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It's very wise of you to think ahead like that. A good skin care regimen and periodic targeted Botox and filler will enhance and prolong the results of your surgery.

Patients are instructed to apply cold packs for 20 minutes on then 20 off to each side while awake for the first 48 hours after surgery.

It's not so much individual muscles themselves which are tightened but the complex layer of supporting fascia which invests itself on them. Tightening and lifting this layer provides the foundation for the skin to re-drape itself on. Without this step the skin's inherent elasticity will cause it to re-stretch in a short period of time if only skin lifting is performed.

You need to have help for the first 24-48 hours after this procedure. For patients in your situation we generally offer two options. You can be discharged home with a driver and nurse or aid who will stay with you until you are able to care for yourself. You can be transferred to a recovery facility which is like a hotel/spa where you will be cared for and pampered as well if you wish (massage, manicure etc.)

Yes that is usually the wiser choice. Even if you don't need major face work the whole result will be blended and enhanced and look better. Conversely if you don't do the face you may find that what doesn't seem to bother you now may become very noticeable and upsetting to you after.

This is often very rewarding to do in younger patients who have familial tendency for this. Usually face and neck lift surgery is done to turn back the clock. It doesn't stop it though. In your case at age 38 you are not turning back the clock to much so while you won't get the same turkey gobbler it's likely you'll need something again at age 58 or 60.

Non surgical face lifts primarily employ a variety of fillers to volume enhance the face in order to achieve a more youthful look. Many people will have improvement with this but not if you have significant neck skin laxity. Treatments also need to be repeated every 6-9 months.

Facelifts reposition and suspend skin and deeper tissues that descended with aging. They are most effective for sagging neck, cheek and jowls. Most accepted techniques that provide long term and effective results tighten the underlying muscle covering (SMAS) to provide the result. Skin is very elastic and any technique that relies on skin tightening alone will not last more then a few months as the skin will stretch out again in a short time.