1722 State St., Suite 101
Santa Barbara, CA 93101

Facelift and Blended Cheek and Neck Lift

FaceliftDr. Lowenstein often fields questions about avoiding an over-done look in facial surgery. He feels it important that patients understand that the over-pulled, over-tightened facial plastic surgery so often seen in Los Angeles and Hollywood is NOT the type of results that our Santa Barbara patients should expect.

Dr. Lowenstein’s techniques for facial rejuvenation include procedures to address the neck, lower face, mid-face and cheek to provide a natural and refreshed appearance.

Eyelid and brow surgery (discussed here) can be combined with these procedures to provide a comprehensive approach to facial rejuvenation.


Age 40 - 50
Age 50 - 60
Age 60 - 70
Age 70+

Age 40 - 50

Age 40 - 50

Patients in this younger age group often get the most prolonged advantage from facial rejuvenation. An anterior neck lift or eyelid surgery can often be enough to make a nice difference in your appearance. Sometimes a blended cheek and neck lift, even before 50, may be the best foundation to tighten early jowls, nasolabial creases, and extra tissue in the neck. This early intervention can provide a refreshed look that can reset the clock and set the stage for a graceful aging process.

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Age 50 - 60

This group of patients are seeing progression of the aging process and are often feeling younger than the person in the mirror is looking. Extra skin or banding in the neck is accompanying progressing jowls, and the upper and lower eyelids are looking more tired than they should. While a neck lift and eyelid surgery may be an option here, a blended cheek and neck lift in this population is most often the appropriate procedure. These patients often retain good tone and elasticity in their skin, allowing for a very nice postoperative result.

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Age 50 - 60

Age 60 - 70

Age 60 - 70

As the aging process continues, drooping of tissue is accompanying early changes in the anatomy of the skin, with increased laxity and loss of elasticity. Thinning of the skin can be seen with deflation of the fullness of the face, and the transition to an older and more weathered appearance can occur in this decade of aging. Patients such as these benefit from a blended cheek and neck lift or a full face and neck lift, repositioning falling tissue and aiding in restructuring the facial volume for a rejuvenated appearance without an over-done look.

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Age 70+

Patients over 70 often have significant skin excess and banding in the neck as their primary complaint. Upper eyelid skin may droop into the field of vision, or may be pulled back because of aging connective tissue and create a hollow look to the upper eyes. Jowls are often very significant and the cheek tissue can be seen creating shadows in the transition zones below the lower eyelids. These patients require a face and neck lift to remove excess skin, but excessive pulling must be avoided else an operated swept look will appear. Proper vertical repositioning of the soft tissue of the face can maintain a natural look following surgery. Eyelid surgery most usually accompanies these procedures to round out the facial rejuvenation.

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Age 70+

Effects of Aging & Facial Rejuvenation

Aging of the face affects each patient individually and therefore, consideration of any facial rejuvenation is a very personal decision. The facelift procedure, or rhytidectomy, addresses many aspects of the aging face in order to restore a refreshed, more youthful appearance. Areas of concern may be varied or specific.

Commonly, the regions of the jowls and cheeks are of particular interest to patients. With age, there is a loss of the youthful volume in the mid-face region in most patients. There also may be a concern regarding the definition of the jaw line, or excess tissue of the neck that can be seen as fullness, vertical bands, or the blunting of the angle below the jaw. The appearance of lines near your eyelids or around the mouth, or a lowering of the position of your brow may also be evident. While all of these issues may be addressed surgically, no cookie-cutter operation will achieve all of the goals that you may seek. The facelift operation must be specifically customized to each and every patient.

When considering a facelift procedure, careful assessment must involve evaluation of your facial balance. Your skin quality, the appearance and position of facial lines, and additionally your general health must be carefully addressed, as must your bony facial structure. The meticulous analysis of the patient’s facial form is one of the most interesting aspects of plastic surgery. Dr. Lowenstein truly enjoys his interaction with the patient during this process. It is his goal that each patient leaves the pre-operative consultation with a thorough understanding of the facial issues to be addressed, and the means by which surgical correction will be performed.

Facelift Techniques

As techniques in facelift procedures have evolved, many operations have been touted as the best way to achieve a youthful appearance.

Dr. Lowenstein believes that a safe approach to the facelift procedure is of foremost importance, and that an individual may benefit from a combination of surgical techniques. The SMAS, or suspension layer of the face, is almost always addressed in these operations. This layer is in continuity with the superficial muscle layer of the neck, and this can be taken advantage of in the contouring of a mini-facelift, or limited-incision procedure.


Individualized approach for facial rejuvenation

The SMAS layer can be manipulated during surgery to provide a thinner facial shape in patients with a round face, or the SMAS can be used in different ways to provide volume to a face that appears hollowed.

Improvement of the contour of the cheek may be performed by manipulation of the SMAS layer, or alternatively by lifting from a well-hidden eyelid approach. It is specific knowledge of facial anatomy, combined with a breadth of surgical techniques that allows Dr. Lowenstein to create an individualized approach for facial rejuvenation.

In combination with the facelift operation, ancillary procedures may be utilized to achieve optimal results. These may include eyelid surgery such as blepharoplasty, brow elevation, lip lifting or augmentation, or addressing the deeper lines and shadows above and below the corners of the mouth: the nasolabial folds and marionette lines. In depth discussions of each of these procedures allows the patient, as well as the surgeon, feel comfortable with the decision making process.


The Santa Barbara Blended Cheek and Neck Lift

Dr. Lowenstein’s Blended Cheek and Neck lift in Santa Barbara provides a natural looking rejuvenation, and more often than not, his patients are very surprised at the ease of recovery. Gone are the weeks of excessive swelling and bruising. Dr. Lowenstein’s limited incision techniques allow him to restore YOUR natural and individualized beauty without excessive pulling or distortion. Each patient is given a personalized analysis allowing for a unique approach to your facial structure. The Blended Cheek and Neck Lift addresses both the mid face and the neck, allowing the restoration of your facial features to create a more rested, restored, and rejuvenated appearance without the classic concerns of a very extended recovery.

Dr. Lowenstein Discusses Recovery From Facial Surgery

FAQs: Facelift and Blended Cheek and Neck Lift

What is the basis of the Santa Barbara Blended Cheek and Neck Lift?
What is the biology of facial aging?
What is the difference between pulling and sculpting?
How does a face lift improve the neck?
How does the cheek age?
What is the Nasolabial Fold?
Are soft tissue fillers the answer?
How does the mid-face or cheek lift work?
How is a mid-face or cheek lift performed?
What can be done about skin laxity?


Learn More about Facelifts in the Video Below

Facial rejuvenation is a specialty of Dr. Lowenstein. Face lift, cheek lift, eyelid, and brow procedures can be performed alone, or in combination to provide a composite rejuvenation to the aging face. For more information about an individualized approach to rejuvenating your appearance, call us to schedule an informative appointment with Dr. Lowenstein at Montecito Plastic Surgery in Santa Barbara.

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1722 State St., Suite 101

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