposuction, lip augmentation
After


Before upper and lower blepharoplasty, face and neck lift, neck liposuction, lip augmentation
Before

After upper and lower blepharoplasty, face and neck lift, neck liposuction, lip augmentation
After
Upper and lower blepharoplasty, face and neck lift, neck liposuction, and lip augmentation by Sam Naficy, MD, Seattle, WA

How is the surgery performed?

Incisions are typically made in hidden locations around the ears, in the temple, and behind the ears. Following this step, the skin is carefully elevated from the lower face and neck region and the muscles of the face and neck are tightened to produce a natural, long-lasting effect (deep plane facelift). Older facelift techniques, did not involve this critical step of addressing the lax muscle and the results were not as natural or long-lasting.


Face lift incisions are made in hidden locations around the ears

The skin of the lower face and neck is lifted and the muscle layer of the face and neck is tightened

After adequate tightening of the deeper layers, the skin is redraped and excess skin is carefully trimmed and meticulously sutured along the incision lines. This results in improvement of the laxity of the jaw-line and contour of the neck.


Excess skin is carefully trimmed and the incisions are meticulously repaired

A successful face lift improves the contour of the jaw-line and neck, while maintaining a natural appearance

Facelift and neck lift photo gallery

You may wish to browse through the gallery of representative before and after facelift and neck lift pictures. Click on any of the thumbnails to enter the slide show. All procedures were performed by Dr. Sam Naficy and some patients may have had more than one surgical procedure performed. The text accompanying the photos describes the details of the procedures performed.

Click on thumbnail to begin viewing slide show.


Where exactly are the incisions made and how visible are they?

Facelift and neck lift incisions are carefully placed within the natural creases in front, within, and behind the ear. After adequate tightening of the deeper structures, excess skin is removed from both sides and the incisions are carefully repaired. Dr. Naficy uses the most meticulous technique and the finest sutures for closure of his incisions, which in most individuals will usually fade to a barely visible thin line.

The incision photo gallery below shows pictures of some of the healed incisions (typically around 2-3 months following surgery) of face and neck lifts performed by Dr. Naficy. During the first few weeks, the incisions will be more visible and may require use of concealers for better camouflage.

Click on thumbnail to begin viewing slide show.


What technique is best for me?

Perhaps one of the most confusing aspects of facial surgery for patients is the terminology used by doctors and patients to describe different facelift techniques. For example, here is a partial list of some of the terminology used to describe facial plastic surgery procedures:

Facelift (face lift), neck lift, face and neck lift, full facelift, complete facelift, partial facelift, vertical facelift, quick lift, mini facelift, S-lift, weekend facelift, weekend neck lift, mini tuck, jaw-line tuck, SMAS facelift, deep plane facelift, laser facelift, feather lift, cheek lift, midface lift, subperiosteal facelift, tri-plane facelift, bi-plane facelift, and endoscopic facelift!

When discussing the procedure with your surgeon, make sure that you are "comparing apples with apples". As a general rule, procedures that are shorter, less invasive, and easier to perform, also result in a more limited degree of improvement. Make sure that your surgeon is trained in all aspects of facial plastic surgery and does not have a "cookie cutter" approach. Some suggestions for questions to ask your surgeon:

  • The technique that you are proposing, how well does it address my area of concern (jowl, neck, midface, etc)?
  • Is this the most effective technique to address my area of concern?
  • Do you use this technique for all of your facelifts or are you suggesting it because of my unique features?

Remember that not all faces are created equal and no single technique can be effective in all individual seeking facial rejuvenation surgery. Dr. Naficy is experienced in all modern techniques of facial surgery and always custom tailors the procedure to the specific needs of the patient.

Choosing a facelift surgeon

It is very important to realize that in addition to the variety of techniques that are available, the results of your facelift may vary greatly depending on who is performing your procedure much more so than what technique they are using. Many doctors offering facelift surgery are not trained as facial plastic surgeons! They may actually be dermatologists, oral surgeons, or ophthalmologists.

Also make sure that your surgeon has hospital privileges to perform the facelift procedure, even though the procedure will be performed in an office setting. For instance, Dr. Naficy has privileges for all facial plastic surgery procedures at all major Seattle area hospitals. In contrast, a dermatologist, oral surgeon, or ophthalmologist who offers facelift surgery will only be able to do so by performing the surgery in his or her own back office. Ask your doctor whether they have hospital privileges for the procedures you are considering to undergo.

What is the best age to have a facelift?

One of the biggest questions our patients ask is about timing of this procedure. Some worry that if they have the procedure too soon they may want to repeat it again later in life, while others worry that if they wait too long they may be beyond help. Most of our patients coming in for face and neck lift procedures are in a range of late 40s to late 50s. They have started to show early sagging of the face and neck and are trying to be proactive about maintaining their youthful appearance. Typically, face and neck lift procedures can set back the clock by about 8-10 years. Although aging will continue, you will always look better for your age than if you had not had the surgery. Face and Neck lift procedures can be safely repeated in 8-10 year intervals.

What is a deep plane facelift?

This is the type of facelift most commonly performed by Dr. Naficy. It is ideal for most individuals who wish to have a long-lasting improvement of their aging face and neck. The procedure involves a thorough tightening of the sagging muscles of the lower face and neck, and can be custom tailored to the specific needs of each person. The recovery time for a deep plane facelift is the same as a mini-lift or S-lift, and bruising is often less, since the work is being performed at a deeper level. This type of facelift may also be combined with other facial procedures such as blepharoplasty, brow lift, or laser resurfacing.



Before brow lift, face lift, neck lift
Before

After brow lift, face lift, neck lift
After
Brow lift and deep plane face and neck lift by Sam Naficy, MD, Seattle, WA

What is a mini-lift or S-lift?

An S-lift or mini-lift is a technique of lifting the face with limited incisions and minimal skin removal. Patients with relatively minimal laxity (typically early to mid 40s) may be good candidates for this procedure. However, because of the limited incisions and more conservative tightening and skin removal, this technique is not as effective as a deep plane facelift for rejuvenation of more advanced sagging of the lower face, jowls, and neck. Most individuals in their 50s and 60s with more advanced laxity are therefore not good candidates for this procedures as they will not receive the lasting benefits of a facelift. Because of its relative technical ease and minimally invasive nature, the S-lift or mini-lift is popular among many non-surgeons who perform plastic surgery.


Before upper and lower blepharoplasty, face lift, neck liposuction, lip augmentation, rhinoplasty
Before

After upper and lower blepharoplasty, face lift, neck liposuction, lip augmentation, rhinoplasty
After
Upper and lower blepharoplasty, S-lift, neck liposuction, lip augmentation, and rhinoplasty by Sam Naficy, MD, Seattle, WA

What is a 'weekend neck lift'?

This procedure allows the sagging neck tissues to be tightened through a very small incision under the chin. Excess fat can be removed and neckbands can be improved. Because no skin is removed, there is no need for incisions around the ears. This procedure is ideal for individuals with excess fatty tissue of the neck but with relatively good skin tone. The recovery time is generally quick, and many of our patients can return to work or social activities in 2-3 days.


Before weekend neck lift
Before

After weekend neck lift
After
Weekend neck lift by Sam Naficy, MD, Seattle, WA

What is the featherlift?

The "featherlift" is an innovative non-surgical technique that gives a gentle lift to the sagging tissues of the face using threads. It has been widely popular in Europe and South America, and rapidly gaining attention in the United States. The featherlift procedure offers quick and relatively painless lifting for patients needing only little to moderate rejuvenation. The featherlift is also known as the APTOS lift, the APTOS thread lift and suture suspension facelift.

  APTOS thread used in feather lift

APTOS thread used for feather lift

The threads used in this procedure are called APTOS threads. These fine threads have small barbs or "cogs" along the length of the thread, much like barbs on a fishhook. These cogs provide lift and contour by forming a permanent support structure for the facial tissue. The threads are introduced with a fine needle so the puncture sites heal very quickly, usually without any marks.


Featherlift can improve drooping of brows, cheeks, and jowls

Featherlift threads are placed under the skin in the desired direction of lifting

What type of anesthesia is used?

We use IV sedation anesthesia, which is a very safe and effective method of anesthesia for facial plastic surgery and rhinoplasty. IV sedation anesthesia is extremely safe compared to the standard general anesthesia techniques used today. The main advantages of IV sedation anesthesia are that it does not require putting a breathing tube in the throat, it does not require a breathing machine, the recovery is much faster, there is much less "hang-over" from anesthesia, and there is much less nausea. All these elements translate into greater comfort and safety. Dr. Naficy has used this technique of anesthesia in several thousand plastic surgery procedures without a single anesthetic complication.

During IV sedation anesthesia a small flexible IV (intravenous) needle is placed into one of the veins of the back of the hand. Through this IV line, relaxing medication is given to make you fall sleep. The amount of medication given is adjusted to the specific needs of each person. After you are sleeping, some numbing medicine is also placed in the skin to numb the area that is being operated on. The beauty of IV sedation anesthesia is that during the procedure you are unaware of anything going on and cannot hear anything, yet you are still breathing on your own.

When the procedure is finished, the relaxing medication is discontinued and you begin to wake up. Because the medications used in IV sedation anesthesia clear the system rather quickly, most of our patients are able to go home in less than 30 minutes after the procedure is completed.

Anesthesia guidelines [21kb PDF]

What is the recovery like?

There is usually some tightness around the ears and jaw-line after the surgery. This can be controlled with prescription pain medication, although it is often mild enough to treat with just Tylenol. A fluffy bandage dressing is worn for 1-2 days. Discoloration and swelling around the face and neck, when present, will usually improve over 7-10 days at which point most people can return to work and social activities.

Post-operative care instructions [17kb PDF]

Why choose a facial plastic surgeon to do my facelift?

Although most plastic surgeons in Seattle perform facelift and neck lift surgery, very few actually limit their practice to specialize in the face. In fact, most plastic surgeons spend the bulk of their time performing liposuction, breast procedures, and tummy tucks. Dr. Naficy's practice has been 100% devoted to rhinoplasty and facial plastic surgery for the past 15 years. This is why Seattle doctors and patients have voted Dr. Naficy one of the top plastic surgeons for the face. Patients from the entire globe seek Dr. Naficy's expertise and he has many patients flying in for surgery both nationally and internationally.

I am interested! What do I do next?

If you are considering this procedure we encourage you to schedule a private consultation with Dr. Naficy in our office. During this visit he will listen to your concerns and discuss your options. He will tell you whether you are a suitable candidate for this procedure and inform you of the potential risks of the procedure. There is great variety in features of the aging face and neck so that each procedure must be custom tailored for the best possible result. You will also have a chance to view before and after photo albums of his patients who have undergone procedures similar to what you are considering.


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Naficy Plastic Surgery & Rejuvenation Center     1110 112th Ave NE Suite 150 Bellevue, WA 98004     (425) 450-0880