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Facelift Before & Afters

These Facelift before and after pictures represent actual patients from Dr. Sieber. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome. Click on a patient for their specific case details.

facelift san franciscoSan Francisco Facelift

Dr. David Sieber believes that a successful facelift is one that delivers the kind of natural looking results that will get you attention without getting noticed.* This is not the facelift of your mother’s generation where the facial skin has been pulled, leaving a tight and gaunt appearance. With all of the surgical advances available today, there is no need for anyone to look overly pulled and unnatural. In fact, a well executed facelift should simply leave you looking like a younger version of yourself.*

As we age, our skin loses elasticity as well as volume. This results in a tired, aged appearance. And while non-surgical options can work wonders for a while, there comes a point where our skin laxity can no longer be addressed with fillers and Botox alone. Furthermore, the neck is often one of the first areas to show the signs of age and is notoriously difficult to treat non-surgically. A facelift will both lift and tighten excess skin and soft tissue, restoring a more youthful contour to the face.*

Facelift Improvements

A facelift can literally turn back the clock. Facelifts are often performed in conjunction with other procedures such as a blepharoplasty or eye lid surgery, brow lift, and skin resurfacing to provide you with a completely refreshed look.

Facelift Surgery can improve:*

  • Loss of volume in the cheeks
  • Appearance of the nasolabial folds
  • Jowling
  • Sagging contour along the jawline
  • Excess skin and soft tissue in the neck

Quick Facts

  • Length: 4-5 hours
  • Anesthesia: General Anesthesia
  • Inpt/Outpt: Outpatient
  • Side effects: Bruising, swelling, temporary numbness/tingling
  • Recovery: 1-2 weeks before being able to return to work; 3-6 months for swelling to resolve; 12 months for scars to mature completely

To find out more about a facelift with Dr. David Sieber at Sieber Plastic Surgery, call us today at: 415-915-9000 or schedule a consultation here.

Facelift Technique

Dr. Sieber not only has advanced training in facelift surgery, but he understands that no two patients are exactly alike. His job is to individually tailor each facelift surgery to fit your goals and desires. Depending on your needs, incisions are made around your ears, back along your hairline and sometimes under your chin. Then, your facial tissue is moved through these incision, and suspended in a more youthful position, giving definition to your jaw and neckline while also creating more volume in your cheeks.* All excess skin is then excised and your incisions are sutured closed.*

Because Dr. Sieber has advanced training specifically in facelift surgery, he is able to evaluate your anatomy in conjunction with your goals for surgery to deliver a natural, yet dramatic result.* Dr. Sieber uses either a high SMAS or SMAS plication and was taught these facelift techniques by some of the plastic surgeons who invented them. Through his meticulous attention to detail, your facelift incisions will blend in with your natural anatomy and should be barely perceptible once healed.*

Preparing for Facelift Surgery

One of the best ways to enhance your facelift outcome is to optimize your skin quality prior to surgery. The better the “canvas”, the better the finished painting. Dr. Sieber will discuss your skincare needs in detail with you during your initial consultation. Depending on the state of your skin, this process may take 2-3 months, but will greatly enhance your results.*

As with any major surgery, all medications and supplements which cause an increased risk of bleeding should be stopped 2 weeks prior to surgery. Please see our list of medications and supplements to avoid. As always, make sure to check with your doctor before stopping any medications.

Recovery from Facelift Surgery

Most patients will typically take 1-2 weeks off work in order to recover. For the first 48-72 hours after your facelift surgery, someone will need to stay with you to provide help and assistance. You will wake up with a head wrap which will remain in place for the first 2 hours. You will also have two drains behind your ears which will need to be emptied and monitored. These are usually removed the day after surgery. Your incisions will be closed with sutures. These are normally removed about 5-7 days after surgery depending on how you heal. You can expect to be very swollen for the first week after surgery, but this will subside with time.* It may take anywhere from 3-6 months for the swelling to fully resolve, and your scars may take up to a year.*

You should begin gentle walking multiple times throughout the day immediately after surgery, but should not perform any activities which raise your heart rate or blood pressure. Starting 2 weeks after surgery, you may begin more moderate cardio exercises, but should refrain from straining or heavy lifting for at least 4 weeks after surgery. You will be released back to full activities 6 weeks after your facelift surgery.


Q: How long will my facelift results last?

A: The best way to answer this question is to imagine that you have an identical twin. After your facelift surgery, you will look 5-10 years younger than your twin.* Although your face will continue to age with time, it should look 5-10 years younger than your actual age.*

Q: How long after surgery before I can go back to work?

A: Facelift patients are typically home bound for the first 1-2 weeks following surgery. Once your sutures are removed at your 1 week post-operative visit, you’ll be able to apply light make up to conceal any bruising.

Q: Can I achieve the same results as a facelift with fillers?

A: There is no substitute for a facelift. There are simply limitations to what can be accomplished with fillers alone. Because Dr. Sieber specializes in both non-surgical and surgical procedures, he is able to give you an honest assessment of when fillers are no longer able to achieve a natural looking result.*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.


I couldn’t be more pleased and excited about the refresh Dr. Sieber did on my face using a combination of botox and fillers. I had a baby a year ago and my face looked completely deflated. It felt to me that I looked like I had aged 5 years instantly by having a baby over 40. Dr. Sieber looked closely at my face and listened to my desires and fears in terms of the results I was seeking. I really liked that he took a conservative approach and followed up to check in and tweak things once the fillers and I had time to settle in.*

Dr. Sieber is a caring, friendly and talented doctor. I had two long consultations (free of charge) before scheduling my BBL (Brazilian butt lift). The staff and Dr. Sieber made me feel calm and relaxed the day of surgery. The results are amazing. Dr. Sieber understands a woman’s body and totally changed the shape of mine. I could not recommend him highly enough. I now go to him for my Botox and Juvederm.*

Dr. Sieber was fantastic throughout the entire process. From the beginning, he was patient with my questions and never made me feel pressured about making a decision. Once deciding that I was going to move forward with a breast augmentation, he made sure that I understood the process of the procedure and what I could expect post-surgery. I could not be happier with the results!*

Dr. Sieber is the best. I interviewed with numerous doctors. He pays close attention to detail. He called and checked on me and my results on a regular basis. My tummy procedure exceeded my expectation.*

Dr Sieber was very kind, knowledgeable and patient. He was able to answer all of my questions and put me completely at ease during the consultation as well as during the actual procedure. He made sure that I understood each part of the process which went a long way in alleviating my fears…after all, this is my face!*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results. All images feature models except for before and after images.

450 Sutter St #1432, San Francisco, CA 94108

Proudly serving the San Francisco Bay Area communities, including Mill Valley, Marin County, East Bay, South Bay, and much more.

Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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