When double board-certified facial plastic surgeon Dr. Todd Hobgood meets with patients considering facelift surgery in Scottsdale, Arizona, near Phoenix, he explains that he customizes their surgery using the technique best suited to address their concerns and produce attractive, natural-looking results. Dr. Hobgood’s reputation as an expert who has performed more than 1,000 facelifts and procedures attracts women and men from throughout the Southwest and nationally, in addition to international patients.
This patient came to facial plastic surgeon Dr. Todd Hobgood for safe and natural rejuvenation. She wanted a softer and well-rested appearance. She underwent a combined upper and lower blepharoplasty, deep plane facelift, platysma plication, carbon dioxide laser, and forehead lift. We love the natural results. Read More
Ideal candidates for facelift surgery are in good overall health and do not smoke or use nicotine products. Women and men typically choose this procedure to take years off their appearance by:
Reducing jowls for a more angular and defined chin and jaw
Restoring firmer, elevated cheeks
Smoothing lax skin around the mouth and nose
It’s important to understand that a facelift doesn’t address signs of aging on the upper face, focusing primarily on the mid-to-lower face and neck. For complete rejuvenation, Dr. Hobgood often recommends his patients combine a facelift with other facial plastic surgery procedures, such as a neck lift, deep neck lift, eyelid surgery, or a brow lift. During your initial consultation, he will work with you to create a comprehensive surgical plan.
How Much Does a Facelift Cost in Scottsdale & Phoenix?
The price of a facelift in the Scottsdale and Phoenix area varies depending on several factors. These might include, but are not limited to, the surgeon’s experience, the facelift technique used, the condition of facial tissues, and complicating factors particular to the patient in question. During your consultation, we discuss what you can expect to pay based on the specific nature of your surgery. You can learn more about factors that influence the cost of a facelift in this blog post. We also have blog posts dedicated to deep plane facelift cost factors and the price of a mini facelift.
Dr. Todd Hobgood
Dr. Hobgood combines his down-to-earth, personable demeanor with an artistic eye and technical expertise honed through thousands of surgeries, including more than 1,000 facelifts. He's recognized nationally for his leadership and has been honored by the American Academy of Facial Plastic and Reconstructive Surgery for his ongoing commitment to quality.
Facelift surgery involves many different techniques to rejuvenate the face. Dr. Hobgood encourages you to keep an open mind when considering your facelift options because the type that works well for a friend may not produce the best result for you. As a facelift specialist, he assesses your unique facial structure, the quality of your skin, and other factors when selecting a facelift technique that will work best for you. He most commonly uses the following facelift techniques:
Deep Plane Facelift
Dr. Hobgood believes the deep plane facelift is the best option for most facelift patients, and he has focused much of his career on perfecting this technique. A deep plane facelift tightens loose skin and restores volume in a way that looks natural and lasts for many years. This avoids the pulled or stretched look and maintains the results indefinitely.
A deep plane facelift requires surgical expertise that not all plastic surgeons possess. It elevates and repositions the facial tissues beneath the SMAS, or superficial muscular aponeurotic system, firms the upper neck, and improves the overall facial contour to a degree that other techniques can’t match.
To learn more about how a deep plane facelift compares to a traditional (SMAS) facelift, please read our related blog post.
Deep Plane Facelift
Technique
Full release of foundation soft tissues and muscle ligaments
Mechanism
Natural, vertical lifting of volume over bone structure for restoration
Downtime
3-4 weeks
Operating Room Time
3-4 hours
Incisions
In front and behind ears hidden into hairline
Dissection
Deeper release of the SMAS into the cheek and neck
Advantages
Natural, youthful redraping of soft tissues and skin without a pulled appearance
A SMAS facelift is slightly less invasive than a deep plane approach and is the most common type of facelift. The SMAS is a fibrous network that includes muscles that change your facial expressions and connects those muscles to the skin’s dermal layer.
As we age, the SMAS becomes less firm, and ligaments attaching it to deeper facial structures loosen. This results in the signs of aging, such as jowls and loose skin.
Dr. Hobgood performs SMAS imbrication facelifts for patients who have had permanent fillers or thread lifts or if undergoing a deep plane lift wouldn’t be safe. Dr. Hobgood may also recommend this approach for certain younger patients with more limited age changes.
Traditional SMAS Facelift
Technique
Release of lateral SMAS tissues
Mechanism
Pulling of SMAS upward to girdle the soft tissues
Downtime
3-4 weeks
Operating Room Time
3-4 hours
Incisions
In front and behind ears hidden into hairline
Dissection
Less release of SMAS
Advantages
Slightly lower risk of facial nerve injury, less technically demanding
Goals
Maximal neck improvement, girdle effect on the midface for tightening
Mini Facelift
Dr. Hobgood reserves the mini facelift, technically called a SMAS plication lift, for younger patients with early signs of aging who want to make only small changes. This technique is also called a short-scar facelift because the incisions are usually less extensive than with a complete facelift. It is important to be aware that recovery time for the mini facelift is usually comparable to the complete facelift.
The best candidates for a mini facelift (also called a limited SMAS imbrication facelift) are patients who specifically show premature jowling along the jawline but otherwise have a tight neck beneath the chin.
Mini Facelift
Technique
SMASectomy and Plication
Mechanism
Excision of strip of SMAS and plication
Downtime
2 weeks
Operating Room Time
2 hours
Incisions
In front of ear and limited behind ear
Dissection
Subcutaneous to remove a strip of SMAS and plicate
Advantages
Shorter downtime, less invasive
Goals
Remove loose skin at jowl, no neck change
Deep Plane Facelift
Traditional SMAS Facelift
Mini Facelift
Technique
Full release of foundation soft tissues and muscle ligaments
Release of lateral SMAS tissues
SMASectomy and Plication
Mechanism
Natural, vertical lifting of volume over bone structure for restoration
Pulling of SMAS upward to girdle the soft tissues
Excision of strip of SMAS and plication
Downtime
3-4 weeks
3-4 weeks
2 weeks
Operating Room Time
3-4 hours
3-4 hours
2 hours
Incisions
In front and behind ears hidden into hairline
In front and behind ears hidden into hairline
In front of ear and limited behind ear
Dissection
Deeper release of the SMAS into the cheek and neck
Less release of SMAS
Subcutaneous to remove a strip of SMAS and plicate
Advantages
Natural, youthful redraping of soft tissues and skin without a pulled appearance
Slightly lower risk of facial nerve injury, less technically demanding
Maximal neck improvement, girdle effect on the midface for tightening
Remove loose skin at jowl, no neck change
Pairing a Deep Neck Lift With a Facelift
Although Dr. Hobgood usually addresses the upper neck during a deep plane or SMAS facelift, he may recommend adding a deep neck lift if your neck skin sags and you have significant deep-tissue neck fat.
The procedure removes superficial neck fat, tightens neck bands, and contours the deeper fat under the platysma muscle. If needed, Dr. Hobgood may also contour digastric muscles and salivary glands in your upper neck during your surgery. This combination of techniques comprehensively smooths and firms the neck, restoring your neck’s refined lines and complementing your facelift results.
A Must-Have for Facelift Patients
"The Insider's Guide to Getting a Facelift" is the definitive e-book that distinguishes facts from myths and describes the journey of a facelift patient with engaging content and easy-to-understand illustrations.
Double board-certified facial plastic surgeon Dr. Todd Hobgood is one of the leading facelift experts in the U.S., and he's drawn on years of experience to create this Insider's Guide.
Dr. Hobgood's Insider's Guide describes:
Why modern facelift techniques create results that look natural
Who is a good candidate for a facelift
What the difference is between a full and a mini facelift
When you can expect to see friends socially after a facelift
Submit the form below to receive our free eGuide as part of a short series of emails on Facelift. Fields marked * are required.
Other Types of Facelifts
In addition to the facelift techniques described above, Dr. Hobgood performs revision and liquid facelifts when appropriate.
What Is a Revision Facelift?
A revision (secondary) facelift makes improvements after a prior facelift procedure. Dr. Hobgood typically performs revision surgery if a patient’s facelift was many years earlier. In some cases, he corrects the unsatisfactory results of facelifts performed by other surgeons.
These procedures are usually more complex than primary surgery and require the expertise of a facial plastic surgery specialist. Scottsdale patients considering a revision facelift should contact their original surgeon and request copies of their medical operative reports to be fully prepared for their consultation with Dr. Hobgood.
What Is a Liquid Facelift?
While no nonsurgical option can produce the same degree of correction as a facelift, some treatments can help your skin and facial contours look younger and refreshed. Popular facelift alternatives include:
BOTOX® Cosmetic or Dysport® can soften wrinkles around the eyes and forehead, such as frown lines and crow’s feet.
Dermal fillers can soften deeper lines and folds around the mouth and chin and restore volume to areas where it is lost with aging.
Biostimulators like Sculptra are also effective for a nonsurgical facelift, boosting collagen production to smooth wrinkles and folds and create long-lasting results.
Many people choose these injectable treatments to complement the results of their facelift.
A Reputation Built on Results
It was such a pleasure working with such a brilliant dr.he listens to your concerns and tells your...
I recently had a chin augmentation and liposuction performed by Dr. Hobgood, and I couldn't be happier...
I took a long time to reflect and research going through cosmetic surgery. Dr Hobgood and his staff...
Dr. Hobgood is a master surgeon but his most endearing quality is his personality and bedside manner....
Facelift surgery is an outpatient procedure that takes approximately 3 to 4 hours. A typical facelift procedure requires an incision from your hairline near your temple, around and under the ear, and back to the hairline. Dr. Hobgood performs a neck lift using a small incision just beneath your chin if needed.
After Dr. Hobgood makes the incisions, he isolates the layers of muscle and fat beneath your skin. Dr. Hobgood will artistically restore the natural position of the soft tissue platforms of the face for a fuller, more youthful appearance. This precise vertical lifting of the soft tissues of the face is critical to the long-term success and natural beauty of our results. Lastly, he lays the overlying skin into position and trims the excess skin. Once finished, he closes the incisions with staples and sutures.
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Facelift Incisions and Scars
Patients are often nervous about the visibility of facelift scars. With careful attention, the incisions are placed in the crease in front of the ear, into the ear canal, and around the earlobe, where they are difficult to detect after complete healing. The hair of the scalp is preserved. The incision behind the ear is hidden in the hair-bearing scalp so patients can wear their hair in ponytails or any style in the future without concern.
Getting Natural-Looking Results
Restoring firmness to your skin and muscles is not enough to create natural-looking results. Dr. Hobgood ensures that your face maintains its full range of muscular movement so you will still have your unique appearance. Too many changes during a facelift can produce results that don’t look natural. Dr. Hobgood is a skilled surgeon and will give you a rested, youthful appearance.
What Should I Expect From Facelift Recovery?
Your primary focus during facelift recovery should be patience. Your face will likely feel tender and tight when you awaken from the anesthesia after surgery. Dr. Hobgood may apply a large, fluffy dressing to reduce swelling after the surgery. If he uses this, we replace it in about a day. Dr. Hobgood may also place small drainage tubes in your incisions to reduce the risk of fluid accumulation. We typically remove these tubes a day after surgery.
Comfort Levels
You may initially experience mild or moderate discomfort following your facelift. Dr. Hobgood will prescribe pain medication if you need it; most people are comfortable discontinuing pain relievers within 4 to 7 days. He also prescribes a round of antibiotics to prevent infection.
Swelling & Postoperative Effects
It is normal to experience swelling, tightness, tenderness, and numbness of the skin around the incisions. These aftereffects usually subside within weeks.
Daily Activities
You should expect to be up and moving about the house within a few days. You may wash your hair on the second day after surgery. Those who work relatively sedentary office jobs can expect to get back to work after about 2 weeks, while those with more physically demanding occupations will likely need more time away or a modified work schedule.
Results
You can see the results and should be able to engage in all your normal activities about a month after surgery. Your incision lines will appear reddish or pink for the first several months but should eventually fade to white or flesh color.
The Stages of Facelift Recovery
First 1-2 Days
During this time you will be mostly resting; you should concentrate on making yourself comfortable. There will be bandages placed around your head; you will be taking your pain medications and antibiotics.
First 3-7 Days
You will start removing and replacing your bandages, taking care of and cleaning the incisions; you can resume light daily activities.
First 1-2 Weeks
At this point, most people feel comfortable returning to their normal daily activities, being seen in public and resuming mild exercise.
First 1-2 Months
At this point, most external signs of recent surgery should be fading away or can be covered easily by a touch of makeup or some creative hair styling; most patients feel comfortable resuming social activities and moderate physical activities.
First 2-3 Months
At this point, most patients feel great about their appearance and can enjoy their facelift results.
“Dr. Hobgood and his team were great. I felt very comfortable with Dr. Hobgood given his great reputation in the industry. His friendly approach makes you feel almost like a part of his family. thanks for everything.”
Dr. Hobgood often combines facelift surgery with other facial rejuvenation procedures, including a neck lift, brow lift, and blepharoplasty. He has extensive experience with natural Implantech® silicone implants, which restore volume lost due to the natural aging process. He can create a more natural, fuller shape for the mid-face, temples, and jowls with implants. Dr. Hobgood often uses fat transfer for facial rejuvenation as a natural filler. As a finishing touch, it’s also simple to combine facelift surgery with facial resurfacing treatments, such as chemical peels, lasers, and dermabrasion, to correct lip lines, brown spots, and other concerns.
How much younger will I look after a facelift?
This is very subjective, as it depends on your age at the time of surgery, the degree of aging your face displays, and other factors. However, according to a study published by the American Society of Plastic Surgeons, facelift patients rated themselves as looking 12 years younger after a facelift procedure.
Will I have noticeable scars?
Dr. Hobgood carefully conceals incisions in the hairline or by natural facial creases. Once the incisions heal, the resulting scars are typically thin, faint lines that do not draw attention.
How long will my results last?
Facelift results last about 10 years, depending on your age at the time of surgery, how well you take care of your skin after surgery and other factors. Over time, you will look years younger than if you had not had a facelift; however, the aging process continues.
Does skin age faster after facelift surgery?
Facial surgery does not affect skin quality, although outdated techniques can make the skin look tight and unnatural. Instead of only tightening the skin as in the past, today’s techniques rejuvenate the face by lifting the facial tissues and muscles and restoring volume to avoid a tight, “windblown” look.
How do I know if I’m too old for facelift surgery?
While there is no upper age limit for facelift surgery, there are health considerations. If you’re a very healthy 80-year-old, you may be a good candidate for facelift surgery. On the other hand, a 45-year-old who smokes, has diabetes, or is significantly overweight may not be a good candidate for the procedure. Dr. Hobgood will review your health history and determine whether you are healthy enough for a facelift.
Complications after facelift surgery are remarkably rare; however, there is always the possibility of complications with any surgery, and a facelift is no exception. Complications from this surgery may include hematoma (pooling of blood under the skin), nerve damage (typically temporary), adverse anesthesia reactions, postoperative bleeding, and infection.
Ready To Talk With Dr. Hobgood?
Get to know Dr. Hobgood and your options for facial rejuvenation. Request a consultation online using our simple form, or call the office at
(480) 214-9955 to set up your appointment.
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