the minimal incision facelift

55 year old female before and 1 day after a Mini-Facelift or Short Scar Facelift or Lower Facelift. Notice the dramatic improvement of her jowls and neck. 3 separate SMAS muscle sutures in 3 different directions are used to achieve a powerful, natural lift. This procedure was done under local anesthesia and took 30 minutes in the office. Patient had a previous Lifestyle Lift and was very unhappy with her result, as well the bilateral pixie earlobe deformities. This was also corrected at the same time.
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59 year old female 1 day after a mini facelift. Notice how easy it is to hide the scar by just wearing the hair naturally downward. For some, I also just recommend a fashion headband that can easily hide the top part of the scar.

54 year old male before and after a Midface lift or Cheek lift (which includes lower blepharoplasty), 1 cc Juvederm and a Mini Facelift. Notice the dramatic rejuvenation of the region around the mouth and especially the improvement of the nasolabial folds.

54 year old female before and 1 day after mini facelift and mini neck lift (small submental scar). Patient also did not mind having an additional two scars - one in a lateral neck ring and one behind the ear in her hairline. These two additional small 1 centimeter incisions allowed a more powerful lifting procedure to further improve her neck. Her neck had a lot of skin laxity and she really needed a full neck lift scar to properly address this. We call this a modified mini lateral neck lift and this procedure has not been described by anyone previously.

54 year old female before and 1 day after mini facelift and mini neck lift(small submental scar). Two extra 1 centimeter scars allowed a more powerful lifting procedure to further improve her neck laterally. A thread lift cannot come close to any result like this. The entire lateral neck area was released and freed endoscopically (similar to what a ponytail facelift does higher). She is ecstatic with the results.

50 year old female patient before and 1 day after a Short Scar Chicago face lift (no scars at all behind the ears!) Notice the puckering in the red outlined circle 1 day after surgery. This will rapidly diminish once the patient starts massaging two weeks after surgery. It is usually gone by one month but sometimes it takes up to three months to completely go away. This procedure took 30 minutes in the office under local anesthesia.

54 year old male before and after a Midface lift or Cheek lift (which includes lower blepharoplasty), 1 cc Juvederm and a Mini Facelift. Notice the dramatic rejuvenation of the region right under his lower eyelid with correction of his tear trough. He has a natural look with an inconspicuous scar.

59 year old female patient before and 3 years after short scar face lift. She did not have a midface (cheek) lift which would further dramatically improve her superior nasolabial folds. She had no injectables and no laser treatments. She was very happy with her results, and the main thing that bothered her was her jowls, jawline and her marionette lines. Remember, facelifts can be tailored to different areas to try to target more specifically with patients do not like. This is the dramatic benefit of not using one inside SMAS stitch, and using three separate ones. The operation can be tailored and unique to each patient.

54 year old female patient before, 3 days after and 6 weeks after bilateral upper and lower blepharoplasty and short scar Chicago face lift (no scars at all behind the ears!) Notice the minimal bruising and swelling at 3 days after surgery.

54 year old female patient before, 3 days after and 6 weeks after bilateral upper and lower blepharoplasty and short scar Chicago facelift (no scars at all behind the ears!) Notice the minimal bruising and swelling at 3 days after Chicago face lift surgery.

54 year old female patient before, 3 days after and 6 weeks after bilateral upper and lower blepharoplasty and short scar Chicago Face Lift (no scars at all behind the ears!) Notice the minimal bruising and swelling at 3 days after surgery. No neck work was done at this time.

6 weeks after bilateral upper and lower blepharoplasty and short scar chicago face lift (no scars at all behind the ears!) Notice the minimal bruising and swelling at 3 days after surgery. The patient will undergo a forehead lift at some point in the future but was not concerned about her forehead and her eyebrow asymmetry at this time.

54 year old female patient before, 3 days after and 6 weeks after bilateral upper and lower blepharoplasty and short scar Chicago facelift surgery (no scars at all behind the ears!) Notice the minimal bruising and swelling at 3 days after surgery. Notice the nice improvement of her nasolabial folds and lip lift effect without any surgery in this area!

65 year old female before and 3 months after a mini facelift and midface or cheek lift. Notice the dramatically improved lower eyelids as Dr Speron's midface or cheek lift also includes a lower blepharoplasty procedure and has the same lower eyelid scars. On the after picture, the patient had a lot of mascara that could not all be removed. Notice the patient has not had anything done to her upper eyelids. It is important for the surgeon to not talk patients into surgeries that they do not desire and let the patient dictate what bothers them. Unfortunately, this is rare in today's day and age.

65 year old female before and 3 months after a mini facelift and midface or cheek lift. Notice the lifted mid face and cheeks as well as the sharper jawline, and improved jowls and neck. Patient had no other procedures or injectables or laser treatments at this time although she has had Botox, Juvéderm and laser treatments previously.

43 year old female patient before and 1 day after short scar face lift and mini neck lift (small submental scar). Even with her postoperative swelling, notice the changing of her shape from a square face to a more natural, youthful V shape as her jowls were lifted and jawline sharpened. She did not have any eyelid rejuvenation, or a midface (cheek) lift which would further dramatically improve her nasolabial folds. She had no injectables and no laser treatments. Of course, her skin quality and specifically large pores and pigmentation and sun damage can be improved with no downtime laser skin rejuvenation therapy.

59 year old female before, 5 weeks and 18 months after 2cc of Kybella injections to submental area. This is a non-surgical 5 minute treatment with minimal downtime and no incisions. Most people do 3 to 5 separate sessions with 40 different injections. Dr. Speron numbs the patient completely so they feel no pain and essentially does this injection the same way he does liposuction treating the different fat compartments because he is comfortable with the neck anatomy. Of course, this patient did not get her muscles tightened, or her skin removed or lifted, which would've given her a more dramatic result. She is very happy with the smaller neck and tightened skin and still does not wish to undergo surgery or laser treatment or any other interventions.

53 year old before and 14 months after a mini facelift and mini necklift. It is important to take pictures with patients animating as well as scrunching their neck down towards their chin so that it almost touches their chest. This gives you a better idea of how much extra skin laxity and droopiness they have as opposed to just looking at the traditional static pictures. In the second picture she's not quite drooping down as much as we would like but you can see the dramatic difference regardless.

58 year old female patient before and 6 weeks after bilateral upper and lower blepharoplasty, midface lift and short scar facelift (no scars at all behind the ears!) Notice the natural appearance. She wanted to look like herself and not look artificial.

A 65 year old male patient before and 6 months after a direct necklift done in the office under local anesthesia which took only 20 minutes. Even though he was a candidate to get other procedures such as a facelift, cosmetic eyelid surgery, as well as injectables, the only thing that bothered him with his neck and he was willing to tolerate a small T scar. This is a very gratifying operation especially for men who can hide the scar in their beard. His retruded chin was also elevated (pushed upwards) with the procedure to look more normal and even his jowls were improved.

Same patient - notice the scars blending in without the use of any makeup or concealer. The hardest part to this operation is the initial postoperative period and looking at the red thick scar but as with all scars, it usually softens within 6-12 months to become a soft white line in most patients.

Same patient - notice the natural and dramatic difference.

57 year old female patient before, 7 days after and 6 weeks after bilateral mini or short scar Chicago face lift. Notice the improved jowls and neck. Please note this is not a midface or cheek lift which further improves the naolabial fold and lifts the midface.

78-year-old female before and 2 months after a mini scar lateral neck lift. You'll notice the dramatic improvement without any scarring in the midline. Patient had enough skin laxity to warrant a full scar neck lift but did not want the anterior scar. So the scar she got with this new minimally invasive surgery was a 3 cm lateral neck scar tucked under her jaw line and a 1 cm scar in the hair.

78-year-old female before and 2 months after a mini scar lateral neck lift. Notice how the submental angle is now harmonious in the lateral view. This is not a thread lift which does not give much improvement and does not last. After 1 year most thread lift patients notice only a 1-2 mm difference. Here, the SMAS muscles are tightened with 2-0 PDS internally which absorbs after four months and these are the same sutures we use for facelifts and full neck lifts. The result is much more dramatic.

78-year-old female before and 2 months after a mini scar lateral neck lift. Notice this view from underneath to fully show the scar. From normal viewing, the scar is not obvious. Of course the scar is red because not enough time has not passed for scar maturation which can take 6 to 12 months. Patient is ecstatic with her results.

43 year old male patient before and 3 months after bilateral nasolabial fold excision. Notice the patient had no eye work, no midface lift, no forehead lifting and no facelift. Notice the remarkable difference in the depth of his nasolabial folds. Men who are willing to tolerate these scars and do not want an extensive procedure are excellent candidates for this operation. Remember, this was a simple procedure done in the office under local anesthesia that took about 40 minutes!

49 year old female patient before and 4 years after bilateral short scar facelift surgery. This is considered a below average result in our practice but notice the continued jawline improvement. She had no neck work, facial injections or laser treatments.

58 year old female before and 3.5 months after bilateral upper blepharoplasty and Midface or Cheek Lift (includes lower blepharoplasty). Patient's scars are healing uneventfully. The thing that bothered her the most was her midface descent, malar bags, and prominent nasojugal grooves and tear trough. All of these were corrected with only a mid facelift. Patient hasn’t had any fat injections, Botox, fillers or other procedures yet which could further improve her results.

36 year old 1 day after a mini facelift. Notice the easily concealed scars. For most patients, we take off the Steri-Strips the next day, but this patient wanted to leave them on. Patients can shower the next day. Even though the patient has swelling (which maxes out 2 days after any surgery), you can notice she has no bruising. Even though the ear can look funny initially, the inside sutures are placed in key positions where they do not distort the ear long-term. This is important.

49 year old before a mini facelift. Notice the markings of the muscle or SMAS tightening. Most plastic surgeons tighten the SMAS muscle in only one direction but I tighten it in 3 different directions, one for addressing the cheek, one for the jowl, and one for the neck. This is a much more powerful lift and looks much more natural because it's not just being pulled in one direction.

49 year old before and 1 day, 1 month and 1 year after a mini facelift. Notice the mole that in front of the scar and that is present throughout the healing process. At the one month mark, you'll notice there was a little scaly scab, that is a "spitting stitch". The inside PDS stitches typically last 4 months and the body absorbs them. Sometimes the superficial dermal sutures "spit" or work their way out and we typically just remove this in the office without having to numb the patient. If patient wish to further camouflage the top scar they can get FUE or hair micrografts placed there or they can get a tattoo to make the white scar more flesh-colored. Most patients are happy with the scars and do not do any additional procedures. The patient also used the Dr. Speron’s Natural Skin Care Scar Product after her 2 week checkup until the scar was fully mature at 1 year out.

61 year old African-American male before and 2 years after a mini face lift. Patient had no other procedures or injectables or laser treatments. Patient also started using our Scar Support Product 3 weeks after his procedure and stopped it after 5 months.

65 year old female patient before and 6 weeks after short scar facelift. Notice the blended appearance of the scars. She loves wearing her hair up which will not be a problem at all since she has no scars behind the ears

65 year old female one day after a mini facelift and midface or cheek lift. Notice the minimal bruising but there is pulling and puckering which is common initially. All of this will usually settle out very quickly. Usually people can shower the next day after we take off the dressing and they do not need any other dressings applied. Also notice the patient has no drains, no outside stitches or staples.

74-year-old female 6 months after a mini facelift with her hair pulled back. Please notice on the close-up that the scars have healed well and within the natural creases. The design of the scars and placement is done on purpose to optimize healing. The patient started using Dr. Speron’s Natural Skin Care Natural Scar Support at her 2 week postoperative appointment and has continued using it twice a day.

59 year old female 1 day after a mini facelift. Notice the fresh incision with no outside sutures. Patients typically do not taking any pain medicine but of course we always prescribe Celebrex (an anti-inflammatory) for them to use for five days and narcotics in case they are needed. All patients receive long lasting numbing medication blocks during which keep them numb for 8-12 hours.

59 year old female 1 day after a mini facelift. Notice how there is no bruising and she looks very natural without the pulled back look. Obviously, when her hair is not pulled up tight, the hair will naturally camouflage the mini facelift scars.

56 year old female patient before and 5 days after a redo facelift, midface lift and upper and lower blepharoplasty. Notice the ease with which the scars are hidden with makeup and the natural look obtained. Notice the minimal bruising and swelling.

48 year old Asian female patient 3 weeks after a Short scar facelift, midface lift and lower blepharoplasty. Notice the hidden scars seen only with her raising her sideburn hair with her hand. Notice how narrow her scars are.

50 year old female patient 5 weeks after a Short scar facelift, midface lift and lower blepharoplasty. Notice the hidden scars seen only with her raising her sideburn hair with her hand. Notice how narrow her scars are. The redness will fade with time. This can be expedited with laser treatments. One of the huge advantages of a short scar facelift is the elimination of any scars behind the ear. These are usually the scars that heal the worse and are the widest. Without these scars, patients feel very comfortable wearing their hair up

56 year old female patient 6 weeks after a redo facelift, midface lift and upper and lower blepharoplasty. Her puckering from the minimal incision lift is completely flat.

57 year old male patient 3 months after short scar facelift. Notice the scars blending in without the use of any makeup or concealer

46 year old female patient before and 3 months after a Mini Face Lift. Notice the easily hidden scars that are more noticeable when you pull the hair upward and backward to reveal it. The way the scar is positioned, the sideburn hair naturally falls over it in female patients. In male patients, they can also grow their sideburn beard a little bit lower to camouflage the scar.

56 year old female patient 3 years after a Full scar facelift done elsewhere. Notice that the wide scars behind the ear that look unattractive as they are not up against the hairline and drifted downwards. She also has a little bit of a pixie earlobe deformity and a malpositioned tragus.

56 year old female patient before and 6 weeks after a redo facelift to correct her slight pixie earlobe deformity and malpositioned tragus. She had a traditional facelift but there is no need to use the scars behind the ear or in the scalp.

56 year old female patient before and 6 weeks after a redo facelift, midface lift and upper and lower blepharoplasty. Notice the sharper jawline and repostioned midfacial tissues. The square aged appearance of her face has become more youthful.

56 year old female patient before and 6 weeks after a redo facelift, midface lift and upper and lower blepharoplasty. Her cheek has been moved back up to its youthful position. No neck work was done at this time

56 year old female patient before and 6 weeks after a redo facelift, midface lift and upper and lower blepharoplasty. Her perioral area has been nicely rejuvenated. No skin care program, peels or laser has been done. Notice the much improved skin tone and "lip-lift" achieved. Notice the correction of her mild pixie earlobe deformity.

48 year old female patient before and 6 weeks after bilateral lower blepharoplasty and midface lift. Notice the correction of her tear trough deformity and nasolabial folds. There was no fat removed. The patient had no other procedures. Even without a facelift, her jowls are improved.

48 year old female patient before and 6 weeks after bilateral lower blepharoplasty and midface lift. Notice the correction of her tear trough deformity and nasolabial folds. There was no fat removed. The patient had no other procedures. Even without a facelift, her jowls are improved.

48 year old female patient before and 6 weeks after bilateral lower blepharoplasty and midface lift. Notice the smoothness under her eyes in this close-up. She still has some edema of her lower eyelids above her scar and her scar is still hyperemic (red). Patients are not usually as swollen and red as she is at this point. However, she can still easily conceal this with make-up.

53 year old before and 14 months after a mini facelift and mini necklift. Notice even with no filler injections how much more natural her nasolabial folds look. Notice the harmonious jawline and lifted jowls. This is important as nowadays people overfill a lot of areas and then patients look very unnatural. She loved her natural result and that she still look like herself and the procedure only took 35 minutes in the office under local anesthesia. She was also bothered by rosacea and so she underwent 5 skin rejuvenation no downtime laser treatments and you can notice the dramatic improvement of her redness and veins in her midface.

51 year old male patient before and 3 months after bilateral lower blepharoplasty, midface lift and S-Scar facelift. Notice the over all refreshed, natural-looking appearance. The patient had no other procedures, Botox or collagen

51 year old male patient before and 3 months after bilateral lower blepharoplasty, midface lift and S-Scar facelift. Notice the rejuvenated neck appearance even without a neck lift.

51 year old male patient before and 3 months after bilateral lower blepharoplasty, midface lift and S-Scar facelift. Notice the correction of his malar ptosis, tear trough deformity and nasolabial folds. There was no fat removed. The patient had no other procedures, Botox or collagen.

51 year old male patient before and 3 months after bilateral lower blepharoplasty, midface lift and S-Scar facelift. Because of his eyelid laxity, his ligament and muscles were tightened.

51 year old male patient before and 3 months after bilateral lower blepharoplasty, midface lift and S-Scar facelift. Notice the rejuvenated appearance of the perioral area. He had no other procedures, Botox or collagen.

67-year-old female before and 3 months after a Short Scar Face Lift & Mid Face Lift. She had previously undergone an eyelid lift a few years ago but had not noticed a difference. This natural achieved in the office with a 45 minute procedure under local anesthesia and no use of any drains. She could've had a more dramatic result with additional surgical or nonsurgical procedures but was not interested in those at this time.

59 year old female before and 1 year after a mini facelift. Notice the sharper jawline and how much the nasolabial and melolabial folds are improved even without a midface (or cheek) lift or fillers. Notice how her face looks vertically elongated even though you can see from her lower eyelid bags, that the lower eyes and the rest of her face look the same.

67-year-old female before and 1 day after a Short Scar Face Lift & Mid Face Lift. She had a lot of excess skin and folding which isn’t seen as clearly in photos as it was in person. She could'v dramatic result with additional surgical and nonsurgical procedures but was not interested in those at this time. This is considered an average result. You can notice some bruising which isn’t seen down here by the nasolabial folds even though nothing was done directly to them.

59 year old female patient before and 6 months after a midface or cheek lift. Notice the patient has rejuvenated her cheeks and they look fuller or augmented as she requested. Even though she did not get a mini facelift at the same time, her jowling is also somewhat improved from the b lift upward.

87 year old female patient before,6 weeks and 3 months after direct neck lift. Notice the patient had no other surgery. Notice the remarkable difference in the neck contour. There is still some puckering which usually disappears within 1-3 months after the procedure. Patients who are willing to tolerate these scars and do not want an extensive procedure are excellent candidates for this operation. Remember, this was a quick procedure done with minimal sedation and local anesthesia that took about 30 minutes!

87 year old female patient before,6 weeks and 6 months after direct neck lift. The patient had no other surgery. Notice the improvement of her "turkey gobbler" neck.

87 year old female patient before,6 weeks and 6 months after direct neck lift. The patient had no other surgery. Notice the sustained improvement even with neck flexion

87 year old female patient before, 6 weeks and 6 months after direct neck lift. The patient had no other surgery. Notice the dramatic improvement even with neck flexion.

48 year old Asian female patient before and 3 months after a short scar facelift, midface lift and lower blepharoplasty. Notice the recapturing of her youthfulness without an artificial look. Her lips also look more youthful.

48 year old Asian female patient before and 3 months after a short scar facelift, midface lift and lower blepharoplasty. Her friends and coworkers all told her she looked "so refreshed and so much better but they could not put their finger on what was different."

48 year old Asian female patient before and 3 months after a short scar facelift, midface lift and lower blepharoplasty. Notice the ease with which she wears her hair up - since there is no scar behind her ears.

48 year old Asian female patient before and 3 months after a short scar facelift, midface lift and lower blepharoplasty. Notice the closeup of her perioral area and it's rejuvenation. The jowls are corrected. Remember, this is an Asian patient who wanted her youthfulness restored. She did not want her lower face thinned ie her buccal fat pad removed to define that area.

48 year old Asian female patient before and 3 months after a short scar facelift, midface lift and lower blepharoplasty. Notice there was nothing done to her upper eyelids because she did not want anything done at this time.

45 year old female patient before and 8 weeks after a Short-scar facelift, midface lift and upper and lower blepharoplasty. Her perioral area has been nicely rejuvenated. No skin care program, peels, collagen injections or laser treatments have been done. The picture on the right (after picture) unfortunately has the patient half-blinking so it is hard to appreciate the eyelid rejuvenation..

45 year old female patient before and 8 weeks after a Short-scar facelift, midface lift and upper and lower blepharoplasty. Her perioral area has been nicely rejuvenated. Notice the elevation of the cheeks and youthful contours. She looks very natural in a gentle smile pose

45 year old female patient before and 8 weeks after a Short-scar facelift, midface lift and upper and lower blepharoplasty. Her perioral area has been nicely rejuvenated. Notice the more open eyes and smoother jawline with correction of jowls

45 year old female patient before and 8 weeks after a Short-scar facelift, midface lift and upper and lower blepharoplasty. Her perioral area has been nicely rejuvenated. No skin care program, peels, collagen injections or laser treatments have been done. Notice the much improved skin tone and "lip-lift" achieved. The lips look fuller and the lip aging is much improved, even with no lip injections. Of course, the lips can be further augmented if the patient desires this.

59 year old female patient before and 6 weeks after Short-scar facelift, midface lift and bilateral upper and lower blepharoplasty. Patient also had her buccal fat pad removed because she wanted a thinner face. The patient wanted to maintain a natural appearance. No other procedures were done at this point

59 year old female patient before, 2 days after and 7 days after bilateral upper and lower blepharoplasty. Notice the nice periorbital rejuvenation evident even early on. The maximal swelling after any surgery is typically 2 days after a procedure. Most of the swelling is gone by 1-2 weeks. 90% of swelling is gone by 6 weeks with the final result evident 3-6 months after the surgery. Scar maturation is complete about 12 months after the surgery.

62 year old African American female patient before and 1 year after a Short scar facelift, midface lift and upper and lower blepharoplasty. She complained of looking tired. After surgery, she looks natural and no longer has that tired look.

62 year old African American female patient before and 1 year after a Short scar facelift, midface lift and upper and lower blepharoplasty. Notice the improved facial harmony and the highlighting of her facial features

62 year old African American female patient before and 1 year after a Short scar facelift, midface lift and upper and lower blepharoplasty. Notice the improved facial jowls and the smooth transition zones.

62 year old African American female patient before and 1 year after a Short scar facelift, midface lift and upper and lower blepharoplasty. Notice the improved perioral aesthetics, even with nothing specifically done to this area.

67 year old Hispanic female patient before, 1 year and 5 years after a Short scar facelift, midface lift, neck lift and upper and lower blepharoplasty. Notice the maintained cheek lift and peri-oral lift. There has been no other maintenance procedures during the interval (such as Radiance to the nasolabial and melolabial lines)

67 year old Hispanic female patient before and 1 year after a Short scar facelift, midface lift, neck lift and upper and lower blepharoplasty. Notice the lip rejuvenation and fullness achieved. The patient also had 0.5cc radiance to the upper lip during the procedure but most of the visual change is attributable to the midface lift

67 year old Hispanic female patient before and 1 year after a Short scar facelift, midface lift, neck lift and upper and lower blepharoplasty. Notice the improvement achieved without any neck scars - the neck lift scar is 3 cm and in the submental crease area

67 year old Hispanic female patient before and 1 year after a Short scar facelift, midface lift, neck lift and upper and lower blepharoplasty. Notice the dramatic improvement in neck skin laxity. There were no other procedures performed.

57 year old female patient before and 6 months after a Short scar facelift, midface lift and upper and lower blepharoplasty. Notice the natural appearance achieved with minimal scarring and down-time.

57 year old female patient before and 6 months after a Short scar facelift, midface lift and upper and lower blepharoplasty. Notice the rejuvenated and harmonious appearance of the eyelid-cheek junction. This is a critical element and is commonly not properly corrected with traditional full scar face lifting procedures, especially when a mid face lift is not done at the same time.

52 year old male patient before and 1 year after bilateral lower blepharoplasty and facelift. Notice the patient had no midface lift, no forehead lifting and no extra nasolabial fold work. Notice the lengthened appearance of his face.

52 year old male patient before and 1 year after bilateral lower blepharoplasty and facelift. Notice the improved, natural appearance.

52 year old male patient before and 1 year after bilateral lower blepharoplasty and facelift. Notice the sharper jaw line.

52 year old male patient before and 1 year after bilateral lower blepharoplasty and facelift. Notice the patient had no midface lift, no forehead lifting and no extra nasolabial fold work. Notice the maintained normal sideburn..

65 year old female patient before and 2 years after short scar facelift. Notice the patient had no midface lift, no eye work, no forehead lifting and no extra nasolabial fold work. Notice her jowls are starting to recur. This is an average result from an isolated facelift procedure.