dr. jugenburg

Facelift Surgery with Dr. Jugenburg

Restoring Your Youthful Appearance

The effects of aging, gravity and sun exposure can leave your face looking older than your actual years.  As we age skin loses elasticity, and muscle tone decreases along with a loss of fatty tissue beneath the skin, resulting in sagging skin and wrinkles.

Gravity plays a role as well. As the skin loses its elasticity, gravity pulls down the eyebrows and creates loose skin around the cheeks and jaw. While there is no way to fight gravity or stop the aging process, Dr. Jugenburg can restore a more youthful appearance for patients using his innovative facelift procedures. The most important part is that the results look natural, without looking fake or overdone.

What is a Facelift?

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While “facelift” is a generally descriptive term, it refers to a number of procedures that will change the look of the lower face, including cheeks, jowls, and neck. The procedure entails  incisions placed in front of and behind the ear.

Facelift procedures:

A “deep” facelift involves tightening the muscles deep beneath the skin. This is a more involved procedure that requires longer recovery and more discomfort.

A neck lift is a procedure that helps to address skin redundancy or deformity and involves an incision that is placed behind the ear and usually beneath the chin. Click here to learn more about neck lifts.

An “upper facelift” involves the eyelids and brow area, and is usually done in conjunction with a lower facelift, which includes the neck, cheeks and jowls.

A “mini” lift is for patients that have minor concerns about the appearance of their cheeks and jowl. This procedure is often done on patients to refresh a previous facelift. Click here to learn more about mini facelifts.

Benefits of Facelift Surgery

  • Tightening loose skin:  Loose and sagging facial skin can make a person appear a lot older than they actually are, while taut facial skin is a sign of youthful vitality. Dr. Jugenburg’s innovative facelift techniques can completely remove loose skin from the lower face and neck creating a more vibrant, youthful appearance.
  • Removal of wrinkles:   When the skin on the face is tightened wrinkles are eliminated, helping to eliminate a telltale sign of ageing.
  • Repositioning of facial fat:  At times a facial contour that is undesirable is a result of fat deposits in the face. Dr. Jugenburg’s surgical technique includes repositioning of fat deposits to achieve a more aesthetically pleasing facial contour.

Am I a Candidate for a Facelift?

A facelift with Dr. Jugenburg will restore a more youthful appearance, helping to correct many of the visible signs of aging in the face and neck area. Reasons for having a facelift include:

  1. Sagging in the mid-face area
  2. Deep creases below the lower eyelids
  3. Deep creases along the nose extending down to the corner of the mouth
  4. Loose skin and excessive fatty deposits under the chin area, resulting in a “double chin” or “turkey neck”
  5. Facial fat that is displaced or drooping, creating exaggerated jowls

There are other factors that help determine if you are a good candidate for facelift surgery, including:

  • Skin condition:  Your skin should have some amount of flexibility. The facelift is designed to stretch the facial skin to lift sagging skin and remove deep wrinkles.
  • Bone structure:  A well-defined underlying bone structure in your face will provide needed support for the alterations that occur during a facelift.
  • Good health:  You should be in good health and be free of any major medical conditions prior to your surgery. This is key for proper healing and recovery after your procedure.

Most importantly, you should have realistic expectations about your goals for surgery. Ideally, you want to look like a revitalized, refreshed version of yourself. The best way to determine if you’re a candidate for a facelift is to schedule a consultation with Dr. Jugenburg.

Toronto facelift patient

Toronto Facelift patient

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Toronto Facelift Patient

 

Complementary Procedure: Eyelid Blepharoplasty Surgery

Eyelid surgery is the most common procedure done with a facelift. In fact, these procedures are performed together more often than not. While a facelift focuses on the cheeks, jowls and neck area, eyelid surgery addresses other issues that may affect your appearance.

Reasons for having eyelid surgery in conjunction with a facelift include:

  1. Puffiness around the eyes that make you look older than you actually are.
  2. Hooded eyelids that make you look permanently fatigued, even if you are full of energy.
  3. Hooded eyelids that are affecting your eyesight and your ability to see
  4. Sagging skin and wrinkles under the eyes.

There are two types of blepharoplasty surgeries. Depending on your needs and goals, you may need one or both performed:

  • Upper Blepharoplasty
    Surgery on the upper eyelid involves the removal of excessively stretched skin that can cause multiple wrinkles or hooding on to the eyelash line. If there is an underlying droopiness of the lid, a muscle repair can be performed through the incision at the same time.
  • Lower Blepharoplasty
    During surgery on the lower eyelid, Dr. Jugenburg will redistribute the fat within the lower eyelid, which removes the appearance of bags and under-eye puffiness.By addressing these problems at the same time as a facelift, a greater portion of the face can be rejuvenated, providing a more enhanced appearance. Another procedure that can be employed is a brow lift, in order to minimize wrinkles on the forehead.The best way to determine if this procedure is appropriate in conjunction with a facelift is to discuss it with Dr. Jugenburg during your consultation.
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What Can You Expect With A Facelift

The best way to determine if a facelift (and any complementary procedures) is right for you is to have an initial consultation with Dr. Jugenburg. You will have an opportunity to discuss your goals and expectations about the surgery with the doctor, and ask any relevant questions you may have.

During your initial consultation, Dr. Jugenburg will:

  • Review your medical history and any medications you are taking
  • Discuss the procedure and any related procedures
  • Provide recommendations based on your needs and goals
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Our Innovative Facelift Surgical Techniques

There are many different types of facelift techniques used by surgeons, arranging from what’s a “deep” facelift to a superficial “skin only” facelift. Both techniques obtain remarkable results, but deep facelifts take much longer to heal and patients remain swollen for a longer period of time.

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Dr. Jugenburg’s philosophy is to make patients look younger and more refreshed using minimally invasive superficial procedures rather than deep plane procedures. In fact, in a well-known study, renowned facelift experts performed facelifts on sets of twins. One twin received a more superficial facelift, while the other twin received the deep plane facelift. The experts followed the twins for over 10 years, and the results were very similar. And remarkably, the surgeon who pioneered the deep plane facelift now no longer does them.

To achieve his impressive results, Jugenburg utilizes the surgical technique that was championed by the renown Dr. Dan Baker (one of the best known facelift surgeons in the world), and Dr. Harold Silver, who was known for his “3 day facelifts,” because by using his technique a patient could go back to work looking normal within 3 days. In contrast, a deep plane facelift has residual swelling for up to 3 months.

Dr. Jugenburg’s minimally invasive technique combined with neck liposuction and fat grafting to add volume to the face (if needed has the lowest chance of injury to the facial nerve and least amount of surgical swelling and bruising, while effectively erasing years off the face. In addition, Dr. Jugenburg is able to do the procedure in 2-3 hours, so the cost is lower than deep plane surgery, which can take 6-8 hours. Most importantly, there is much less chance of a major complication when surgery is kept below 4 hours of general anesthesia. Beyond 4 hours there is increased risk of blood clots, pulmonary emboli and cardiac complications. While the risk is small, it’s greater than procedures that take less than 4 hours.

By using these innovative surgical techniques, the doctor is able to obtain beautiful results for patients while decreasing the recovery downtime and significantly lowering the risk of complications, all at a lower cost than deep plane facelifts.

Facial Fat Grafting

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Facial fat grafting is an innovative facial rejuvenation technique that helps reverse the signs of aging and providing a more youthful appearance. Dr. Jugenburg uses this process to restore lost facial volume that is a result of the aging process.

Generally, there is a loss of volume in the cheeks, below the eyes and around the lips. It also helps patients with deep wrinkles or sunken eyes. Dr. Jugenburg may use this procedure, along with other innovative techniques, in patients looking to correct:

  1. Thin or “gaunt” face
  2. A face that is “bottom heavy”
  3. Chubby face
  4. Mid-face flatness
  5. An asymmetrical face

Using liposuction, Dr. Jugenburg will remove fat from different areas of the body, like the back area or “love handles.” The fat is purified  and injected deep into the facial structures to accentuate areas like cheekbones, lips, mid-face, chin and jawline. In addition to providing donor fat for the facial areas, the patient also enjoys body contouring benefits from liposuction at the sites where fat is removed.

 

How the Surgery is Performed

The facelift surgery is generally performed using either local anesthesia with sedation or under general anesthesia. Dr. Jugenburg will determine the best type of anesthesia to use based on your procedure and medical history. In addition to the anesthesia, numbing medication is used in the facial area to make sure you will be comfortable when you wake up from the surgery.

Incisions are typically made around the ears, in the temple and behind the ears. The skin is carefully raised from the lower face and neck area, followed by liposuction and fat grafting as required. Finally, excess skin is carefully removed and meticulously sutured.

Because incisions are carefully placed within the natural folds found in front, inside and behind the ear, and the finest sutures are used, the scars fade to being barely noticeable. This type of surgery produces a natural, long-lasting effect, with minimal post-operative discomfort.

If an additional procedure is performed, like eyelid surgery, it will be done once the facelift portion of the surgery is completed. If you do have eyelid surgery, additional recovery instructions will be given to you.

The Recovery Process

cosmetic-img4After the procedure, a loose fitting bandage dressing is applied. There will be some discoloration and swelling around the face and neck area, but this should improve over the next 7 days or so. Pain after surgery is easily managed with prescription pain medication, although many patients only require over-the-counter pain medication. You will need to keep your head elevated as much as possible, and avoid strenuous activities for 2 to 3 weeks.

You will spend the first night in one of the beautifully appointed rooms in the Fairmont Royal York Hotel, and you will be seen the following morning before being released to go home. This makes for a safer recovery and more convenient for your post-surgical appointment – in your room. Having our staff visit you in your hotel room the next day is less straining on your system as opposed to driving back to the clinic to be seen.

Dr. Jugenburg will see you at regularly scheduled intervals during the weeks following the surgery. This is done so the doctor can personally monitor your recovery process, and to ensure that you have the best results possible.

Facelift Surgery FAQs

  • Anyone who has loose and lax facial and neck skin can benefit from this procedure. There is no particular age restriction for a facelift.

  • There are many different types, including deep plane surgery, S-lift or “mini lift” surgery, SMAS facelift, or “traditional facelift,” mid-facelift and others. Each has its own recovery times and is usually decided by the surgeon.

  • It is more important for you to find the right surgeon than for you to try and decide with technique is “best.” Look at the results of facelifts done by a surgeon, regardless of the technique used. If you like the results, you’re on the road to finding the results you are looking for.

  • A facelift takes anywhere from 2 – 2.5 hours; if additional procedures are added at the same time, such as eyelid surgery, the procedure will take anywhere from 3 – 3.5 hours.

  • The length of time it takes for a procedure depends on the type of the technique used (some techniques take much longer than others) and on the surgeon’s comfort with the procedure.  Many surgeons still perform the older deep plane technique.  In this procedure the facial nerve can be exposed and therefore it is crucial that a slow and meticulous technique is used to avoid injuring the facial nerve.   In contrast, Dr. Jugenburg’s technique does not expose the facial nerve and therefore the step which requires careful and slow dissection is not required.  The benefit is not only a lower risk of nerve injury, but a much shorter operative time (and thus lower risk of overall complications)

  • A “mini” facelift is most effective in younger patients needing only a small amount of correction. A traditional facelift addresses the neck, jowls and mid-face.

  • Most often, a facelift is combined with eyelid surgery to correct drooping upper eyelids and puffy bags below the eyes. A brow lift is also often employed to smooth wrinkles on the forehead.

  • You should stop smoking at least two weeks prior to surgery, as smoking can seriously impede the healing process. Avoid aspirin and aspirin products in the weeks leading up to your surgery. In addition, Dr. Jugenburg will review your medications with you during your initial consultation, and may recommend stopping certain medications before your surgery.

  • Incisions are usually concealed in areas of the skin where creases naturally occur. Facelift incisions heal well and often go undetected after only a few months.

  • Most patients can return to work in 1 to 2 weeks. Any type of physical activity that will raise your blood pressure should be avoided for about 3 weeks.

  • Losing a few pounds won’t make that much of a difference. If you plan to lose a large amount of weight, greater than 30 pounds, for example, then you should wait until you lose the weight and your weight is stabilized.

  • How long a facelift lasts depends on many factors. If you live a healthy lifestyle you can expect the results to last a long time, but gravity and aging will play a role in how long the appearance lasts.

  • As with all cosmetic surgeries, there are some risks involved. These risks include bleeding, infection, swelling, scar irregularities and blood clots, but they are rare. Our operating suite is state-of-the-art, and we do everything we can to minimize the risks associated with surgery. Most importantly, Dr. Jugenburg and his team have various protocols in place to prevent complications from occurring.