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Facetite vs Facelift

I now have yet another option for my patients who are wanting the results of a “facelift“.  Facetite non-surgically tightens skin without the need for incisions or general anesthesia. I’ve been performing this procedure now for five months and even though my patient results are still preliminary, I’m encouraged by what I’m seeing and very confident in offering this alternative. Facetite vs facelift, what are the differences so far?

My standard facelift improves the lower face, jawline and neck. The area of improvement goes from just below the nose to the Adam’s apple of the neck. I do several other types of facelifts in Columbus Ohio as well — it just depends upon the areas of concern. I almost always do a standard facelift under general anesthesia for patient comfort. However occasionally it is appropriate to just use local anesthesia and some oral sedation. The procedure often takes 2 ½ to 3 hours and my patients can first return to their work or social life in approximately 10 days. If they have an important function coming up, I suggest they give themselves 3 weeks of recovery after facelift surgery to look their best.

Of course, it takes time to completely heal with any surgery but, significant improvements are evident immediately after a facelift.  It will be six months however before I expect to see the final result, and that result will last for 7 to 10 years.

The discomfort after a surgical facelift is surprisingly minimal. There are stitches, which get removed one week after the procedure.  We offer several options to minimize bruising and swelling, but everyone heals differently.  Any bruising is typically gone by 10 days so my patients can begin resuming their normal lives soon after the surgery.

In summary, a facelift is a surgical procedure with incisions. Improvements are seen immediately. Discomfort is minimal in most cases and patients return to work and their social lives in 7 to 10 days.  Results from a facelift typically last 7 to 10 years. Surgery does have its risks. Extra bleeding may result in a hematoma (blood clot), which is not life-threatening but will need to be drained.  Everyone will have some temporary diminished nerve sensation around the ear lobe and cheek, which will eventually return to normal. Permanent nerve loss is not expected to occur. Scars are hidden in normal creases but occasionally may need to be revised.

Facetite, on the other hand, does not involve incisions. Typically, I make three very small hidden punctures in the skin a few millimeters long. Through these small holes, I then can pass a small cannula about the size of a cocktail straw. Once healed, the small puncture sites are undetectable.

The procedure is done under local anesthesia. Most patients will also take an oral sedative so they can be more relaxed. Fluid containing local anesthesia is infused under the skin, which makes the procedure relatively painless during and afterwards. The procedure takes approximately one hour and patients leave with a light head dressing which is worn for 24 hours. Patient then wear an elastic strap in the evenings and at bedtime for the next week.

I’m noticing that most patients have swelling following the procedure, which resolves quickly but I recommend not returning to work for 5 to 6 days. Bruising can occur but we do our best to minimize this with bruise cream and vitamin K. Some tingling of the cheeks and neck is expected for several weeks but it isn’t bothersome. Temporary nerve weakness can occur but is very rare and resolves quickly.

Facetite patients will begin seeing some results approximately 3-4 months following the procedure. This improvement then progresses for up to a year. I estimate the ultimate tightening effect with Facetite will be approximately 50% of what can be achieved with a facelift. The results with Facetite are expected to last for 4-5 years. Everyone is different and some candidates are a better fit for this procedure than others.  I’m also finding that the results are different in that a facelift actually lifts and removes excess skin.  In addition, muscles are repositioned which brings volume back to the midface.  Facetite is more of a shrink wrap effect. I’ve noticed that my patients’ faces appear somewhat thinner and more contoured.

Ultimately when deciding between a lower facelift and Facetite the decision hinges on the degree of result and the longevity of that result. Yes, the recovery with Facetite is much less involved and the procedure is done under local anesthesia. But, for most of my patients at this point the decision comes down to how much improvement can I expect to see and how long will the improvements last.

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Columbus Facial Plastics

Today, under the direction of board-certified facial plastic surgeon Dr. Stephen Nogan, Columbus Facial Plastics offers a comprehensive array of surgical and non-surgical procedures and treatments. Each new treatment is carefully tested and evaluated by our board-certified facial plastic surgeon to ensure its safety and efficacy. We are proud to provide education in skin care, non-invasive cosmetic surgery, and plastic surgery in Central Ohio.

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Welcome to Columbus Facial Plastics at The Sullivan Centre.

We believe that healthy, youthful renewal begins with science. Founded in 1996 by Dr. Michael and Christine Sullivan, our practice was the first of its kind in central Ohio. For 20+ years, The Sullivan Centre has led the way in advancing the science of beauty and providing only the safest and most effective surgical and non-surgical treatments for our patients.

I met Dr. Mike, Dr. Chris and the rest of the team in 2014 and have had the incredible opportunity to train and collaborate with Dr. Mike for the past five years. I officially joined The Sullivan Centre in September 2019 and could not be more excited to lead this exceptional practice into the future.

My goal is to provide you with the education and expertise needed to help you feel confident with your decision to pursue surgical or non-surgical treatment. I am proud to be a part of a highly skilled team that delivers personalized care so that you feel comfortable through every step of the process.

In addition to practicing exclusively in facial plastic and reconstructive surgery, I also serve as the medical director for our non-surgical services. We are fortunate to have two of the most experienced aesthetic providers in central Ohio in their respective fields. Dina Maynard and Nancy Cotterman, RN have been caring for patients at The Sullivan Centre for a combined 25 years! You won’t find anyone with more training or skill.

Spend as much time as you need learning more about our team and the services we provide. We are passionate about what we do, and we would love to see you soon.

Dr. Stephen Nogan M.D.
Facial Plastic & Reconstructive Surgeon
Columbus Facial Plastics at The Sullivan Centre