Brentwood: (615) 942-8016
Youthful Reflections: Michael A. Boggess, MD
213 Overlook Circle, Suite B-3
Brentwood, TN 37027
Phone: (615) 942-8016
Monday–Friday: 9 a.m.–4 p.m.
Double board-certified facial plastic surgeon Dr. Michael Boggess is a facelift specialist who answers a few of the questions he is most commonly asked about full, lower, and mini facelift surgery by his Brentwood, Nashville, Memphis, and Knoxville, TN, and Huntsville, AL, patients.
Keep in mind that each patient is unique and your results may vary.
As we age, the effects of gravity, loss of volume in the midface, and loss of skin elasticity lead to progressive laxity of the skin and soft tissues of the face. The result is sagging along the jawline and neck, and deepening of the nasolabial folds and marionette lines around the mouth. A facelift, technically called a rhytidectomy, is a surgical procedure intended to lift the skin and soft tissues of the face and neck, thereby restoring a more youthful contour to the neck and jawline, and softening the depth of the nasolabial folds and marionette lines.
A full facelift primarily addresses aging changes of the lower face and neck. It is commonly performed in combination with other facial rejuvenation procedures, such as a brow lift or mid-facelift to address aging changes of the upper face and midface. However, these additional procedures are not routinely considered part of a facelift.
This is a complex question because there are so many different techniques that have been described for facelift procedures, and the terminology is not always used consistently. However, all properly performed facelifts employ the following common basic principles:
Depending on the needs of the patient, liposuction of the jawline and neck, and tightening of the platysma muscle in the midline of the neck, may be performed through the incision under the chin for patients with significant fat accumulation or laxity in the neck. The thing that distinguishes different types of facelift procedures is the technique used for the management of the SMAS and platysma.
There are other variations related to suturing techniques and vectors of pull that distinguish facelift techniques. There are pros and cons to each facelift technique, and the choice of facelift technique is dependent on the skill, experience, and preference of the operating surgeon. However, there has been no consistent evidence in the medical literature to demonstrate any advantage of one technique over another, in terms of outcome, complications, or longevity of results. Most experienced facelift surgeons have likely performed all of these techniques and utilize each to some degree based on the anatomy, concerns, and goals of each individual patient.
"An Expert's Guide to Facelift Surgery" provides essential information for anyone thinking about getting a facelift. Double board-certified facial plastic surgeon Dr. Michael Boggess is considered Nashville's facelift expert after performing thousands of facial rejuvenation procedures with consistently remarkable results.
I am not a believer in a “one procedure fits all” approach to facial rejuvenation. Every patient is unique and different in their anatomy and the effects of aging. I have performed over 4,000 facelift procedures, and with that experience, I have been able to develop techniques to optimize results for all of my patients. I tailor every procedure to the individual anatomy, concerns, and goals of each patient. The Reflection Lift utilizes my unique approach for lifting and securing the SMAS and platysma to optimize results and achieve a natural, more youthful look for my patients. The Reflection Lift can be performed in an office-based setting using light sedation and local anesthesia, thereby eliminating the risks and costs associated with general anesthesia.
The simple answer is yes. A facelift can be performed very safely without the use of general anesthesia. I have performed thousands of facelift procedures in an office-based setting using light sedation and local anesthesia. I have a perfect, untarnished safety record utilizing these anesthesia techniques. I actually prefer to perform facial rejuvenation procedures without general anesthesia because it reduces the risks and the cost for the patient. There are two alternatives to general anesthesia.
I do also offer general anesthesia to my patients, but I feel that this unnecessarily increases the risk and the cost of the procedure for the patient.
By focusing exclusively on facial procedures, Dr. Boggess provides patients a level of expertise rarely found at other plastic surgery practices in the Southeast. Certified by both the American Board of Facial Plastic & Reconstructive Surgery and the American Board of Otolaryngology, Dr. Boggess combines exceptional technical skill with a down-to-earth demeanor that puts patients at ease from the moment they meet him.
There are a number of factors that contribute to the differences in how people age, including genetics, sun exposure, skeletal structure, and lifestyle habits. Some of these factors you can control, but many you cannot. There are common things that happen to everyone as they age:
Facial rejuvenation can reverse these signs of aging and turn back the hands of time.
A facelift does not address the cause of “chubby cheeks” in many people, which is the buccal fat pad. This excessive fullness, often due to genetics, makes the face look round and chubby (even when you are not overweight) and obscures the cheekbones. While a facelift rejuvenates the lower 2/3 of the face, Dr. Boggess can perform buccal fat removal during facelift surgery in Nashville to contour the cheeks.
We do not try to change the face that God gave you but restore youthfulness that has been lost due to the effects of age and gravity. Dr. Boggess performs procedures to provide very natural-looking results. Most people won’t be able to tell you had surgery; they may think you’ve changed your hair or lost weight. You’ll still look like yourself, just a few years younger.
Dr. Boggess specializes in rejuvenation of the aging face and neck. Procedures are performed in a conservative manner to address the concerns and achieve the goals of each individual patient while providing natural-appearing results. You will look refreshed and younger, not different or operated on.
When performed by an experienced surgeon who lifts the SMAS layer of the face, this procedure can make patients look 10 to 12 years younger; although, results vary from person to person. It’s important to understand that the aging process continues, but you will continue to look younger than if you had not had a facelift.
If you’re not happy with the reflection you see when you look in the mirror, a Reflection Lift could work for you. There is no standard age or profile for a Reflection Lift. Each Reflection Lift is customized to meet your individual needs and desires.
Because each Reflection Lift is customized to suit each patient’s needs, the time will vary but typically takes 1 to 3 hours.
The risk of complications with facial rejuvenation surgery is extremely low. However, as with all types of surgery, the risks include but are not limited to infection, bleeding, scarring, nerve injury, and unsatisfactory result. We take precautions to minimize the incidence of all of these potential complications. If a complication occurs, it can typically be managed with conservative measures and does not tend to affect the results of the procedure.
Most patients experience moderate discomfort rather than severe pain. This discomfort can be effectively managed with prescribed pain medications.
As with all types of injury or surgery, there is a healing process that occurs over a period of 9 to 12 months, during which time the body restores itself. Although it may take 9 to 12 months before the final results of a facelift are fully apparent, patients will look good and feel good long before the healing process is complete. Most patients want to know when they can get back out in public and others won’t be able to detect that they have had surgery. The typical visible signs of surgery, which can vary from one patient to another, are bruising and swelling.
It typically takes 1 to 2 weeks for the visible bruising and swelling that others can see to resolve to a point that others can’t tell. Some patients may take a little longer if they bruise badly. However, the vast majority of patients can get back out in public within 2 weeks. That doesn’t mean that all of the swelling is gone or the healing is complete within that time. There will still be swelling that can be felt but not seen that may take several weeks, or even months, to resolve. However, you will look good and feel good long before the healing is complete.
I typically tell people to allow at least 3 to 4 weeks before any important event, such as a wedding, reunion, or speaking engagement where they want to look their best. In most patients, the majority of the soft tissue swelling has resolved by 6 to 8 weeks, but this can vary from one individual to the next. It is important that you be patient with the healing process and follow all postoperative care instructions to optimize healing and results.
I typically recommend avoiding strenuous activities for at least 2 to 3 weeks post-surgery. Light activities, such as walking, can usually be resumed within a few days. You can reintroduce more vigorous exercises gradually, but it’s important to follow your surgeon’s specific recommendations to avoid complications and ensure optimal healing.
As with all cosmetic procedures, the longevity of the results will vary from one person to the next. How you take care of your skin after the surgery will have an effect. We will give you tips for taking care of your skin post-surgery and how to prolong your face and neck lift results.
All facial rejuvenation procedures are intended to turn back the hands of time for the individual patient, and you will always have a more youthful appearance than you would have had if you had nothing done. However, you will continue to age in the way that you naturally age, which varies from person to person.
At his practice in Nashville, TN, Dr. Boggess and the Youthful Reflections team will provide detailed instructions for achieving the best results every step of the way. It is very important to follow all instructions, in order to optimize your results.
Pain and discomfort vary from one person to the next, but after a facelift procedure, the pain is typically mild to moderate and easily controlled with pain medication. Most people take pain medication, as needed, during the first week, but we’ve had many patients tell us that they didn’t need anything stronger than acetaminophen (Tylenol®) after the first night.
Since your Reflection Lift is customized for you, costs vary for each patient.
By eliminating the cost of general anesthesia and by performing our procedures in our office-based operating room, we can significantly reduce the cost of most cosmetic procedures for our patients. We work individually with each patient to determine the best approach to achieve their goals within their budget. We can help you prioritize your goals to optimize your results within your budget to achieve the Youthful Reflection that you desire.
People age in different ways and at different rates. Our patient population ranges in age from mid-30s to early 80s. Dr. Boggess will make a detailed assessment of your anatomy, goals, and physical health to determine if facial rejuvenation is right for you and what treatment will best achieve your goals.
Yes, anyone can get a Reflection Lift. We’ve had many men who have had this procedure.
Most of our procedures are performed in our office-based surgical suite using light sedation and local anesthesia. This eliminates the risks and costs associated with general anesthesia and is the preferred method for the majority of our patients. Dr. Boggess has performed thousands of procedures in this setting. However, we offer the option of procedures under general anesthesia for patients who prefer this method. There is an additional cost for an outpatient surgical facility and anesthesia provider in these circumstances.
The first step in learning about what Dr. Boggess can do for you is scheduling a personal consultation. Dr. Boggess is known for putting no limit on the time it takes to learn about your concerns and expectations and to recommend the procedures best suited to your goals. To get started, request a consultation using the online form or call our office at (615) 942-8016 to schedule an appointment.
Results
We understand you want your facial plastic surgery right away, but when it comes to your safety and appearance, patience pays off. Immediate appointments aren’t always available because Dr. Boggess:
Is highly accomplished, and his services are in demand.
Takes his time to ensure outstanding safety, care, and results.
Offers personalized techniques that aren’t available elsewhere.
We are worth the wait.
If you can’t see Dr. Boggess right away, learn why waiting for the best facial plastic surgeon is essential and how you can make the most of that time in blog post.
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