The Face

Different faces age differently, but some similarities are common to all aging faces. With aging, the fullness of youthful cheeks fades and the deflated soft tissues of the mid face sag. The ligaments of the face limit the descent of the soft tissues, leading to heavy jowls and deep nasolabial folds. Fat accumulates underneath the chin and in the jowls, and the muscles of the neck tend to sag. The skin also continues to age and sag with wrinkles, age spots, and broken blood vessels. Facial aging patterns are determined by genetic makeup and environmental factors. Smoking is the most significant culprit in accelerating facial aging. Sun exposure and significant weight fluctuations may also contribute greatly to an aged appearance to the face. Reversing these processes is the goal of facial rejuvenation.

Need more information?

If you would like to learn more about having a facelift technique that will suit you best, we invite you to meet with DR.Srikanth Puligilla for a private consultation at our office. Please contact us to schedule an initial consultation with Dr.Srikanth Puligilla to make an appointment. You may also fill out our contact form to make an appointment.

What is Facelift Surgery?

Facelift surgery improves signs of aging to restore a more youthful and refreshed facial appearance. Facelift techniques can correct sagging facial tissue, such as jowls along the jawline, drooping skin under the chin (“turkey neck”), descending cheeks, and deep creases from the outer nostrils to the corners of the mouth (nasolabial folds). This procedure achieves a natural, beautifully revitalized version of yourself. The goal is always youthfulness and restoration of “natural” soft tissue relationships of the face and neck. In a facelift, the deep connective tissue (called the SMAS) beneath the skin is repositioned, which re-suspends the soft tissues of the jowl and neck and redefines the cheek, jaw, and necklines. The facelift procedure plays a dominant role in a tailored rejuvenation program.

The evolution of the facelift:

The original facelift was predominantly a skin tightening procedure. We have learned, however, that tightening only the skin is not the best way to rejuvenate a face. In order to create a natural appearance to the lifted face, surgery must restore the position and volume of the drooping deeper tissues of the face. By directly addressing the drooping fat in the mid-face, jowl, and neck, a deeper suspension may be performed. This creates a very natural appearance to the lifted face, avoiding a “stretched” look that many of the original facelifts have. A successful facelift may dramatically improve the nasolabial fold or groove between the nose and corner of the mouth. Jowls may be dramatically reduced and a firm jaw line may be established. Muscles may be tightened under the neck and fat may be removed and re-contoured. Loose folds of skin underneath the neck may be significantly tightened.

An important point to realize is that there is no single standard facelift operation. Each patient presents a different anatomic picture and requires a different set of tools for an optimal, natural rejuvenation. Dr.Srikanth Yadav Puligilla will individualize your treatment to your particular needs.

Beware the Hype!

The media is replete with advertisements for procedures with catchy names that promise facelift results with no downtime. Some are done with surgery, others with lasers or machines or even threads. All of them promised dramatic results with minimal risk minimal downtime or minimal costs. But we all know, you never get something for nothing. With Dr.Srikanth Yadav Puligilla, you will never get a “one size fits all” treatment. Each patient is different and will require a different variety of treatments. At times, a smaller procedure with less downtime is appropriate. Usually, effective, durable solutions require more aggressive surgery. Here, you will never be oversold into a procedure that is not right for you and your specific concerns. We will offer time and scientifically proven treatments to most effectively address your individual concerns.

Who is a candidate for a Facelift?

Most women become candidates for a facelift sometime after forty-five and men about ten years later. Jowl formation and loose neck skin are the most common indications for surgery. The decision to operate depends not only on the severity of the problem but the individual’s reaction to it. Early aging signs may be insignificant to some but enough for others to consider surgery. Facelifts are not performed on a preventive basis, however. There must be enough aging changes present to warrant the procedure. That said, results are generally better in younger patients with good skin quality.

What should I expect from my consultation?

During your consultation, you will learn about the surgery, its limitations, and risks, and discuss your needs and concerns. This will help Dr. Dr.Srikanth Yadav Puligilla understand your expectations and determine whether the realistically can be achieved. Dr.Srikanth Yadav Puligilla will carefully examine your face to assess the shape and the asymmetries to determine what type of procedure would best maximize your result.

After your consultation, we will take photographs for your medical record and we will discuss the surgery fees and scheduling dates. You should come to the consultation prepared to discuss your medical history. Also provide information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries, and medications that you currently take. It is important for you to provide complete information.

The Deep Plane Facelift Technique :

Dr.Srikanth Yadav Puligilla does Deep Plane Facelift Technique leaving the faces as natural as possible, customizing and individualizing every facelift to your particular needs. Deep plane facelift technique is better than only skin lifting since we focus also on lifting the muscle and reposition it in a lifted position.

What to avoid before surgery?

It is vitally important to avoid all blood-thinning medications/supplements for 2 weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve, and Advil). It is generally fine to take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E including multivitamins, omega 3 fatty acids such as fish oil, and flaxseed oil. All of these medications can contribute to bleeding problems following surgery and can increase the amount of bruising.


Facelifts are usually done in our private surgery suite under intravenous sedation or general anesthesia. All our patients are prepared by Dr.Srikanth Yadav Puligilla with the Pre / Post surgical preparation program to enhance quick recovery. This allows a painless surgical procedure that patients sleep through. We recommend staying in the hospital overnight. Although a facelift is generally a very safe procedure, complications may occur with any surgery. There are several things you can do to minimize the risks of complications. Any smoking may seriously impede wound healing and dramatically raise the risk of scarring. Please be candid with your surgeon if you are a smoker, as the procedure itself may need to be modified for you. All smoking must be stopped for at least two weeks before and two weeks after any facelift procedure.

Following surgery, patients wear a large fluffy dressing for one to two days. After this is removed, patients may wash their face and hair gently. Sutures and staples are removed between one and two weeks. It is important to minimize activity following surgery and to keep the head elevated as much as possible. Ice packs are helpful for the first twenty-four hours.

Bruising and swelling are typical and may be dramatic after surgery. This resolves in varying amounts of time, generally within ten days, and much of the bruising may be concealed with makeup at one week following surgery. Pain is surprisingly minimal following surgery, and the cheeks and ears may feel numb for several weeks.
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