San 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.


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*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.

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