Facelift

As a Beverly Hills and Los Angeles facelift specialist, Randal D. Haworth , M.D., F.A.C.S. is a renowned facial and body plastic surgeon attracting local (throughout the greater Los Angeles area) as well as national and international patients to his Beverly Hills practice located at 436 North Bedford Drive.

Well-known for his appearances on The Swan, E! Entertainment, Extra as well as profiles in popular print media, Dr. Haworth is a world respected plastic surgeon. His on-site surgery center, The Beverly Hills Surgical Center, Inc. located in The Haworth Institute is a premier plastic surgical facility that provides patients with a private, safe and comfortably modern setting.

Facelift Procedures

With aging comes slackened, buckled skin and a general downward shift in facial tissues as gravity and degeneration take their toll, all resulting in an older, more tired or angrier appearance. When performed properly, a facelift rejuvenates the face and neck by removing selected localized fat bulges (the jowls) while resuspending others (the malar fat pads along with the nasolabial folds) and tightening deeper sagging structures (muscle and connective tissue-SMAS), concluded by a skillful redraping of the skin.

As a Beverly Hills facelift specialist, Dr. Randal Haworth states: "The human face is a sandwich in the sense that it is comprised of different layers- skin, subcutaneous fat, fascia and muscle with nerves and blood vessels running through and between them. Consequently, performing a facelift is always challenging since the plastic surgeon must appreciate and surgically address the different thicknesses, textures and elastic qualities of these individual layers to redrape them in relationship to each other and the underlying shape of the skull."

Therefore, if you are contemplating facelift (also known technically as a rhytidoplasty, rhytidectomy, meloplasty) in Los Angeles, Dr. Haworth possesses the acme of surgical skills with unique aesthetic vision to help you attain the transformation you envision for yourself. An experienced facial and reconstructive surgeon, Dr. Haworth is board certified by the American Board of Plastic Surgery, the reference standard in quality assurance for plastic surgery world-wide.

Beverly Hills Facelift Surgeon

Beverly Hills plastic surgeon, Dr. Haworth MD, FACS has garnered a global reputation as a primary and revision face lift expert based on the natural and beautiful results he is able to attain. Dr. Haworth infuses his artistic sensibility to sculpt tissues so that all facial features harmonize with no trace of looking 'done'. Chosen from a legion of plastic surgeons to be the central plastic surgeon of Fox's The Swan and as a regular expert on Extra, Dr. Randal Haworth has probably performed the most televised facelift surgeries in the history of television. He is sought out by patients who will only accept the highest quality work available.

The facelift is a commonly performed plastic surgery. Yet few facelift specialists are as adept at the procedure as Dr. Haworth is because it is also one of the most complicated to perform because it involves re-aligning in the most subtle way possible four different types of tissue; muscle, connective tissue, fat and skin.

Being board-certified by the American Board of Plastic Surgery and having currently performed over 750 rhytidectomies, his facelift expertise has been featured on numerous television news segments, documentaries and the controversial hit Fox show, The Swan. Being a facelift specialist in Beverly Hills and Los Angeles, Dr. Haworth attracts facial plastic surgery patients from all over the world to his Beverly Hills practice, including a large number of celebrities.

Facelift Options

As a facelift specialist in Beverly Hills, Dr. Randal Haworth can perform one or a combination of different
procedures depending on the individual patient. These include:
Beverly Hills facelift

A modified, extended facelift which is Dr Haworth's unique version of the classic facelift (rhytidoplasty, rhytidectomy, meloplasty) dealing primarily with the bottom two-thirds of the face including the neck. In this surgery, he modifies the fascia investing the "muscles" in order to vertically elevate them according to each patient's unique facial structure.

The facial structure is dictated by the quality of the soft tissue (skin, fat, muscles, fascia) and the underlying shape of the patient's skull. A skull with strong cheek and jawbones will work in the patient's favor.
Neck lift (cervicoplasty) for those exhibiting loose neck skin with platysmal banding and mild-to-moderate jowls but whose faces do not require the more extensive classic facelift
Mid-facelift (subperiosteal endoscopic facelift) for the middle third of the face, that is, the area around the nose, beneath the eyes and around the mouth. This midfacelift procedure is performed through hidden incisions behind the hairline and inside the mouth with the aid of a microscopic camera.

Facelift in Multiple Demographics

Facial rejuvenation surgery is not restricted to women. In fact, 17% of Dr. Haworth's facelift patients are men that that number is growing year by year.

"Male facelift patients pose another set of challenges not encountered in women. Specifically, these involve maintaining sideburn shape and position, minimizing shifting the beard behind the ear and, of course, minimizing and hiding all potentially visible scars in light of the generally shorter hairstyles of men. Maintaining an untouched, masculine appearance is of paramount concern."

Furthermore, Dr. Haworth has performed facelifts on people with every racial characteristic and anatomical variation, including Caucasians, Middle Easterners, Hispanics, Asians, and African Americans.

Most Appropriate Candidates for Facelifts

Have a well-defined bone structure but whose skin on the face
and neck are sagging due to aging or extreme weight loss
Are in good health
Have reasonable expectations

General Information About Primary Facelifts

Facelifts are generally performed on an outpatient basis at The Haworth Institute using sedative or general anesthesia. However, Dr. Haworth has his patients spend a night or two in an accredited aftercare facility to monitor for any of the infrequent complications which may arise.

To perform your facelift, Dr. Haworth begins by making the necessary incisions in and around the ears. Dr. Randal Haworth, a specialist in facelift in Beverly Hills has the acute skills and eye for detail to deliver the most natural-looking results. After making the incisions, Dr. Haworth elevates the skin by separating it's undersurface from the underlying fascia and muscles. The extent to which he does this depends on each individual and their unique aesthetic problems.

At this point, utilizing unique techniques he has developed over 17 years of practice, Dr. Haworth then raises the deeper structures by "tightening" the SMAS or superficial muscular aponeurotic system with special sutures. In this way he can diminish the troublesome nasolabial fold, eradicate the jowl and redefine the jawline. The aging neck can be dramatically rejuvenated by re-draping the skin, removing excess fat and tightening the unwanted platysmal bands. Beverly Hils facelift

Once these deeper facial anatomic structures are vertically secured bilate rally and symmetrically, the skin is finally redraped and inset into its new position utilizing the skills of an expert tailor and watchmaker. What separates a good from a spectacular facelift result is obsessive attention to detail, avoiding tension across the skin incision during closure and the recreation of the beautiful facial contours of youth.

Dr. Randal Haworth, a specialist in my facelift in Beverly Hills and Los Angeles, goes on to say, "Since every patient is unique, a facelift has to be strategically and precisely tailored to each individual. The plastic surgeon needs to perform the facelift in accordance to the underlying bone structure and each patient's idiosyncratic aesthetic and social goals."

General Information About Neck Lifts

Dr. Haworth, being a facelift specialist in Beverly Hills and Los Angeles, explains to his patients that a facelift may not only address a sagging midface, troublesome jowls and ill-defined jawline, but it may also dramatically tighten and correct a sagging neck ("turkey gobbler" neck). In the last few years, Dr. Randal Haworth has perfected techniques whereby he can perform a neck lift (Also known as a cervicoplasty) independent of a full facelift.

A neck lift is relatively easy to recover from and patients can generally return to their normal activities within a week or so. This is ideal for busy professionals, celebrities and others who cannot take much time off from their demanding schedules. Dr. Haworth goes on to say, "What is especially appealing about a neck lift is that it not only tightens and rejuvenates an aging neck but it also reestablishes a youthful jawline, while minimizing the appearance of jowls. Considered it a lower facelift, if you will."

General Information About Revision Facelift

A classic facelift will deliver a smooth, fresh, rejuvenated look that can last for years. However, it can't stop the clock. Depending on how you age over time, you may safely touch up the procedure one or more times, perhaps seven to fifteen years down the line. Adjuvant therapies such as advanced fractionated laser treatment, fat transfer, lip lifts etc. can also be employed to optimally maintain your new visage.

Occasionally plastic surgery does not achieve the exact results you had hoped for. You must remember, however, that surgery isn't a means of achieving perfection but improvement. However, if you are unhappy with the appearance of your face after having undergone previous facelift surgery, Dr. Randal Haworth offers revision (or secondary) facelift. As a top facelift surgeon in Beverly Hills known for his technical and aesthetic precision, Dr. Haworth has extensive experience with revision patients who can expect notable improvement but still must have realistic expectations as to the end result.

When evaluating any potential revision facelift patient at his Beverly Hills office, Dr. Haworth will review certain salient details of your previous procedure to determine what may have been done and what went wrong so that he can correct the underlying mistakes. Often times, the cornerstone of this revision facelift procedure usually requires an astute appreciation of skin tension and vectors. One of the top revision facelift specialists in Beverly Hills and Los Angeles, Dr. Haworth uses a variety of different techniques to achieve this goal.

Among the traits possessed by the world's top facelift specialists are an advanced understanding of the facial anatomy and functionality and an exceptional surgical skill is required to perform these procedures. Dr. Randal Haworth says, "Even though refined technical skill is required with facelift surgery, an artistic vision with exceptional aesthetic sensibility is also necessary to allow a result to transcend from good to great. I consider it a constant challenge, reminding me to always critically evaluate and better myself in the process."

New Thinking vs. Old Techniques

Plastic surgery is a field that is constantly evolving as new understanding and every-more-sophisticated techniques come to the fore. As a respected facelift specialist, Dr. Randal Haworth is continually analyzing and critiquing his results and attendant techniques to evolve and provide the best results possible to his patients.

Dr. Haworth's facelifts are significantly more sophisticated than in generations past, resulting in far more subtle, natural and yet effective outcomes than ever before.

These breakthroughs include:

Firm not Tight
The old 'wind tunnel' effect occurred by pulling and securing the skin without addressing the fat, muscle and connective tissue beneath. By correcting compromised deep facial structure, Dr. Haworth is able to deliver far more natural-looking and long lasting results.

Tailored to Fit
Old techniques relied solely on skin stretching with either no muscle tightening or on maximal muscle tightening with minimal skin redraping. Dr. Haworth feels that there is no one single formula that can be applied to every face. There are many types of face and many different patterns of facial aging. Some faces are heavy and some are thin; some have "turkey necks" with mild jowls while others have relatively contoured necks but obvious jowls; some skin is thick while other skin is fragile.

Understanding this wide spectrum of facial types has lead Dr. Haworth to analyze each face with his multidimensional approach. His unique method of surgical facial rejuvenation is more visual than mathematical. He realizes that the deeper structures must be suspended more vertically (since human faces tend to sag vertically) whereas the skin must be redraped at a slight tangent - a bivector suspension.

Dr. Haworth simply refers to his method as a modified classic or traditional facelift, in which he employs a 270° skin redrape, customized "high SMAS" technique along with judicious defatting of the jowls and a Z-plasty corset platysmaplasty.

Volume Equals Youth
Skin with a plump elasticity and pleasing contour is the most youthful-looking. Previous generations tightened skin without restoring volume. Today, Dr. Haworth spends as much time restoring and repositioning the three dimensional planes of the face and neck as he does to smoothing and tightening the skin.

Single-Stitch Closure
Unlike most facial plastic surgeons, Dr. Haworth takes extra time in closing his incisions both in front of and behind the ear with a single, unseen suture. This can be likened to the thread rendered invisible in the seams of a dress.

Perfect Match
Dr. Haworth calls himself an expert micro-tailor when closing the incisions around the ear. He must expertly trim excess skin to the exact size and shape to conform to the unique nuances of the ear anatomy. Consequently, healing should occur with minimal-to-no tension resulting in near invisible scarring and nearly zero distortion of the hairline and ears. No tension for perfect draping and closure.

Taking Time
Dr. Haworth refuses to take short cuts; facelift surgery takes time and patience to get it right.

Compatible Procedures

As expert facelift surgeon, Dr. Haworth's primary goal – as it is with any procedure he performs – is to balance the features to look perfectly natural. Consequently, it is not uncommon to combine surgical procedures for optimum results.

Chin Implant

Endoscopic Brow Lift

Eye Lift (blepharoplasty)

Lip Lift – Dr. Haworth is unique among facelift specialists because he is also a pioneer in the lip lift surgeries, having developed his own signature lip lift techniques. Often, a lip lift in conjunction with a facelift offers a more pleasing result because in frontal view, facial harmony and youthful appearance are greatly heightened.

Skin Rejuvenation – Resurfacing procedures such as advanced fractionated laser treatment

Injectable Fillers – Fat transfer, hyaluronic acid fillers

Consultation and Appointments

Your successful facelift surgery will require a number of appointments to ensure maximum health and safety.

1. Pre-Op Consultation
The pre-operative consultation is where you meet with Dr. Haworth and our staff to review your health, finalize the details of your procedures, order appropriate tests, prescribe medications, discuss your aftercare and answer any questions you may have.

2. Medical Records

Any appropriate health records related to the list of conditions noted above
Any radiological test results including regular Xrays and CAT scans that may have
For patients over 45, we may also require that you provide the following:
- - Full medical clearance
- - EKG

If you haven't got these records or haven't been tested lately, the facelift consultants in our office can coordinate these appointments for you.

3. Prescriptions
You will want to fill any and all prescriptions well in advance of your facelift surgery, particularly since some of them need to be taken for several days before the procedure.

Critical Pre-Op Cautionary Note
It is absolutely essential that that you avoid all aspirin, aspirin-related, ibuprofen or blood-thinning medications for 2 full weeks prior to your surgery. In your pre-op consultation, we will give you a complete list of these drugs. For our patients, we also provide a password-protected link allowing you to download the list onto your computer. If in doubt about a specific medication, do NOT take it, call the office first and ask if it is on the forbidden list.

4. Day of Surgery
Your facelift surgery will be performed at our surgical center in Beverly Hills. You will come in at the appointed time. Be sure to wear loose clothing that buttons or zips and does not need to be pulled over your head. Your ride will be instructed when to pick you up or can call in to find out when you'll be ready. We cannot release you without a responsible adult to drive you to the after care facility. We can also arrange a ride for you.

5. First Night Post-Op
A facelift is one of the three procedures (a tummy tuck and major liposuction are the other two) where you must stay in an aftercare facility for at least a night after your surgery.

Dr. Haworth is a facelift specialist that wants to make sure you feel safe and secure every step of the way. That evening after your surgery, he will call you to check in. You'll want to make sure that you sleep with your head slightly elevated and only on your back, NOT on your side or face.

6. First Check Up
As a facelift specialist in Beverly Hills, Dr. Haworth will see all of his facelift patients the next day, evaluating skin health, the presence or absence of fluid collections and nerve function. Nine times out of 10, he will remove the small drains that he originally placed during surgery to minimize the chance of fluid or blood accumulation.

7. Oxygen and Light Healing Therapies
To optimize and accelerate healing, we also recommend coming into the office for hyperbaric oxygen treatments and Bioptron™ polarized light therapy. Both of these modalities can reduce swelling and bruising by up to 5-7 days. Additionally, these exhibit significant healing properties upon slow-healing incisions and injured skin.

8. Second Check Up
On the fifth to seventh day, Dr. Randal Haworth will remove the majority of stitches and staples. By the 10th day, the final four hidden stitches will be removed. After that point, he will see his patients every 2 to 4 weeks until they are completely healed. Generally 4 to 5 postoperative visits are required after a facelift or necklift.

Recovery

In person and in your post-op information packet, we shall explain everything you need to know for your aftercare at home that will include:

Medications (prescription and homeopathic)
Cleaning incision sites

You will need to keep your activities to an absolute minimum for at least 3 days. For the next few weeks, expect to tire easily.

1-3 days read or watch television
7 days resume wearing makeup (most bruising will be gone)
7-10 days be out in public, back to work and take long strolls
3-4 weeks begin moderate and work up to vigorous exercise

By the third week, you'll look and feel much better. Most patients are back at work about 7-14 days after surgery. If you need it, special camouflage makeup can mask most bruising that remains.

Note that you are limited to wearing certain types of eyeglasses after facelift surgery. Dr. Haworth must approve them before you start wearing them postoperatively. Alternatively, one can utilize any eyeglasses if they are taped in such a way onto the forehead to minimize the frame from wrapping snuggly behind the top of the ear.

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