Dr. Don Griffin of Nashville Cosmetic Surgery

What Happens As We Age?

Usually in the early 40′s, facial laxity begins to occur. Your skin just isn’t as firm and plump as it used to be. You start to look “tired”. Skin gets thinner, and you get pigment spots and wrinkles. And it’s not just the skin that’s aging.  Changes happen in other layers of the face; facial fat atrophies and descends, and even facial bones change as we age.

It is important to realize that all areas of the face age together. As a result, they all “match” and look natural. We call that “facial harmony”. When considering facial rejuvenation surgery, it is important to consider correcting all areas of aging to keep the face in harmony.

Dr. Griffin’s Philosophy

Years ago, plastic surgeons thought aging meant only loose skin. Facelift procedure goals revolved around skin tightening only. But skin laxity returns very quickly when only skin is tightened. And over tightening produces a stretched, wind-blown appearance that people associate with a bad facelift. Amazingly, there are still surgeons that do this procedure because it’s quick and easy.  And patients will look good - for a little while, but the results won’t last.

Dr. Griffin believes in repositioning all the layers of the face as a unit; tightening the deeper fibrous support layers (the SMAS, platysma, and malar fat) separately so that there is no tension on the skin. This produces a natural looking elevation and a longer lasting result without an overly pulled “scary faceliftlook”.  And because he believes that every face is unique, the procedure is individualized to take in to account the different anatomy, sometimes even doing a slightly different technique on one side of the face to correct asymmetry.

The final component of Dr. Griffin’s philosophy is one of addition and subtraction. Most sagging faces need tissue tightening and loose skin taken away (the minus), but in thinner hollow faces, this just makes a tighter looking thin face. These faces need more volume in some areas, maybe less volume in other areas. Using fat grafting and fillers (the addition), these faces can be made fuller, more symmetric and more youthful.

Every face is different, just as no two faces are the same - no two facelifts are the same.  Don't opt for a cookie cutter solution - Trust your face to a skilled expert.

What should you expect?

Dr. Griffin's facelifts are done in a fully accredited surgical suite under general anesthesia. The operation takes between 3 and 4 hours and may involve an overnight stay in the hospital. Many people like to combine a facelift with other procedures such as eyelid surgery, a brow lift and a neck lift. Pain from face and necklifts usually lasts three to five days, and the ears may be swollen, tender and sensitive for a week. The majority of swelling and bruising should subside within 1 to 3 weeks. The neck will feel tight for 3 to 6 weeks. Final results will be apparent in 1 to 2 months. Your incision lines will continue to refine and fade over time.  

Helping our patients manage a speedy recovery is one of our primary missions. Most people take off between seven to ten days of work after their facelift. Expect to be up and about in a day or two, and have the stitches removed at your first post operative visit at seven days.