About Facelift Surgery
In the past, the term "facelift" inferred to simply lifting the skin of the cheeks, often leaving a tight, unnatural appearance. Many doctors try to pull the face as tight as possible in an attempt to make the patient look as young as possible, resulting in an artificial, operated look. As plastic surgeons better understand the science of the aging face, our surgical techniques have changed dramatically.
At Highland Park Plastic Surgery Center in Dallas, TX, Dr. Toledo’s facelifts involve lifting and tightening the lower face and neck in two layers. The muscle and fascial layer, called the superficial musculoaponeurotic system (SMAS), is tightened separately from the skin and fat layers. This technique avoids tension on the skin, minimizing the artificial look and reducing the appearance of scars. This approach aims to achieve an elegant, angular neck with a tight jawline. In contrast, the upper face and cheek areas are not "pulled" as tightly as in the outdated approach. The area around the eyes often needs tissue volume replacement, whereas the lower face and neck should be lifted, elevated, and oftentimes, have fat reduced. In order to achieve this, Dr. Toledo will either gently reposition fat from the jowls and nasolabial folds to the cheeks or transfer fat from other areas of the body.
It has been 34 years since Dr. Toledo performed his first facelift in Dallas. His results today look more natural, have a shorter recovery, and last longer. Experience matters!
Dr. Toledo's Philosophy
At Highland Park Plastic Surgery Center, Dr. Toledo will analyze every aspect of your aging face, from your collar bone to the top of your scalp. The effects of gravity and aging can impact all aspects of your face.
The following areas may need to be addressed during your procedure:
- Lifting the forehead and brow (Forehead Lift)
- Correcting extra skin and fat bags around the eyelids (Blepharoplasty)
- Removing excess skin and fat from the neck and jowls (Neck Lift)
- Fat grafting to the upper cheeks, orbital rim, and temples (Fat Transfer)
- Lifting and narrowing the nasal tip (Rhinoplasty)
- Augmenting thin lips to their more youthful fullness
- Decreasing the size and lifting earlobes
- Skin resurfacing with laser, dermabrasion, or chemical peels to address fine lines, wrinkles, or discoloration
Dr. Toledo believes that correcting one area of the face without addressing the others will leave your face appearing disproportionate. For example, lifting the cheeks without lifting the neck or performing eyelid surgery without a forehead lift may not result in a balanced, harmonious appearance.
Fortunately, most patients do not have all of these signs of aging, but a discerning plastic surgeon who is keenly aware of these issues and is able to correct them is necessary to obtain a naturally stunning, total facial rejuvenation.
"One of the best decisions for me that I could have ever made - My neck lift was the one of the best decision for me that I could have ever made. I turned 55 and my neck didn’t match my face. With weight loss, it was appearing to look worse every day. I made a promise to myself 30 years ago after Dr. Toledo removed a cyst from the back of my leg, that I would go back to him when it was time for my face. It’s overwhelming to see how youthful my neck looks and I have no jowls anymore! I knew the procedure would go well as I completely TRUST Dr. Toledo and his staff. Dr. Toledo has an impeccable skill set. I was very impressed with Dr. David Jackson, the anesthesiologist . Both doctors’ bedside manner were outstanding. I realize that I will continue to age, but Dr. Toledo took 20 yrs off of my neck! I love going to Highland Park Plastic Surgery. They make you feel welcome as if you were family."- E.C. / RealSelf / Oct 06, 2022
"I had a rhinoplasty and facelift about 3 months ago. I love my nose and neck. Dr. Toledo did exactly what he told me he would. I trust him completely. His office staff was so nice every time I went in they are so warm and welcoming. I have sent him at least 5 friend who had rhinoplasty surgery too and they all rave about his work. I love Dr. Toledo. "- S. / Healthgrades / Nov 17, 2022
"One of the best decisions for me that I could have ever made - My neck lift was the one of the best decision for me that I could have ever made. I turned 55 and my neck didn’t match my face. With weight loss, it was appearing to look worse every day. I made a promise to myself 30 years ago after Dr. Toledo removed a cyst from the back of my leg, that I would go back to him when it was time for my face. It’s overwhelming to see how youthful my neck looks and I have no jowls anymore! I knew the procedure would go well as I completely TRUST Dr. Toledo and his staff. Dr. Toledo has an impeccable skill set. I was very impressed with Dr. David Jackson, the anesthesiologist . Both doctors’ bedside manner were outstanding. I realize that I will continue to age, but Dr. Toledo took 20 yrs off of my neck! I love going to Highland Park Plastic Surgery. They make you feel welcome as if you were family.Updated on 5 Dec 2022:I am overwhelmed by my results. I know I will not stop aging, but this surgery has taken years off my neck and my jowls have been removed. If you felt the way I did, you will not regret this. The recovery was not bad at all. I did as I was instructed. I was able to finally take time for myself and not worry about work for once in my life. I am so thankful to Dr. Toledo and his staff!Updated on 5 Dec 2022:I don’t take many selfies, so I figured I need another one with showing more of my neck. I will continue to show updates as they come. I have been out of the sun for years. I were sunscreen even on cloudy days. I don’t want to ruin my results. I haven’t gotten a spray tan because I don’t know how it would look on my neck. I am forever grateful to Dr. Toledo."- E.C. / RealSelf / Oct 06, 2022
"I’m so grateful for Dr. Toledo, he saved my life. I have been a patient for years. He did my nose 15 years ago. I came in for a consultation to have a facelift and he noticed a bump on my neck right away. He did an exam and sent me to have a sonogram of my thyroid. The results showed thyroid cancer so Dr. Toledo sent me to a surgeon right away. He even called and talked to the surgeon for me. His staff is so caring they called and sent flowers to the hospital. This was one year ago and I am so thankful to Dr. Toledo. My cancer is gone! I believe God sent me to him that day so he could find the nodule on my thyroid. And did I say he is a wonderful plastic surgeon. My nose is still perfect after all these years. I have sent countless friends and family to him."- D.T. / Google / Aug 08, 2023
"Beautiful work on my face & neck, a perfect result! - I had a low level of discomfort, no complications, no regret whatsoever. My PS is an excellent artist/doctor. He did beautiful work on my face & neck, literally perfect result. I had a great experience all around, I am getting a breast reduction next year, because I believe my dr.to be one of the best surgeons in our area."- L.F. / RealSelf / Sep 09, 2023
Men and women in good health with sagging skin of the face and neck are typically good candidates for this procedure. The average age of Dr. Toledo’s facelift patients are in their mid-50s, but genetics often play a big factor. Dr. Toledo’s patients may range in age from 40 – 80 years old. Younger patients may benefit from BOTOX, fillers, chemical peels, lasers, and other noninvasive procedures in order to achieve satisfactory results. However, if the younger patient has lost a significant amount of weight or has unfavorable genetic characteristics, the skin may lose elasticity and a facelift may better help the patient to achieve his or her goals. There is no upper age limit to candidates for this procedure; however, an older patient will require medical clearance from his or her primary care physician. Our goal is to achieve a rested, refreshed, and more youthful look at any age.
During Your Consultation
During your initial facelift consultation at the Highland Park Plastic Surgery Center, Dr. Toledo will specifically ask you which areas of your face are a concern. He will then carefully evaluate your entire face and neck to determine the optimal technique to achieve your goals. Every face is different, and Dr. Toledo has performed thousands of procedures from which to draw his vast experience. Dr. Toledo knows his limitations and will ensure your expectations are realistic. Bringing photographs of yourself from 10 – 20 years ago will also help Dr. Toledo plan your surgery.
Dr. Toledo will review your medical history, including past surgeries. Safety is our number one concern so medical clearance from your primary care physician is mandatory. Smoking, caffeine consumption, or nicotine addiction will impair wound healing and may cause Dr. Toledo to deny your surgery. At the end of your initial consultation, Dr. Toledo will give you his recommendations and the office manager will explain the procedure costs.
Dr. Toledo will not schedule surgery unless he feels you are in good physical and emotional health and your expectations are realistic. He must also feel confident that he can come close to delivering your desired results. Once your surgery is scheduled, you must obtain medical clearance, including laboratory blood work and an EKG. Following these procedures, there will be a second preoperative consultation with Dr. Toledo and his staff. At your preoperative visit, details of the surgery, permits, photographs, and written instructions about your procedures will be discussed. These instructions are also available on our website. (click here)
Depending on your individual needs, there are a number of facelifts available. Some facelifts rejuvenate the upper portion of the face while others focus on the middle and lower. Furthermore, some procedures are slightly more invasive and intricate than others. It is also common for some men and women to have a brow lift, forehead lift, or fillers and BOTOX to enhance their results.
Considered the gold standard, the full facelift generally makes an incision along the hairline, then extends down to the temples, reaching the base of the ears. The underlying facial tissues and muscles are gently pulled and tightened to produce a lifted look, which softens excessive lines and wrinkles. The traditional facelift is reserved for men and women who have signs of advanced aging. With this lift, many methods may be combined, including upper or lower blepharoplasty to enhance the eyes or a neck lift for the lower region.
What to Expect
Your facelift procedure will be performed at the Highland Park Plastic Surgery Center. Most surgeries start at seven o'clock in the morning and require 3 – 4 hours. More complex procedures will require longer surgical times, especially if you add forehead, eyelids, or other surgeries. You will have general anesthesia administered by a board-certified anesthesiologist. For your convenience and comfort, we will arrange for you to stay at our facility the night following your surgery. You will have a private nurse to administer antibiotics, pain, or nausea medicine if needed. Your blood pressure will be monitored and care is taken to help prevent blood clots from forming in your legs by encouraging and assisting you with ambulation.
The next morning, Dr. Toledo will change your dressings. Barring complications, you will go home in the care of a family member or other caregiver. Written postoperative instructions will again be reviewed. You should spend the next 4 – 5 days resting in order to facilitate the healing process.
Days 5 – 6
You will return to the Highland Park Plastic Surgery Center to have your eyelid sutures, half of the facelift sutures, and your drains removed. The next day, you can shower, fix your hair, and apply light makeup to your face. Sunglasses are advisable if you plan to leave home.
Days 10 – 11
Your remaining sutures, usually in the hair, are removed. There may be some slight residual bruising and swelling, but you should be able to return to work and other low-key pursuits. Continue to avoid strenuous exercise.
Weeks 3 – 4
You will need to return to the Highland Park Plastic Surgery Center for a follow-up visit. Your incisions will be examined with additional skin care instructions provided as needed. You should be able to resume all normal activities and exercises at this time.
Months 3 – 4
Dr. Toledo and the staff of the Highland Park Plastic Surgery Center will examine you to ensure you are healing as expected. Oftentimes, we will take postoperative photographs if the swelling has subsided. If you are traveling a long distance to Dallas, you will return for your follow-up when it is convenient for you.
Dr. Toledo would like to see you, at no charge, every year or as able to follow the results of your surgery. This allows Dr. Toledo and his staff to better evaluate patient outcomes and continue to refine techniques in the future.
Frequently Asked Questions
How much does a facelift cost?
The total cost of your facelift will vary based on the technique used. During your consultation, Dr. Toledo will develop your custom treatment plan based on your needs and goals. Once this is established, he can discuss cost estimates. To avoid results that look unnatural, it is best to focus on finding an experienced surgeon, like Dr. Toledo, instead of the cheapest price. Highland Park Plastic Surgery Center can help you find low-interest medical financing that will make your surgery easier to afford.
Which technique is best for me?
The best surgical facelift technique for you will depend on your needs, goals, degree of skin laxity, which areas of your face are being addressed, and more. To produce the results you want, Dr. Toledo will discuss the different surgical techniques during your consultation. He will then help you decide which technique is best for you.
Should I get a surgical or nonsurgical facelift?
While there are many great nonsurgical skin tightening procedures, these can usually only produce mild improvements. If you have moderate to severe skin sagging, a surgical facelift is the best choice to significantly improve your appearance. During your consultation, Dr. Toledo will discuss your options, including nonsurgical treatments, to help you decide what is best for your needs and goals.
What about wrinkle fillers and relaxers over facelift surgery?
Injectable wrinkle fillers and relaxers, like Juvéderm and BOTOX, have become very popular in recent years to refresh the face. Sometimes known as a liquid facelift, injectable wrinkle treatments can help with early signs of aging, but the results are temporary. A facelift can produce more dramatic improvements than injectables with results that can last for a long time. Ask Dr. Toledo about injectable treatments during your consultation.
Will my results look natural?
Many patients worry that facelift surgery will make their skin look too tight, shiny, or like they live in a wind tunnel. Dr. Toledo focuses on giving you a natural-looking result so you look refreshed and not fake. He listens to your needs and goals before developing your personal treatment plan with the technique that will produce your best results.
Plan Your Procedure
- Average Cost
- $18,000 - $22,000
The Right Facelift for You
Facelift surgery can take years off your face and help create a fresh look. Today, there are many options for surgery based on your personal needs and goals. This treatment is designed to help you look younger but still natural. To learn more, we invite you to call our facility in Dallas, TX to set up your private consultation with Dr. Toledo.