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Uniquely You!

Facelift

FaceliftAs the face ages, we begin to see the effects of a constant force of gravity coupled with changes in the skin and connective tissue, as well as a loss or redistribution of fat (adipose tissue). These factors lead to the well-known phenomena of jowls, deep nasolabial folds, down-turned corners of the mouth (“marionette lines”), drooping neck tissues (“turkey neck”, “turkey gobbler”, or “waddle”), and tired, hollow, or sunken-appearing eyes. The most distressing part of these changes is that frequently patients do not feel as old as they look – they have energy and passion, but people still overlook them or ask them if they’re tired or not feeling well. The unfortunate truth is that we live in an “age-ist” society, and as people grow older, they are frequently overlooked or even discriminated against. Dr. Ransom can address all of these concerns with a variety of techniques, from non-surgical treatments, to minimially-invasive procedures, to complete surgical rejuvenation.

Rhytidectomy (literally “to remove wrinkles”), also known as “facelift” or “face-lift”, is a surgical procedure designed to release and reposition the soft tissues of the face and neck, and to remove excess skin and fat. The combined effect of this procedure is a natural-appearing rejuvenation – restoring the patient’s face to a more youthful state. Dr. Ransom tailors his facelift approach to the specific anatomy of each patient, and works closely with each individual to satisfy specific goals – all the while making sure that, in the end, “you still look like you” …just a younger, more vibrant “you”! Depending on the patient’s age, degree of laxity, and other biological factors, patients may undergo a Mini-Facelift, a Neck Lift, or a full Facelift.

A Mini-Facelift is a short-incision type facelift (“S-lift”) with a more limited dissection. This type of facelift is designed for younger patients or those with less significant jowls and drooping of the neck. The surgery tightens the loose skin along the jawline and under the chin, and may also remove some excess fat from these areas. Dissection is limited, so recovery is quick – getting you back on the move with minimal down time! This procedure can be performed under local anesthesia with a mild sedative, or using conscious sedation techniques, depending on patient preference. For some patients, rejuvenation of the neck is all that is needed. In these cases, Dr. Ransom can perform a lift that is specifically tailored to the neck, without disturbing the facial structures. Please see our Neck Lift page for more detailed information.

A facelift uses a similar approach to the Mini-Facelift, but with a more extensive dissection and greater lift. This procedure is designed for patients who have more obvious and heavy jowls, drooping of the cheek area, hanging neck tissue or platysmal bands, and significant redundancy or excess skin. Dr. Ransom uses the latest in facelifting techniques to elevate the neck, jowls, and cheeks (midface) in one surgical procedure – a technique developed by world-renowned plastic surgeon Dr. Andrew Jacono (as seen on Discovery Fit & Health and the Oprah Winfrey Network), in New York City. With this procedure, Dr. Ransom doesn’t just lift the skin (which leads to incomplete correction, unnatural “wind-swept” looks, and short-lived results) – he lifts the deep tissues and muscles of the face and neck. The result is a better, longer-lasting, and more natural appearing facelift …and a more youthful, vibrant, and healthy-looking you. This procedure can be performed under conscious sedation or general anesthesia, and can be combined with other facial rejuvenation procedures (such as upper and lower eyelid lift, lip lift, or facial implants) and skin resurfacing (such as chemical peels, lasers, or dermabrasion). Please visit the photo gallery for some examples.

Rhytidectomy Before & After Photos

Who is a candidate?
Candidates for a facelift include all patients with loose or sagging skin in the lower face and/or neck region, a drooping or hollow-appearing midface, a poorly defined jawline or prominent jowls, or thick, hanging bands in the neck. The term facelift (or face-lift) can be used by doctors and in the media to imply a wide variety of procedures and approaches. Dr. Ransom tailors his surgical approach to each specific patient, working to achieve the desired goal and avoiding an “operated” look. In most cases, he performs a deep-plane facelift, which lift the deep tissues and muscle layers of the face and neck, rather than the skin alone. This makes Dr. Ransom’s patients look natural and avoids the “wind-swept” or “pulled” look.

Dr. Ransom see patients from all over Bay Area, including Mill Valley/Marin County, Napa/Sonoma, San Raphael/Petaluma and the world.

Frequently Asked Questions

Q: How long is the “down-time” after a facelift or mini-facelift?
A: Depending on the exact surgical approach needed in your case (mini-facelift vs. full facelift, more or less neck treatment required, etc.), the down time will vary. For most patients, a week off of work is sufficient. Bruising and swelling will occur immediately after the surgery, and begin to resolve around the third day. The majority of this process occurs in the first week, but some patients require up to two weeks for complete resolution. Pain is limited. Dr. Ransom works closely with you throughout the postoperative period, making sure that you are making progress toward an excellent result. Further details can be discussed with Dr. Ransom during your confidential consultation.

Q: If I am a smoker, can I still have a facelift?
A: Yes. Though Dr. Ransom would strongly advise you to quit smoking to improve your overall health, smokers can undergo facelifts. With traditional, older facelift techniques that lift only the skin, plastic surgeons worry that the delicate facial skin will not heal in smokers. However, using the deep-plane technique, Dr. Ransom is able to perform facelifts on smokers with no added risk. This is because the blood supply to the face is preserved in this approach, and better blood supply means better healing. As a side note, Dr. Ransom has a keen interest in helping patients try to quit smoking (tobacco cessation), and has even performed clinical research in this area. He would be happy to discuss this with you during your consultation, and he is able to prescribe medications to help you quit before surgery.

Q: What is the difference between a facelift and a “mini” facelift? What is a “full” facelift?
A: The terminology in facelift procedures can be very confusing. Plus, different surgeons mean different things when they say facelift, neck lift, “mini” facelift, etc. In my practice, a facelift is a comprehensive surgical procedure designed to lift and tighten the neck, jawline, and cheek areas all together. A “mini” facelift is a less extensive procedure with shorter incisions and less dissection. This procedure, as it sounds, is best used in cases where less work needs to be done. Recovery is faster, but there is some tradeoff in terms of exactly what can be accomplished. Finally, “full” facelift is a term not commonly used in modern plastic surgery. This implies longer incisions and more dissection, and includes elevation of the forehead and brow region in addition to the lower face and neck. Today, the upper face is mostly addressed with endoscopic and minimally-invasive techniques.

Q: What areas are addressed during the facelift and neck lift procedures?
A: In my practice, the facelift is performed as a deep plane extended lift for the midface, lower face, and neck. This technique allows for natural-appearing rejuvenation of the entire face and neck region, avoiding the obvious signs of other techniques. After the procedure, you will notice elevation and repositioning of the roundness of the upper cheek, improvement of the jawline, and tightening of the neck muscles and skin. All of this is performed, in the majority of cases, through incisions that are hidden in the creases around the ears.

Q: What procedures are commonly done along with a facelift?
A: Many patients seek rejuvenation of the eyelids along with the facelift and neck lift. Adding an upper eyelid and/or lower eyelid lift may dramatically improve your overall results. These procedures are designed to treat excess skin and bulging fat around the eyes, and help to give the face a brighter, more rested appearance. Another common addition is laser resurfacing. We use a fractional CO2 laser to treat fine lines, wrinkles, and pigmentation irregularity. Adding a laser treatment to the facelift enhances the results by smoothing the skin, evening the contour, and promoting new collagen growth. This gives a more youthful overall appearance of the face.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

5.0

Based on 19 reviews

Christina G.
I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!
Tk I.
I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!
Joey B.
I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.
Edward T.
Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.
Lisa C.
Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.
Cheryl H.
Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.
Jill P.
I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.
Arielle C.
Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.