Michigan Facelift | Ann Arbor Plastic Surgery


Michigan Facelift & Neck lift at Ann Arbor Plastic Surgery

Time marches on, but with facelift surgery, also called a rhytidectomy, at Ann Arbor Plastic Surgery, your appearance can defy time, remaining youthful and radiant throughout your life. Dr. Lapaine is known throughout Michigan for creating flawless and natural-looking facial rejuvenation.

Are you ready to turn back time with a facelift/neck lift? Or are you mildly curious and interested in learning more? Whether you are ready to schedule or just exploring, we’d love to chat, call us at  (734) 913-5100.

Facelift: Insider Tips from the Surgeons at Ann Arbor Plastic Surgery

Reduce downtime after your procedure by asking your surgeon about tumescent anesthesia for facelift surgery. Infusing the tissues with a local anesthetic reduces bruising, bleeding, and swelling. Our patients enjoy minimal downtime and some of the best results in Michigan due to our use of tumescent anesthesia during facelift surgery, in addition to meticulous dissection technique.

Male facelift surgery is especially complex due to the hair-bearing skin on the lower face. Choose a surgeon that is experienced performing this procedure on both men and women. The techniques used are the same for both genders, but there is a little variation in how the incisions are planned and the surgery is performed to ensure a natural-looking result.

If you’re not ready for a full facelift, ask your surgeon about a mini lift. A less robust, mini-facelift treats drooping cheeks and nasolabial folds. Depending on what areas bother you, this procedure may be a better fit for your budget and schedule.

Avoid the “wind tunnel” look, a telltale sign of facelift surgery, by pairing skin tightening with SMAS tightening. SMAS facelifts tighten the tissues below the skin for a refreshed and very natural appearance. See our natural-looking results in our before and after gallery.

Discuss adding fat grafting to your facelift procedure to enhance your result and fill your nasolabial folds and cheeks utilizing your own tissue.

Avoid smoking, and if you do smoke, you must quit at least one month before surgery and throughout the recovery period. Tobacco and nicotine products constrict blood vessels, reducing blood supply, slowing healing, and increasing the chances of surgical complications.

Schedule A Consultation

Dr. Lapaine specializes in all aspects of aesthetic surgery, including face, breast, and body contouring. Schedule a consultation with Dr. Lapaine to discuss how he can help you achieve the natural, long lasting results you deserve.

The Benefits of a Michigan Facelift/Neck lift

Ideal candidates for surgery are in overall good health and have realistic expectations about the outcomes for this procedure. A consultation with Dr. Lapaine can help you decide if rhytidectomy surgery in Ann Arbor is a good fit for you.

To ensure each patient receives maximum benefit from their procedure, we offer many different variations on the traditional facelift including SMAS facelift, neck lift, and mini facelift.

You may benefit from this procedure if you have:

  • Saggy, loose skin on the lower face or neck
  • Descent of the fat along the jaw and chin creating jowls
  • Wrinkling around the nose and mouth, on the cheeks, or along the jawline
  • Droopy, deflated cheek appearance
Before and After
Before and After

What Happens During a Facelift?

We perform facial plastic surgery procedures requiring IV sedation or general anesthesia at an outpatient surgery center affiliated with a local area hospital. We find that these surgery centers are one of the safest options for our patients. They are equipped with the latest equipment and are continually improving, a claim that few in-office surgery centers can make. More minor or limited procedures may be done in the office with oral sedation and local anesthesia only.

Throughout the surgical process, we’ll be by your side. We’ll answer questions, provide detail about what to expect next, and help you feel safe and comfortable.

  • We often use a tumescent technique for facelift surgery, infusing the tissues with a local anesthetic. This technique reduces bleeding and swelling and can significantly shorten recovery.
  • Incisions are placed in the hairline and around the ear, beginning at the front of the ear and looping around to behind the ear.
  • We don’t just tighten the skin. The supportive tissues deep within the face are meticulously tightened. Fat is sculpted and repositioned to create rejuvenated, younger-looking facial contours.
  • Skin is laid into position without tension. This ensures a soft and natural look, avoiding the windblown appearance that is common after a poorly executed facelift.
  • If neck tightening is needed, additional incisions are made under the chin through which liposuction and muscle tightening or release are performed.
  • Incisions are closed using advanced techniques to ensure a smooth, imperceptible scar after healing.

Patients spend a short amount of time in recovery before returning home to rest and heal.


Let our before and after gallery show you the expertise of Michigan’s plastic surgery specialists, Dr. Pramit Malhotra, Dr. Pierre Lapaine, and Dr. Tiffany Ballard. Place your trust in the skilled hands of our board-certified surgeons who understand that the difference is in the details.

Call Ann Arbor Plastic Surgery to learn more about Michigan facelift surgery or to schedule your consultation with Dr. Lapaine.

Facelift FAQs

Costs vary significantly depending on the complexity of your desired lift, but with many options available, we can generally find a good fit for your aesthetic goals and budget. Typically, a rhytidectomy costs between $6,500 to $11,500, including all fees.

Our advanced surgical techniques combined with our use of tumescent anesthesia allows for a much shorter facelift recovery period. In general, the expected cosmetic downtime from social settings is 1 week. Our patients that can work from home usually only need 2-3 days off from work. Rest a lot, and be sure to use sun protection as the skin is very sensitive.

Surgical and non-surgical treatments at Ann Arbor Plastic Surgery can enhance your results. Some of our favorite non-surgical pairings include Botox® and dermal fillers. Surgical enhancements include eyelid surgery (blepharoplasty) or facial fat grafting.

Scarring is usually minimal after a rhytidectomy if the procedure is performed by a skilled plastic surgeon like Dr. Ballard. Incisions are carefully placed and expertly closed to ensure good healing and minimal visibility. We use a multi-layer suturing technique and place incisions in natural folds and creases. Any scars that do occur will be most noticeable in the first few months after your surgery. After incisions mature and fade, they are usually hard to spot.

There is no set age for considering facial plastic surgery. We operate on patients in their 40s and others in their 70s. Come in for a consultation to explore your candidacy for this procedure. If aging isn’t sufficient for a full facelift, we offer a less invasive mini-lift, a rejuvenation procedure that uses smaller incisions to lift and tighten away the early signs of aging. Patients that want to avoid or delay surgery altogether may want to consider an injectable treatment. Dermal fillers and Botox® restore a youthful appearance with minimal downtime and no incisions.

Most patients will need 7-10 days of “cosmetic downtime” following a traditional facelift or necklift before they are ready to resume public activities.

Good skincare and taking care of yourself are cornerstones of optimizing and preserving your results. This involves a medical grade skincare regimen with maintenance treatments. Maintaining a stable weight is also important to long-lasting results. 

A mini facelift best addresses mild to moderate signs of facial aging, such as early jowling. The incisions used for a mini facelift are shorter and the procedure itself is less invasive. A mini facelift is not designed to address significant neck skin laxity. Patients with more extensive or pronounced signs of aging are likely better candidates for a traditional facelift, which serves to rejuvenate the cheek and jawline areas. While the incisions are longer, they are placed in discrete locations to be well-hidden from view.

A patient care coordinator from Ann Arbor Plastic Surgery will contact you prior to your appointment to review our consultation process. Typically, we ask patients to send photos of their areas of concern so that we can ensure you are a good surgical candidate and that we can help you meet your goals. Be sure to write down any questions you may have to discuss with your surgeon during your consultation.

You should pick up all of your prescriptions ahead of time and plan to avoid any strenuous physical activities and important social functions while you are healing. Ensure you follow all of the preoperative instructions and avoid any nicotine prior to surgery.

A facelift procedure involves all of the typical risks associated with any surgery, including bleeding, scarring, and infection. Specifically, it also involves working over areas of the face that are in close proximity to the nerves that control facial movement and ear sensation. You should always seek out the care of a Board Certified Plastic Surgeon to minimize your risks and ensure your surgical procedure is done as safely as possible.

Anyone considering a facelift must refrain from nicotine use of any kind for at least 4 weeks before and after surgery. This is to minimize the risks of this elective surgery and ensure a successful outcome. Smoking and nicotine use significantly increases the risks for major complications, including skin necrosis and infection.

Patients will have 7-10 days of “cosmetic downtime” during which they usually will refrain from public activities and social engagements. Patient should refrain from strenuous physical activities for at least 3 weeks to allow their incisions to heal and the swelling to resolve fully.

Patients can typically resume working out 3-4 weeks following surgery.

Patients with low impact or desk jobs may return to work 7-10 days after their procedure. For patients whose jobs require more strenuous activities, they can typically return around 2-3 weeks after surgery.

A facelift is the gold standard for excess skin and can address laxity, sagging, jowling, and rejuvenate the midface and neck more powerfully than any non-surgical option. However, there are many non-surgical options that can improve and rejuvenate one’s appearance, including fillers, Botox, Ulthera (skin tighteing), and skin care and resurfacing.

A liquid facelift involves the use of hyaluronic acid fillers to restore volume to the face. These fillers are usually injected along the cheeks and nasolabial folds to rejuvenate the face and correct volume loss and deep wrinkles. A traditional facelift involves excising the lax skin of the face and tightening the underlying layers of the face to provide a powerful method of rejuvenation.

A facelift typically lasts approximately 10 years.

SMAS is short for superficial musculo-aponeurotic system, which is the thin sheet of muscle and connective tissue deep to the subcutaneous fat in the mid and lower face. A SMAS facelift is a specific facelift technique that targets both sagging skin and the underlying SMAS layer of the face. It is performed to address sagging skin, excess fat, jowls, and loss of volume in the cheeks.