Facelift and Necklift in Tampa

Facelift and Necklift in TampaFacelift and neck-lift procedures are commonly performed cosmetic procedures at Marcadis Plastic Surgery and Medical Spa. Whether you are a business executive who wants to feel more confident when meeting clients or just want to look your best in social situations, cosmetic facial rejuvenation can allow you to to look as young as you feel. In today’s fast paced world first impressions are important. Although face and neck skin can sag we may appear tired and less vibrant, inside we still feel young and want to look young.

The goal of a face or neck lift is to improve the aging appearance of the face and neck by removing excess stretched tissue and adding more support. Loss of fat, bone and skin elasticity and the effects of gravity can cause the face to loose the tight conformity to the underlying facial bone structure. The skin begins to relax and slacken especially around the neck, jawline and around the mouth giving more tired and less youthful appearance.

These cosmetic procedures can give a more youthful and freshened look to the face and neck. Although the reasons vary, the goal is always the same: feeling more confident about the way you look. At Marcadis Plastic Surgery and Medical Spa, Dr. Marcadis and his team offer the experience, compassion and professionalism to provide the look you want. Today, anyone can opt for a facelift or a neck lift using the latest advancements by qualified plastic surgeons.

Facelift & Necklift Consultation:

During your consultation, Dr. Marcadis will listen to your concerns and the outcome you want to achieve with a facelift or necklift. Dr. Marcadis will also discuss the advantages and disadvantages of the procedure and will go over the incision site and scars. We know that having a facelift or necklift is a very personal decision therefore, it is important that Dr. Marcadis understand your goals, desires, and expectations during your consultation. He will discuss the procedure and risks of undergoing surgery. Depending on your goals and facial structure, Dr. Marcadis will discuss combining a facelift or necklift and other facial procedures to restore a more youthful look throughout the face and neck region.

Pre-operative appointment:

At Marcadis Plastic Surgery and Medical Spa, our patient’s health is number one. During your pre-operative appointment, we will review your general medical health, the planned procedure, your goals, and expectations, and discuss your care after surgery. At this appointment, we will again review your medical history and perform routine preoperative laboratory testing.

Facelift/ neck lift procedure:

A facelift and necklift are elective plastic surgery procedures that are done under a light general anesthesia and occasionally local anesthesia depending on the complexity of the procedure. Incisions are customized to the procedure that you need, but are typically from the temple around the ear and back into the hair behind the ear. Dr. Marcadis elevates the skin and tightens the deeper muscle layer to improve the results. After tightening this layer,excess skin is removed and the incisions are closed. Facelifts and necklifts are performed in our Joint Commission (JCAHO) accredited surgical facility. The procedure usually takes 2-3 hours to perform depending on the the type of surgery that is required. Anesthesia is provided by our board certified anesthesiologists who each have many years of experience and on staff at major local hospitals.

Recovery after a facelift / necklift:

Immediately after surgery, the incisions are taped and your head may be wrapped to reduce bruising and swelling. The dressings are removed the next day. You can expect to keep your head elevated above your heart for the first 72 hours immediately following the procedure to keep swelling to a minimum. You may resume all your normal non-strenuous activities as soon as discomfort allows. Most of our patients resume to their work about 5-7 days post surgery. Most swelling will gradually dissipate over 6 weeks. We will continue to see you during your follow-up until healing is assured. All recovery expectations will be discussed during your initial consultation and at your pre-operative appointment.

Call (813) 878-0089 to schedule your consultation with Dr. Marcadis to determine if a facelift or a neck lift is right for you. At Marcadis Plastic Surgery and Medical Spa, we pride ourselves with over 20 years of experience, professionalism and personalized patient care. Dr. Marcadis is one of the most experienced board certified plastic surgeon in the area; he is well known in the Tampa Bay area including Clearwater, St. Petersburg, Sarasota, and Orlando.

Facelift, Neck Lift

Procedure, Risks and Limitations



To improve the aging appearance of the face and neck.


To achieve your desired appearance by removing the excess loose face and neck skin and suspending the underlying tissues using inconspicuous incisions to produce a more youthful, rested, but natural look. Your goals should reflect realistic expectations as to what is possible to achieve with surgery.


The face and neck can age out of proportion to how some feel about themselves. Loss of skin elasticity combined with the effects of gravity causes the skin and deeper tissues of the face to loose the tight conformity to the underlying facial bone structure. The skin begins to relax and slacken especially around the neck, jawline and around the mouth giving a more tired and less youthful appearance. This may cause some to feel self conscious about their appearance. A facelift can give a more youthful and freshened look to the face and neck and can allow one to feel more confident about their appearance.


Usually a light general anesthesia or local anesthesia with sedation is used.

Outpatient procedure takes approximately 3-4 hours.

Incisions – scalp, around ear, back of ear, behind hairline, and under chin. Full Brow lift – top of scalp.

Skin elevated from underlying tissues, SMAS (muscle layer) tightened, skin redraped, excess skin removed and sutured.

Dressings-around face and scalp. Sutures removed in 5 -14 days.

Limitations of procedure: Results of a facelift may be limited by factors we cannot change.

All of the results of a facelift are not seen immediately. You will generally look better at 3 months than 3 weeks and better at 6 months than 6 weeks.

Asymmetry of the face and smile is present to some degree in everyone pre-op and post-op.

Individual anatomy and skin type and laxity may limit the amount of improvement that is achieved.

Will not remove all the fine wrinkles around eyelid or mouth or change skin surface or elasticity. Medical skin care programs may be needed to achieve all your goals.

Will not remove skin or bags around eyelid (requires blepharoplasty).

Will not remove forehead wrinkles or lift eyebrow (requires brow lift).

Will not totally remove nasolabial fold (crease from nose to corner of mouth).

Will not stop the aging process-your skin will continue to age again at variable rates. Some patients desire a second facelift as aging continues.

Your goals for facial appearance may only be partially met.

Alternatives to facelift:

Facelift is a purely elective procedure and is not required for functional reasons.

After considering the risks/benefits you may decide that a facelift is not for you.

Application of makeup may give the desired improvement of your appearance without surgery.

Medical skin care programs (i.e. Retin A, glycolic acid treatments) applied to the skin may improve the fine lines associated with aging. (But will not lift or remove excess sagging skin).

Injection techniques (hyaluronic acid (Restylane), collagen, fat injection, Botox) may temporarily elevate and improve deepened wrinkles.

Chemical peel or laser may improve fine aging lines but will not lift skin or deeper tissues.

Liposuction-of the face and neck alone may improve neckline and facial contour if not due to loose skin.

Tradeoffs and Side Effects: Normally expected to occur to varying degrees with every facelift:

Some fine lines and creases will remain in order to preserve a natural appearance.

Discomfort, bruising, swelling, numbness of face, bumps or firmness under the skin (usually temporary), temporary hair loss along incision, or altered hairline may occur after facelifts.

For Brow lift – above plus possible permanent abnormal scalp sensation.

Scars – (usually inconspicuous).

Restricted activities, costs, risk of complications.

Risks and possible complications:

Although the complications associated with facelift are uncommon, all surgery carries some uncertainty and risk. In extremely rare instances this may even include death, disability and deformity. Most complications that develop will improve without treatment or are treatable. Some complications may require additional surgery and cost to you.

The complications most specific to facelift include but are not limited to:

Anesthesia risk – Undergoing any type of anesthesia including local anesthesia for surgery involves risk.

Delayed bleeding – New bleeding can occur for up to 10 days after surgery causing a pocket of blood (hematoma) to collect under the skin. This may require an immediate procedure to evacuate the blood. Late bleeding is associated with high blood pressure, anti-inflammatory medication (including aspirin), alcohol intake, exertion or straining after surgery.

Nerve dysfunction – Usually temporary but rarely may be permanent. This includes weakness or loss of function of the lower lip, forehead, numbness of ear or scalp (browlift). Long lasting facial pain, numbness or itching is possible.

Delayed healing/skin loss – Usually occurs behind the ear but can rarely occur in other areas. Usually heals with dressing changes in about 4 – 6 weeks. Smokers have a greater risk of skin loss and wound healing complications.

Poor scarring – Thickness of the scars are unpredictable. Large and thickened scars are possible especially behind the ears. Occasionally thick hypertrophic or keloid scars require scar revision, scar injection, or other treatment with varying degrees of improvement.

Asymmetry – The human face is asymmetrical and one side of the face will always be slightly different than the other side before and after the operation. Occasionally additional surgery may be desired for improved results.

Persistent pigmentation – May take 3 – 6 months to improve.

Infection – Unusual – Treatment with antibiotics or additional surgery may be necessary.

Hair loss – Along incision and temple hair thinning can occur and is usually temporary. Altered hairline can occur.

Unhappy with result – Final appearance or degree of improvement may not be exactly what you desired preoperatively. This may be due to inherent limitations of your anatomy such as skin texture or elasticity, bone structure, muscle attachments, undercorrection or overcorrection or unrealistic expectations as to what can be accomplished with facelift. Occasionally additional surgery may be desired for improved results. Broad, not precise, appearance goals allow for the most successful surgical outcome.

* It is very important that during the preoperative consultation you are certain about the expected results and ask for additional information if you are uncertain.

* Even though the risks and complications noted above occur infrequently they are the ones that are specific to the facelift or are of the greatest concern. Other unforeseen risks and complications can occur.

* Any complications that develop can result in additional surgery, time off work, hospitalization and expense to you. Additional surgery including touchups, revisions, or complications requiring an operating facility would incur additional facility fees.

* Insurance does not cover facelift. Treatment of complications may or may not be covered by insurance.

l No guarantee – The practice of medicine and surgery is not an exact science; although good results are expected, there cannot be any guarantee, or warranty, expressed or implied, by anyone as to the results that may be obtained.

Do not take anti-inflammatory medications such as aspirin, ibuprofen, naproxin, herbal medications or diet pills for at least 2 weeks before and after surgery to help avoid bleeding problems. Tylenol (acetaminophen) is permitted. If you are unsure about your medication, please check with us.

NO SMOKING or other tobacco or nicotine products for at least 2 weeks before and after surgery.


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