Are you considering a facelift surgery and looking for a trusted facelift surgeon in the Bay Area? Dr. Evan Ransom, a renowned San Francisco facelift surgeon, has expertise with a full spectrum of solutions to make you look younger. As 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, San Francisco facelift surgeon, can address all of these concerns with a variety of techniques, from non-surgical treatments, to minimially-invasive procedures, to complete surgical rejuvenation. This skilled facelift plastic surgeon sees patients in his offices in the Bay Area.

A facelift surgery uses a similar approach to the Mini-Facelift, but with a more extensive dissection and greater lift. Facelift Surgery 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, skilled San Francisco facelift surgeon, uses the latest in facelifting techniques to elevate the neck, jowls, and cheeks (midface) in one surgical procedure. With this procedure, Facelift Surgeon 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. San Francisco facelift surgery 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, or lasers). Please visit the photo gallery for some examples.

A Mini-Facelift is a short-incision type facelift surgery (“S-lift”) with a more limited dissection. This type of facelift surgery is designed for younger patients or those with less significant jowls and drooping of the neck. Mini-Facelift 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! Mini-Facelift surgery 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, San Francisco Facelift Surgeon 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.

Facelift Procedures

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 a facelift surgery is a natural-appearing natural-appearing rejuvenation – restoring the patient’s face to a more youthful state. Dr. Ransom, experienced San Francisco facelift surgeon, 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 surgery. San Francisco Facelift Surgeon Dr. Ransom will evaluate your face and discuss the best option for you during your facelift consultation at his office in the Bay Area.

Who Is A Candidate?

Candidates for a facelift surgery 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 facelift surgeons and in the media to imply a wide variety of procedures and approaches. San Francisco Facelift Surgeon Dr. Ransom tailors his surgical approach to each specific patient, working to achieve the desired goal and avoiding an “operated” look. In most cases, this skilled facelift surgeon 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, a renown San Francisco facelift surgeon, see patients from all over Bay Area, including Mill Valley/Marin County, Napa/Sonoma, San Raphael/Petaluma, Hillsborough, San Mateo, Menlo Park, Orinda, Palo Alto, Piedmont, Walnut Creek and the world.

Frequently Asked Questions

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.

Depending on the exact surgical approach needed in your case (mini-facelift vs. full facelift surgery, 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 facelift 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. San Francisco Facelift Surgeon 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 in his offices in the Bay Area.

Yes. Though San Francisco Facelift Surgeon Dr. Ransom would strongly advise you to quit smoking to improve your overall health, smokers can undergo facelift surgery. 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, experienced facelift surgeon, 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 in his San Francisco Bay Area office, and he is able to prescribe medications to help you quit before your facelift surgery.

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 surgery is a comprehensive surgical procedure designed to lift and tighten the neck, jawline, and cheek areas all together. A “mini” facelift surgery is a less extensive procedure with shorter incisions and less dissection. A “mini” facelift, 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.

In my practice, the facelift surgery 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 San Francisco facelift surgery, 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.

Many patients seek rejuvenation of the eyelids along with the facelift surgery 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. San Francisco Facelift Surgeon Dr. Ransom uses a fractional CO2 laser to treat fine lines, wrinkles, and pigmentation irregularity. Adding a laser treatment to the facelift surgery 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.