At FacesFirst, we know how delicate the face is, and we know how important it is to our patients. Your face is the first thing people see. It is the first impression you make. It is what people remember.

And it goes beyond appearances. Your face represents you and your personality, and it should exude the same level of confidence on the outside that you feel on the inside. Confidence in how you look, in the treatment you are receiving and in the doctors who are caring for you.


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*actual patient of FacesFirst Cosmetic Surgery

At FacesFirst, we are a facial cosmetic surgery center with offices specializing in facelifts in Denver and Lone Tree, Colorado. We are experts in creating natural-looking facial beauty that allows patients to trust in their treatment and, more importantly, their results. Our experienced cosmetic surgeons, Dr. Nicolette Picerno and Dr. Christopher Cote, practice precision care that creates a more radiant version of you.

We understand that matters of the face are important decisions, which is why we are available to answer any questions and guide you towards the treatment that makes the most sense for you. Schedule an initial consultation to discuss how our facelift cosmetic procedures can dramatically enhance your appearance.

The Weekend Facelift

The Weekend Facelift (also called the mini facelift and the S-lift) is designed to have minimal downtime and less cost. The Weekend Facelift will treat early laxity in the corner of the mouth and jowl area that is too advanced to be treated simply by a mid facelift (cheek lift) procedure alone. It differs from a full facelift in that it does not treat laxity in the neck or the lateral temporal area, but only laxity in the jowl. With a Weekend Facelift, the incisions are hidden in the skin creases and patients are able to resume their normal activity within several days after surgery. For people with early aging changes and an active lifestyle, this procedure can be extremely beneficial. Performed under local anesthesia, the Weekend Facelift takes only about four days from pre-op to recovery. Plus, we use a tumescent solution that results in less bruising and faster recovery. It can also be combined with a mid facelift or forehead lift for maximum rejuvenation and minimal downtime.

Benefits of the Weekend Facelift include:

  • Minimal discomfort
  • Accelerated recovery time – just four days from pre-op to recovery
  • The ability to maintain your active lifestyle
  • Years of lasting facial improvement
  • Reduced cost

Lower Facelift

A facelift procedure, or rhytidectomy as it is medically called, treats the neck, cheek, jowl, lateral temporal and/or eyebrow area. It gives the ultimate improvement in facial plastic surgery because it addresses all the areas of concern and will reposition tissues into a more normal, natural position. It helps to turn back the clock for approximately ten years in most people.

As we age, the almond-shaped face transitions into more of an oval configuration. An oval face goes to a more round shape, and the round goes to a more square shape. The square-shaped face ages the least gracefully because even minimal redundancy is noted immediately. This is why women age more rapidly than men, who have more square-shaped faces to begin with.

In the female patient, incisions are hidden within the skin creases around the ear, going behind the tragus (the small flap of skin immediately in front of the opening to the ear canal). This means there is no incision in front of the ear, which can be a telltale sign of facelift surgery. The incision goes behind the ear and back into the hairline. In the frontal temporal area, the incision extends superiorly into the hairline. Incisions around the ear are closed with dissolvable sutures in multilayers. The hair is not shaved and incisions in the hair-bearing tissues are made within hair parts. Small clips are used to allow the patient to shower following surgery. In most cases, a small incision, the size of a pencil, is made in a natural chin crease below the chin. This helps to obtain support and contouring in the neck and submental area.

The surgery can take between three and six hours and you can return to work in 10-14 days. Any major family event or reunion should be scheduled at least one month after this procedure. This long-lasting surgery leaves patients looking ten years younger. Dr. Picerno and Dr. Cote may also recommend laser resurfacing or facial fat transfer to further improve your appearance.

Neck Lift

Saggy jowls, fat under the chin or visible bands in the neck present obvious signs of aging. Reduce the signs of aging and create a naturally youthful look through a neck lift. While the neck lift is not a replacement for the facelift, in many cases, 80% of the improvement that a facelift would provide to this area can be achieved with a neck lift. Plus, a neck lift allows patients to avoid any visible external incisions and has a reduced convalescence or healing time. This technique is especially beneficial in men who want to avoid the pre-auricular incision that is necessary in a male facelift, yet are concerned over laxity of tissue in the neck area.

The neck lift procedure uses an incision under the chin and sometimes in the nape of the neck through which the skin is brought up. A neck lift requires twilight or general anesthesia.

Mid-Face Cheek Lift

As we age, a pad of fibrous and adipose tissue over the cheekbone, called the malar fat pad, descends to a lower position in the cheek, and this results in a flattened cheek area and a deepening of the nasolabial fold. This is the fold that commonly runs from the corner of the nose to the corner of the mouth. As the malar pad in the cheek descends, it results in a deepening of this fold and an increase in tissue redundancy in the jowl area. Also known as a cheek lift, this limited-incision procedure can be highly effective in restoring the natural curves and fullness to the lower eyelid and cheek areas by moving the soft tissues and underlying musculature to a more youthful position. Endoscopes are used to enable smaller incisions making this a minimally invasive option for facial rejuvenation.

Advantages of a mid-face cheek lift include:

  • Minimal swelling and bruising
  • The procedure can be done under “twilight anesthesia” in less than an hour
  • Most patients are able to resume their normal activity within the next 3-7 days

This procedure works best in patients who have good elasticity to the tissues but have displayed early signs of aging and need to have tissues repositioned. Patients who have excess skin, as well as sagging of the malar pad, can have the mid-face cheek lift procedure performed in conjunction with a facelift or a mini facelift to provide maximum aesthetic enhancement. A cheek lift offers the same natural and long-term results as a facelift does in appropriate patients. The incisions are hidden in the hairline and under the lip, and because the incisions are not visible, this procedure is good for both men and women who have active lifestyles and desire a very minimal convalescence.

 

Frequently Asked Questions

How can I tighten loose skin on my face?

The tightening of loose skin on your face may be done by use of many treatment modalities. Well a facelift may lift droopy skin and other tissues, tightening lines and wrinkles can also further be improved with laser, radio frequency treatments, sub dermal plasma. It’s best for an experienced surgeon to assess this and give you information on the most effective treatments. Our board certified surgeons at Faces First are qualified to best address this.

Does a facelift make you look younger?

Facelift can certainly make you look younger. This procedure will lift loose or saggy tissue that has fallen do to the effects of gravity. What is important is it careful analysis by and experienced surgeon and a well executed face lift that may also include other complementary procedures. Facelift can certainly make you look younger. This procedure will lift loose or saggy tissue that has fallen do to the effects of gravity. What is important is it careful analysis by and experienced surgeon and a well executed facelift that may also include other complementary procedures

How do I tighten my jawline?

Jawline tightening treatments might depend on what is causing the jaw to be poorly defined. Treatments might include chin or jaw implants, a lifting treatment such as a facelift or seamless plasma lift, liposuction, Kybella or fillers to camouflage the contours or define certain areas along the jawline. When it comes to deciding the best treatment it is important to have a consultation with an experienced provider who can offer all of these options and help choose what is best for you and your time in budget. At Facesfirst we can offer all of these options.

What is the difference between a deep plane and SMAS facelift?

The SMAS is the short term for what is called the sub muscular aponeurotic system. It’s the tissues that are deep underneath the skin that need to be lifted for an effective facelift. There are many ways a facelift can be described but in general a SMAS facelift lifts the tissue layer in a more superficial fashion whereas a deep plane lift goes underneath this SMAS and releases the deep ligaments and allows the most complete and natural lift. This should be done by an experienced surgeon. At Faces First we have surgeons who have done these types of lifts for many years and after examining you can explain what will work best for your goals and objectives.

What is a non surgical facelift?

Nonsurgical facelift is a very general term that generally means a procedure that is done to tighten or lift the face without lengthy scars or open surgery. When it comes to lifting of the face, the gold standard still is a well executed deep plane facelift. However some people are not ready for that yet or may not even need that extensive of a treatment and may benefit from a complement of minimally invasive or non-surgical face lift options. The best treatment when going minimally invasive is likely a combination therapy treatment that can be identified with a consultation from a board-certified surgeon at FacesFirst. At FacesFirst we have many therapies that can be non-surgical that fit your time and budget.

What is a facelift called?

The technical term for a face lift is rhytidectomy. When translated this essentially means “wrinkle removal“. When it comes to face lifting, the upper, middle or lower third is a face can be treated in numerous ways. A board-certified surgeon and Faces First can give you the best options for a lift during their consultation with you When it comes to face lifting, the upper, middle or lower third as a face can be treated in numerous ways. A board-certified surgeon and Faces First can give you the best options for a lift during their consultation with you

What is a facelift?

The term facelift means different things to different people. In general, the term facelift means some type of surgical procedure that elevates the jowls and the lower neck.

How much does a facelift cost?

The cost of a facelift varies upon which type for which you are a candidate. A mini lift in the office can cost as little as $4800 ranging up to a lower facelift and neck lift at $9600-$12000.

How is a facelift done?

No two facelifts are exactly the same, but the basic techniques are similar. The variations occur in how much skin and muscle are elevated, whether the forehead is also corrected and whether there is a lot of excess skin in the neck. In general, an incision is made around the ear and the skin is elevated. The muscle underneath is separated from the underlying tissues and elevated superiorly (not posteriorly) The skin is then gently draped over the newly positioned muscle and then the excess is trimmed. The closure and placement of the incisions is as important and takes just as long as the actual lifting of the tissues.

What is a mini facelift?

In my hands a mini facelift is a smaller procedure with less skin and muscle elevation and can be done in the office. I feel the recovery is less at 5-7 days vs 10-14 days with a lower facelift and neck lift. The incision is in front of the ear only and this procedure is primarily for the jowl area and not the submental or neck area. The primary age range for this procedure in early 40’s-55 and will take about five years off of your appearance.

What is a lower facelift?

A lower facelift includes the jowls and neck and provides a complete rejuvenation of the lower face. The incision usually runs from the temporal region, in front of the ear and then behind the ear to a varying extent. There is usually a submental incision as well that corrects those bands in the neck that cause the skin to “hang”. The primary age range for this surgery is late 40’s and over. The lower facelift usually takes at least 10 years off your appearance.

How long does facelift last?

I get asked this question a lot and the answer is really, forever. You will never regain the skin excess that was removed in this first procedure. You will look 10-15 years younger after this surgery and at every age down the road, you will still look 10-15 years younger even when you are 80.

How long will a mini facelift last?

This procedure has less longevity due to the fact that the neck is not treated with this procedure. Therefore, the aging changes will develop in the neck and require another procedure at some point in the future.

What is a u201cVampireu201d facelift?

A Vampire facelift is a non-surgical facelift where we obtain your blood and use it to create stem cells. These stem cells are either injected alone under the skin in key areas such as the lower eyelids, perioral lip lines, forehead lines etc., or, the stem cells are mixed with hyaluronidase acid fillers (like Restylane or Juvederm) and the combined material is placed in the face to augment the sagging tissues.

What is a u201cliquidu201d facelift?

A liquid facelift is a full facial rejuvenation with a variety of injectable fillers or fat injections to achieve a more youthful appearance. This usually requires anywhere from 4-8 syringes and lasts two years or more.

How long is recovery from a facelift?

This depends upon the type of facelift chosen and ranges from 1-2 weeks. The non-surgical facelifts may take only 1-3 days to recover.

Can you combine a facelift with a neck lift?

Yes of course, and the most natural results are obtained when these are done together. Rarely, a neck lift is done alone, mostly in men who want to rid themselves of the turkey gobbler neck appearance but also do not want the incision in front of the ear. A “facelift” alone is usually termed a mini facelift.


 

Board-Certified Plastic Surgeons at | Website

Dr. Christopher Cote and Dr. Nicolette Picerno are board-certified plastic surgeons practicing in Denver and Lone Tree, Colorado. They have over 30 years of combined experience together in facial plastic surgery. Both Dr. Cote and Dr. Picerno specialize in procedures like Facelift, Browlift, Facial Rejuvenation, Nose Surgery, and many other types of cosmetic procedures at Faces First.