Facelift & Necklift


Reverse the signs of aging

Signs of aging start to become more apparent as people start to reach middle age. Many people start to think about a facelift or more limited neck lift once the signs of aging are becoming obvious. People from their 30’s to late 70’s may want to get a facelift in order to help them look years younger. Dr. Hardesty has developed a unique treatment plan for women and men interested in facial rejuvenation. Thus, fulfilling Imagine Plastic Surgery’s motto “One Goal, Many Options”.

What is a Facelift?

A facelift procedure is a broad, nonspecific name applied to many rejuvenation techniques. Medically speaking it is also called a rhytidectomy. Skin elasticity starts to fade as we get older, and this causes visible signs of aging that sometimes makes us look older than we feel. Common to the different facelift techniques is that each is used to help improve the visible signs of facial aging. Specific face lift procedures will address and treat many concerns on the face such as “turkey gobbler” neck, neck bands, jowls, and wrinkles from excess sagging skin, excess skin, dense grooves from the base of the nose to outer lips and sagging cheeks. Using the specific facelift technique with other adjunctive procedures such as fat grafting, laser, and orbital rejuvenation we here, at Imagine Plastic Surgery, refer to as “Synergy”.

Our goal in using these combined procedures in a comprehensive plan is to have you look 10 to 15 years younger in a natural way. Depending on the type of facelift needed, Dr. Hardesty will utilize hidden incisions that, when healed, will be virtually unnoticeable. Using these small access sites around the ears and under the chin Dr. Hardesty will tighten the underlying uncles, elevate the skin, and remove the excess skin and tissue that causes the premature aging, sagging, or dense lines. Then the muscles and underlying tissues are tightened, and the skin is gently re-draped without tension, resulting in a natural sleek and youthful appearance. By having a properly designed facelift, you are not only rejuvenating your facial features, returning to a more youthful and natural appearance, but also adding to your confidence level.

Before & After

Customize Your Look: Facelift Options

Depending on the results desired as well as the current state of your skin and underlying tissues, Dr. Hardesty will choose a treatment option that will help you reach your aesthetic goals. Plan on spending an hour meeting with Dr. Hardesty for a consultation. He will listen to your concerns review your medical record, perform an examination and help create a unique and customized plan for your facial rejuvenation.

Incision Options:

Dr. Hardesty takes precautions to position the incisions in the most inconspicuous locations. The location choice depends upon the extent of the procedure.

Mini Facelift

Small incisions may be made at key locations along the hairline and ear. Best for early signs of facial aging.

Mid Facelift

A tiny incision in the temporal scalp hair and a small intra oral incision is all that is usually needed. Utilized often for isolated droopy cheeks.

SMAS Facelift

Depending upon the treatment area, the incision may be located along the hairline behind the ear, along the ear/face junction and extending under the side burn area. A small hidden incision is often made under the chin. This is the most common type and versatile face lift procedure addressing all components of the aging face, such as droopy cheeks, jowls and sagging neck

Subperiosteal or Deep Plane Facelift

This procedure often combines the incisions of mid facelift and SMAS facelift. Best for elevating and repositioning sagging muscles groups.

What is a Neck Lift?

The traditional neck lift is a more isolated facial procedure that only involves tightening the neck musculature, resecting excess skin and fat. The hidden non-conspicuous incisions are similar to that of a full facelift.

"After research and meeting with several Doctors I made the right choice when I decided to go with Imagine Plastic Surgery and Dr. Hardesty. He was very informative and I knew he had my best interest when it came to my procedure. The staff is also awesome! They are so nice and make you feel so comfortable. I will continue to use him for any future needs!" -Verified Google Review

Customize Your Look: Neck Lift Options

The alternatives to a traditional isolated neck lift are:

Neck Z-Plasty Lift

An alternative to the traditional neck rejuvenation technique. Ideal candidates for a neck z-plasty lift procedure are necks with redundant skin, unwanted neck fat, and some neck skin creases. The z-plasty technique is a technique that has been used all over the body for centuries. Basically, when used in the neck, the z-plasty rearranges tissue at two different angles. The z-plasty neck lift has the ability to safely and simply transform a “turkey gobbler” neck into a defined, natural-looking neck. In addition, when needed, unwanted fat is often removed, and underlying muscles can be tightened. Another positive benefit is that the neck z-plasty lift procedure can be completed utilizing just local anesthesia. The only really down side of the neck z-plasty lift is that there is a resultant external z-shape neck scar. However, when healed, the resultant neck z-plasty incision is usually well hidden in the natural neck skin creases and almost unnoticeable to the human eye.

Neck liposuction and Injectable RF

Ideal candidates are those with good skin elastic properties and there is isolated diet resistant superficial fat of the neck. Often performed with just oral sedation and local anesthesia. The neck is first liposuctioned utilizing small access ports behind the earlobe and chin/neck crease. Then followed by Thermi Injectable Radio Frequency that not only melts residual fat that liposuction didn’t remove but also “shrink wraps” the loose skin to conform to the new fat free neck. Limitations are only the fat superficial to the neck muscle can safely be liposculpted. If deeper fat needs to be removed, then a traditional neck lift is required.


This is an enzymatic fat reducer of the neck. Performed in the office and not requiring anesthesia is a positive. Enzymatic dissolving of the superficial neck fat often requires 3-4 injectable sessions to dissolve diet resistant of the neck. Each injection is designed to remove the next layer of fat without affecting underlying neck structures. Think of it as “peeling an onion” and serially removing only the superficial unwanted fat in a safe and calculated manner. Limitations include only the fat superficial to the neck muscles is affected and the skin laxity of the neck is not affected.

Facelift and Neck Lift Techniques

Dr. Hardesty has many years of experience cultivating different techniques to help his patients reach their most desired aesthetic goals. Facelifts may involve treatment to one or more facial layers, including:

  • direct removal of unwanted fat deposits
  • Reposition one or more underlying tissue layers to reframe the face.
  • Tighten the muscles to improve the deep, sagging, drooping and stretched muscles

. Excise excess redundant skin and re-draping of the skin without tension above the renewed contours of the tightened muscles of face resulting in youthful and natural appearing neck and face without appearing “overdone”.

“Synergistic” Procedures

Dr. Hardesty often will complement the chosen face lift with other synergistic procedures to enhance the overall effect. The goal is to rejuvenate and harmonize the whole face resulting in a complete, youthful, and natural appearance of the entire face.

  • Sculpt or inject fat to create a more youthful appearance of the cheeks, fill in the grooves of the nasolabial folds and contour to the lips
  • Liposuction to remove unwanted fat of the face and neck
  • Eyelid rejuvenation (blepharoplasty)
  • Eye Brow repositioning using either direct or endoscopic techniques
  • Laser resurfacing or the use of RF (radio frequency) to remove the small, superficial, and fine lines of entire face.
  • Dermabrasion techniques that often are used for the denser and deeper lines (smoker lines) found around the mouth
  • Chin implants are used when there is a “weak chin”, small chin, or chin that makes the neck less sculpted because the chin is not protruded.
How to Improve Healing and Minimize Scarring After Cosmetic Surgery

How to Improve Healing and Minimize Scarring After Cosmetic Surgery For example, procedures such as a breast augmentation, tummy tuck or facelift. The goals of this post are to describe… The genetic implications of scar formation Classic phases of wound healing Preoperative optimization The effects of smoking on wound healing Surgical technique Postoperative incision care […]


Facelift and Necklift Recovery

Dr. Hardesty will give you detailed instructions for pre-operative care as well as post-operative care. You may be given a compression garment to wear to help with swelling of the face and neck. For the easiest recovery period, follow the instructions as closely as possible. Dr. Hardesty will provide anti bruising medication, ultrasound treatments, to reduce and help normal expected swelling to resolve, and a anti scar-program. The results can be seen immediately but may take several weeks for the new contours to become completely appreciated. It is important to wait several weeks before returning to full exercise.

Facelift Frequently Asked Questions

What is the Average Cost of a Facelift?

How Do You Sleep After a Facelift?

How Long Does Swelling Last After a Facelift?

Schedule a Consultation

If you are interested in learning more about the facelift procedure, then contact our team today. Call the office, fill out out our self assessment survey or fill out an online form to make your consultation appointment with Dr. Hardesty.

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