Face Lift

Before & After Photo Gallery of Face Lift
Before & After Photo Gallery of Face Lift


Ann Arbor Face Lift

Facelift Surgery: Three (3) different types of facelifts are available depending on your needs and time constraints for recovery.

You don’t have to leave your youthful good looks behind as you age. Proactively, we can help you counteract the effects of time and gravity and restore the naturally vibrant appearance you remember from years ago. Its never too early to address the early signs of aging before they take hold. Learn more about facelift  below.

What is a Facelift ?

A facelift lifts and firms sagging facial tissues. Its purpose is to restore  a more naturally youthful facial and neck appearance. Some say that having a facelift  “turns back the clock,” helping one look like a younger version of themselves. By removing excess, sagging skin, smoothing deep folds, and lifting and tightening the deep facial tissues, a facelift  can help a person look not only  younger, but simply “better.”

Why Have a Facelift?

As one ages, skin loses elasticity, and facial tissues lose volume. With time this results in “jowls” on the lower face as wrinkles appear and deepen, and loose skin on appears on the neck. Although  this is a natural part of aging, patients who are bothered by these signs of aging may find a facelift to be a good solution. The following describe conditions where a facelift is an option which one might consider:

  • Feeling self-conscious about the way your face & neck look due to sagging skin
  • Wearing turtlenecks and scarves, not because you want to, but because it is one way  to hide an aging neck
  • Looking in the mirror,  you feel that your face looks much older than you feel
  • You feel that an aging appearance  negatively affects your career or personal relationships

Following a facelift, patients frequently experience an upsurge in self-confidence and report that their appearance better portrays their healthy, energetic vibe.

Types of Facelifts

Facelift surgery is individualized to a patient’s needs.


Patients who exhibit a mild degree of jowling and sagging skin are often good candidates for a mini-facelift. This is a less invasive technique that allows  tightening of  deep facial tissues through shorter incisions, typically located along the hairline above each ear and/or in the natural creases surrounding the ear. Through these incisions, structural tissues around the cheeks are lifted and tightened to correct jowling, refine the jawline, and rejuvenate a “tired” appearance.

A mini-facelift is usually  performed using local anesthesia, or  with conscious sedation. Its purpose is to address unwelcome signs of aging before they become too pronounced, and may postponing the need for more extensive surgery for  years.

Standard Facelift

A standard or “traditional” facelift  more fully address moderate to advanced aging around the mid-face and neck. While the surgery is more extensive than those for a mini-facelift, thus more recovery time is required, results are more dramatic.

Through incisions located behind the hairline, starting near the temples, and around the front of the ear, hidden in the natural folds,  the deeper tissues beneath the skin are repositioned and  excess skin is removed resulting in smoother creases. This is designed to address jowling and sagging skin under the chin, restoring  a naturally more youthful contour.

3D Facelift (Stem Cell enhanced Facelift)

This is used to complement your facelift and is done during the same treatment session.  Its purpose is to restore a more youthful 3 dimensional appearance through natural replacement of lost volume. Your own growth factors are concentrated by Dr.Burke and mixed with stem cells recruited and separated from  harvested fat to supercharge the result – improving skin texture and quality while restoring a more youthful, natural appearance as missing facial volume is replaced.  This regenerative medicine procedure is known as the stem cell facelift or ALMI procedure.

Adipose (fat) derived stem cells are harvested by Dr. Burke using a proprietary process to extract stem cells from our own fat (also known as the ALMI procedure) and combine it with PRP (platelet rich plasma) for reinjection.

This has a distinct advantage over traditional facial fillers since your own tissues are used.  By recruiting and enlisting stem cells, the results are purported to last 5-10 hears or more.

Curious about the Cost of a Facelift?

Describing actual Facelift Procedure

The exact technique used during a facelift depends on a number of factors:

  • a patient’s anatomy
  • personal goals
  • extent of the facelift (mini vs. standard)
  • whether or not another procedure is being performed at the same time
  • local anesthesia with conscious sedation is the most common anesthetic used

Skin is separated from the underlying connective tissue and muscles after making the initial incisions.  Deeper facial tissues are repositioned,  eliminating  the jowls and create a firmer foundation for the skin. Excess skin is removed. The remaining skin is gently placed over the newly rejuvenated facial tissues, giving the face a smoother, more youthful contour.

Can a Facelift Improve My Eyelids Too?

Although it is common to hear the word “facelift” used when referring to any type of facial rejuvenation surgery, a facelift on its own, only addresses the lower two thirds of the face – the cheeks and jawline.

This the case largely due to differences in anatomy. The skin, muscles and other tissues along the brow and surrounding the eyelids are very distinct, and cosmetic surgery to each of these areas requires an entirely different set of techniques than those used during a facelift.

It is common for patients to choose to have an eyelid lift, brow lift or neck contouring at the same time as a facelift, but in these cases,  two different procedures are being performed in a  single operation.

Patients who only want to address aging around the eyes or neck can typically achieve their goals with only an eyelid lift or neck lift, and not a facelift.

Life After a Facelift

Although a facelift is a complex procedure requiring exceptional surgical skill, the recovery process is surprisingly quick for most patients. Patients typically return to normal daily activities after about 2 weeks (strenuous exercise will need to wait about 4 weeks) following a standard facelift. These time frames are usually  shorter after a mini facelift.

One of the primary concerns patients have following a facelift is how soon they will look presentable after their procedures. Bruising and swelling are normal after a facelift, and will be at their peak about 2 days after surgery. After that, bruising and swelling  gradually improve, and usually  difficult to notice after about 10 to 14 days.  Many patients feel comfortable going out in public about a week or so after their procedures.

As you ease back into your routine after a facelift, it’s especially important to keep your face protected from the sun. You will be more vulnerable to sunburn for several weeks after surgery, plus staying out of the sun will help scars heal as inconspicuously as possible. Wear a wide-brimmed hat and apply an spt 30 or greater broad spectrum sunscreen regularly.

How Will Facelift Results Look Over the Long Term?

A facelift is designed to achieve results that look natural now, and also age naturally with you. While nothing can stop the normal aging process, we can help with long term maintenance care to protect your results.

  • Maintaining a healthy, stable weight is important as significant weight fluctuations can cause skin to stretch out again.
  • You should also adopt a consistent, quality skin care regimen to keep your skin healthy and protected from unnecessary aging.
  • Do not smoke
  • If you use alcohol, moderation is best

Where to start?

Assess your goals honestly. What actually bothers you?  For some, this is the neck (looseness, crepiness, lack of a chin, and little to no definition between the jaw and neck).  For others it is the eyes with drooping upper eyelids, droop of the eyebrows, and bags under the eyes.  For others it is deepening and coarseness of their features. Some say that they are concerned because they appear to be angry or tired and that their co- workers, friends, or even grandchildren remark on this.

The next step is a consultation appointment with Dr.Burke to discus your concerns and review your goals.

Why does one’s appearance change with age?

With aging, the face and neck skin lose their elasticity, underlying muscles lose their tone, and the facial volume decreases.   Sun exposure, weight gain or loss, gravity, and stress accentuate the appearance of wrinkles, creating a tired look.

What does a facelift do?

  •  Restores lost volume
  • Tightens underlying muscles
  •  Redrapes sagging skin
  • Improves the most visible signs of aging

Here is a woman in her mid 40’s who presented for a facelift.

She wished to correct the hanging skin of her neck which made her appear much older. Following necklift, her neck jawline is well defined and she appears younger

Please describe the Natural Facelift

“The Natural Facelift” , as conceived and developed by Dr.Burke  highlights facial features that have changed over time. This starts with digital imaging to help visualize your face and neck in the present and compare with possible future outcomes. The actual procedure often includes a subtle lift of the upper eyelids – providing a better table for makeup and eye shadow (without makeup smearing that occurs when the skin droops).  The lost fat volume in the cheeks is replaced, and when possible, the tissue placed in its natural position.  The jaw line is made crisper, giving the jaw a subtly sculpted look with narrowing in the “jowl” areas. (one may appear to have lost weight)  Where incisions are necessary, they are placed in natural folds allowing them to blend with the surrounding skin as they heal. Skin glow and texture may be improved at the same time through Dr. Burke’s Matrix micro  fractional laser peel.

View Natural Facelift™ results photos


Dr. Burke offers a minimally invasive laser technique which works alone or in combo with traditional facelifts. (Click here for an article at www.modernmedicine.com)

Nonsurgical facelift: for those wishing to avoid surgery – nonsurgical options are available.  The newest of these is the Silhouette Instalift which provides an immediate result which continues to improve during the next 12-24 months.

Nonsurgical options include radiofrequency skin tightening and shrinkage, volume replacement, and treatment of the skin to restore a more youthful glow and color.  Options include: Pelleve® wrinkle eraser for nonsurgical facelift, and necklift, and eyelid lift ; the Matrix(R) micro fractional laser peel;  and the Liquid Facelift. As each person’s skin condition differs, an individualized assessment is made together with individualized recommendations.

View Liquid Facelift results photos

Other facial procedures may also be performed at the same time including: forehead lift, eyelid lift (blepharoplasty), chin and cheek implants, nose reshaping (rhinoplasty), liposculpture, chemical peel, carbon dioxide laser resurfacing and lipotransfer. Dr. Burke uses digital computer imaging to help in presurgical planning and visualizing the possible effects of these procedures on your facial appearance.

The majority of these procedures are performed on an outpatient basis under local anesthesia alone or supplemented with monitored conscious sedation.

View Facelift results photos

Who is a Candidate

  • If you have experienced a loss of skin elasticity and muscle tone of the face and neck.
  • If you have developed deep facial and neck wrinkles.
  • If you believe you lack youthful chin and neck contours.
  • If you have a tired facial appearance.

Intended Result

  • A more rested and youthful contour to the face and neck.
  • This procedure does not correct deep creases around the mouth. Those are addressed by a combination of volume replacement, fractional co2 laser resurfacing, and selected peels including the Burke Blue Lift(R).

View Facelift results photos

Procedure Description

  • Facelifts range from the Natural Facelift™ to an extended lift depending on the location and extent of skin laxity, the goals of the patient, and patient constraints limiting potential recovery time.
  • The operation is usually done on an outpatient basis under conscious sedation and may also be done under general anesthesia with an overnight hospital admission.
  • Incisions are made within the hairline (or along the hair margin) above the ear, extending down around the lobe and ending in or below the hairline behind the ear. The subcutaneous layers and neck muscles are tightened, the facial skin is redraped and lifted, and the excess skin is removed.

Recuperation and Healing

  • The patient goes home with head and neck wrapped in dressings, which are usually removed the next day.
  • Initial discomfort is  controlled with oral medication or nasal spray.
  • Sutures are removed within 14 days. Bruising and swelling usually decrease to modest levels within 10-20 days.
  • The final result is usually evident in 4-6 weeks or sooner with continued improvement over several months.

Other options


  • The specific risks and suitability of this procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.