Plastic surgery can reshape and enhance features like your cheeks, chin, and neckline. Three standard cosmetic surgery procedures are facelift surgery, neck lift, and cheek lift performed by a board certified surgeon and plastic surgeon specializing in facial plastic surgery. If you’re comparing facial plastic surgery clinics, this page explains common options for facial rejuvenation and what to expect before and after a surgical facelift.
During your Roseville Plastic Surgery consultation, one of our skilled surgeons will assess your cosmetic concern and recommend a solution to enhance facial volume, soften wrinkles and fine lines, and increase confidence and self-esteem. We’ll review your medical history, medical conditions, and any previous surgeries to confirm you’re a good candidate for facial rejuvenation surgery.
Facelift in Sacramento, CA
We can’t turn back time, but a facelift may be the closest we can get. A facelift is a surgical procedure that can help you look years younger by removing wrinkles and tightening sagging skin. Facelifts are designed to address visible signs of aging, including jowls, deep wrinkles, and facial laxity in the lower face.
In the past, facelift surgeons only pulled back the skin, sometimes resulting in an overdone, “windswept” look. Today, surgeons also know to tighten the underlying tissues and supportive structures. As a result, facelifts now appear more natural-looking and typically last a decade or longer. In the hands of a skilled surgeon like Dr. Kiener, facelift patients benefit from a natural appearance with little visible evidence of invasive surgery. This approach supports natural contours and helps preserve facial expression by respecting facial anatomy and facial muscles.
Facial aging affects more than skin. Volume shifts in the midface can expose underlying fat pads, and changes in the aging process can lead to facial sagging and deep folds around the mouth. Facial rejuvenation strategies may include surgical options (like facelift surgery) and non-surgical options (like dermal fillers or a liquid facelift) depending on skin quality and goals.
Important note: A facelift does not correct signs of aging above the midface. For example, to correct drooping eyebrows, forehead wrinkles, undereye bags, or sagging upper eyelids, you might choose to get a brow lift or eyelid lift along with your facelift. In addition, adding other surgical or non-surgical procedures to your facelift ensures a holistic approach to facial rejuvenation. Some patients also ask about laser treatments for sun damage, skin tone, and skin quality.
*Individual Results May Vary
View Facelift Before & After Gallery
Facelift Options
Your surgeon will recommend the best technique based on your anatomy and goals, including:
- Traditional facelift / traditional facelift surgery (often used as an umbrella term for commonly performed facelift approaches)
- Deep plane facelift (a technique designed to lift deep facial tissues for natural, durable results)
- SMAS facelift (lifting and supporting the superficial musculoaponeurotic system)
- Mini facelift (for patients with earlier laxity and more limited correction)
- Mid facelift / mid facelift surgery (focused on the midface region)
A deep plane facelift may be recommended when the goal is improved midface support and more thorough lifting of the cheeks and jawline, rather than tightening only superficial layers. A deep plane facelift can also help address sagging cheeks and deeper facial descent while maintaining natural contours. Deep plane facelift planning is always individualized—your surgeon will explain whether you’re a candidate and what to expect.
A mini facelift is often chosen for mild to moderate facial sagging along the jawline, while a mid facelift can focus on midface descent. Mid facelift surgery treats concerns like midface droop and cheek descent in appropriate candidates.
Facelift Procedure
Your Roseville facial plastic surgery team may choose from a couple of different techniques during facelift surgery, depending on the cosmetic concern they’re correcting. Once the anesthesia takes effect (general anesthesia or, in select cases, local anesthesia with sedation), the plastic surgeon usually makes incisions for a facelift along the hairline and concealed within natural contours.
The surgeon will sculpt or remove excess fat, reposition facial tissues, and elevate facial muscles. In a deep plane facelift, the surgeon lifts deeper tissues (deep facial tissues) to create support and more thorough lifting, rather than relying on skin tension alone. Finally, the doctor will close the incisions with sutures or skin adhesives to conclude the procedure. They may use staples as an alternative, offering faster wound closure and similar results to sutures regarding patient comfort, aesthetic outcome, and risk of complications.
Facelift Benefits
When a skilled plastic surgeon performs a facelift, the cosmetic enhancement can take your appearance back several years by repositioning underlying tissue, skin tightening, and bringing balance back to your facial contours. A facelift can help you look and feel like a younger version of yourself. Facelift benefits at Roseville Facial Plastic Surgery include:
- Enhanced facial beauty
- Advanced surgical techniques
- Eliminate deep creases, wrinkles, and sagging jowls
- A more youthful appearance and youthful appearance that still looks like you
Facelift Recovery
You will need to take about two weeks off from work for facelift recovery. Some swelling, bruising, and tenderness are natural after the surgery. Most sutures come out seven days after surgery, with the remaining sutures removed 10 days after the operation.
Most swelling and bruising will resolve about two and a half weeks after surgery. You can keep swelling down by sleeping with your head elevated during recovery. We will prescribe antibiotics to prevent infection and pain medication to ease discomfort. In some cases, small drainage tubes may be used briefly to help manage fluid and support healing.
Avoid vigorous exercise and sports for about four weeks. Most women can wear makeup within about two weeks after surgery. Rare risks can include bleeding, infection, and—in uncommon cases—permanent hair loss along incision lines.
You will look your best about three months after the operation. However, we recommend having the procedure at least three months in advance if you are anticipating a significant event such as a wedding or class reunion.
You will follow up with us several times after your surgery to ensure you are healing well and happy with your results.
Neck Tightening (Neck Lift) in Sacramento, CA
A neck lift improves facial appearance by tightening underlying tissues and surface skin on the neck area and redefining jawline contours. Some patients seek improvement for a double chin due to excess fat under the chin.
Neck Tightening Procedure
A traditional approach involves an incision starting in the hairline at the sideburn level, continuing around the ear, and ending on the posterior hairline. Your surgeon may redistribute fat from the jowls, reposition the underlying tissues and surface skin, and tighten the platysmal muscles. They’ll redrape the remaining skin and trim away any excess skin. A separate incision under your chin may be necessary to repair muscle and eliminate submental fat. Sutures or surgical tape will close the incisions.
Neck Tightening Recovery
It may take several weeks to months for swelling to diminish fully and six months for incision lines to heal completely. A healthy lifestyle and applying sun-protection protocols will help extend your results. Following your Roseville facial plastic surgeon’s aftercare instructions is essential to recovery success.
Cheek Lift in Sacramento, CA
High, full cheeks are the mark of facial beauty, but age can deplete fat stores, while gravity can cause them to shift downward. These changes may bring about unwanted changes in facial harmony.
When the midface falls, it can make your eyes appear hollow, with dark shadows underneath. A cheek lift can reduce these natural aging signs while restoring natural contours and youthful fullness.
Cheek Lift Procedure
Cheek lift surgery may involve surgically repositioning midface soft tissue or cheek augmentation with facial fat transfer. Your Roseville facial plastic surgeon employs various advanced surgical techniques for cheek lift surgery. The method used will depend on each patient’s particular anatomy and needs. For example, your surgeon may perform incisions through the temporal scalp, lower eyelids, or front of the ears, and sideburns to access the underlying tissues of your SMAS (superficial musculoaponeurotic system).
Next, the surgeon lifts soft tissue. They may tighten muscles and remove excess skin. Finally, they’ll redrape your skin into youthful contours for a firm and natural-looking appearance. If you choose, fat grafting can restore volume to your cheeks.
Schedule Your Private Facial Plastic Surgery Consultation
Request your consultation online or call us at (916) 773-0395 to discuss facial correction to help you look younger and more beautiful.
Facelift, Cheek Lift, and Neck Lift FAQS | Roseville Facial Plastic Surgery
Am I a Good Candidate for a Facelift in Roseville?
Facelifts are for both men and women who have loose skin and saggy skin in the lower face and face and neck areas. Obvious signs of this are banding in the neck, laxity of the skin, or excess fat on the neck. Add to this the loss of the clear border along the jaw between face and neck, the presence of jowls, lines from the nose to the corners of the mouth, and deep lines between the corner of the mouth and the jaw, and you become an even better candidate for this surgery.
What Happens During Facelift, Cheek Lift, or Neck Lift Surgery in Roseville?
Your surgeon may choose from a couple of different techniques during facelift surgery, depending on the cosmetic concern they’re correcting. Once the anesthesia takes effect, the plastic surgeon will usually make incisions for a face lift along the hairline and within the natural contours behind and in front of the ears. The surgeon will sculpt or remove fat, reposition underlying tissues, and lift facial muscles. To conclude the procedure, the doctor will close the incisions with sutures or skin adhesives.
If a deep plane facelift is part of the plan, the surgeon lifts deep facial tissues to support more thorough lifting and long-lasting results. Deep plane facelift techniques are designed to avoid over-tightening the skin and instead reposition deeper tissues.
How Long Will My Facelift Last?
A patient will always look better for the rest of their life after their facelift. However, gravity and normal aging will continue after the facelift has healed. In general, patients will develop enough laxity over the next seven to 10 years that it might become necessary to repeat the procedure. Keep in mind that the results will last longer on a younger patient.
Will a Facelift Elevate My Eyebrows?
A facelift only makes improvements from the upper cheeks down. Nothing above the cheekbones will change. However, you can opt to combine your facelift with procedures such as an eyelid lift or brow lift to make the upper third of your face look younger, more refreshed, and alert.
How long does a facelift procedure typically take?
A facelift duration will vary depending on the extent of your customized surgical plan. On average, a stand-alone facelift procedure/facelift surgery takes two to four hours to complete.
What is the recovery process like after a facelift?
After a facelift, you can expect bruising, swelling, and some discomfort, which you can manage with medication, ice packs, sleeping with your head elevated, and following all your provided post-surgical care instructions. Most of our patients feel healed enough to return to work and light activities within two weeks, with full recovery taking several weeks to months.
Can I combine my facelift with other cosmetic procedures?
Yes, facial rejuvenation often combines procedures for balanced results, such as a brow lift, eyelid lift, or rhinoplasty, to address multiple cosmetic concerns simultaneously and achieve more comprehensive rejuvenation. Others ask about nonsurgical facelift options like dermal fillers or a liquid facelift for maintenance—your surgeon will explain what’s appropriate and safe.
How should I prepare for my facelift surgery?
Getting ready for a facelift may involve quitting smoking, avoiding medications and supplements that can increase bleeding risk, and arranging for someone who can drive you to and from the surgical center and stay with you for at least the first 24 hours of your recovery period. Your surgeon will review your medical history and medical conditions to plan the safest approach for extensive surgery when needed.
Does a facelift require local or general anesthesia?
Your board certified surgeon will discuss anesthesia options at your consultation. Depending on the surgical facelift plan, you may have general anesthesia or local anesthesia with sedation.
How much does a facelift typically cost?
Your Roseville facelift cost can vary depending on factors such as the surgical complexity and any procedures you choose to add. During your consultation, your plastic surgeon will provide a personalized quote based on your specific cosmetic goals.





