Daily exposure to the sun, stress and even the nature of gravity take their tolls on our necks and faces. Deep creases beside the mouth become visible, jaw line less emphasized, and the neck droops as fat deposits develop. In Austin, Facelift surgery resolves these unwanted features by tightening muscles, removing fat and trimming excess skin, regaining youthful look. Some patients achieve looks 10-15 years younger.


Austin Facelift surgery or rhytidectomies (“removal of wrinkles”) rejuvenate mid-to-lower face and neck. Facelift surgery is geared towards patients who want to correct:

  • Under eye creases
  • Sagging of midface
  • Deep creases between the nose and mouth (nasolabial folds)
  • Drooping skin and collection of fat deposits under chin and jaw (jowls)
  • Fatty areas due to laxity of muscles

Austin facelift surgery can dramatically improve problems mentioned above. However, facelift surgery does not stop the aging process; drooping, fat deposits and wrinkles will appear once again.

Further, facelift surgery in Austin will not resolve problems in specific areas including eyelids, nose, brows, and some parts of the midface. For improvement on these areas, patients may consider addition of eyelid surgery (blepharoplasty) and/or brow lift.

Injectable soft-tissue fillers, Botox, fat injections, and skin resurfacing may enhance the final outcome.


The best candidates for facelift surgery in Austin are those who:

  • Wish to improve signs of aging listed above
  • Are in good general health
  • Are men or women whose faces have begun to sag, but holds some elasticity
  • Have realistic expectations
  • Do not smoke
  • Are considering a facelift willingly, and are not pressured by others

During your consultation, Dr. Walden of Austin, Texas will discuss whether you are a good candidate for Austin facelift surgery. A medical clearance including an EKG and pertinent labs are part of the preoperative work-up of the facelift patient in this practice. Optimal control of blood pressure in the case of hypertension and optimization of other medical comorbidities are important prior to facelift surgery. Avoiding blood thinning medications such as aspirin, NSAIDs, and herbal remedies is mandatory to help prevent postoperative hematoma as well.  Dr. Walden and her nurses will go over this with you in the preopertive preparation for surgery and help you in the postoperative course as well to ensure optimal healing and recovery.


In Austin, facelift surgery is typically an outpatient procedure and can be performed at our clinic’s on-site, fully accredited operating room or if in Marble Falls, at Hill Country Memorial Ambulatory Surgery Center. Patients may have a choice of IV sedation with local anesthesia or more commonly, general anesthesia.

The way a facelift in Austin is performed varies on the patient’s facial structure and the extent of correction desired. Dr. Walden is able to perform any of the most common incision techniques:

  • Traditional facelift: Traditional facelift is the “full” facelift. It includes rejuvenating the face, jowls and neck by fat sculpting, lifting and repositioning of muscle and deeper tissues. Skin trimming and redraping is further done. The incision begins at the hairlines of the temples and continues around to the front of the ear, around the earlobe, and end behind the ear to the lower scalp. Sometimes, another incision is made under the chin.  Dr. Walden may perform a SMAS flap, lateral SMASectomy, or SMAS plication depending upon your past facelift surgical history and anatomy/ facial shape.  The SMAS (superficial musculoaponeurotic system) is the underlying foundation or connective tissue of the face which invests the superficial facial musculature.   It is this layer that is lifted as a contiguous unit in a facelift procedure.  There is also skin undermining and trimming that takes place but the tension is not placed on the skin closure so that the result is a more rested, youthful look and not an overly tightened or windswept appearance.
  • Limited-incision facelift: Limited rejuvenation specifically targets around the eyes and mouth, including nasolabial folds (smile lines) and other deep creases. Short incisions are made at the temples that travel around the ear. This is otherwise known as the short scar facelift or rhytidectomy.
  • Neck lift: A neck lift concentrates on jowls, loose skin and fat on the neck and under the chin. The incision is made in the first chin crease under the neck and around the ear lobe to the lower scalp. A platysmaplasty involves trimming the edges of this fan shaped neck muscle and suturing the edges together similar to a corset to tighten the neck bands or “waddle”.  This is often performed with liposuction of the neck as well.

In all three methods, incisions are closed with fine suture material. Scars are hidden in the hairline and natural contours of the face.


After your rhytidectomy, Dr. Walden will wrap the incisions in bandages and may place drainage tubes in the area. The drains and dressing are removed the following day. You will be able to wash your hair 48 hours after removal of drainage tubes. If staples are used to hold the incisions closed in the hair-bearing scalp, they will be removed one week after the facelift along with your stitches.  Some of the sutures are dissolvable.

For the first few days, you may experience discomfort including but not limited to swelling, numbness, bruising, and tightness or tension in the face and neck. Your face may look uneven or distorted and your facial muscles may feel stiff. These post-operative symptoms are normal and usually resolve within 3-6 weeks. Sensation typically returns to normal within a few months and scars become less red, raised, lumpy or itchy in time.

Depending on your occupation, patients are able to return to work by the third week. Camouflage cosmetics can be used to minimize the appearance of bruising.

It is essential for you to be gentle with your skin and hair during recovery for the best results. Using sunblock or avoiding sun exposure and smoking are also critical for an optimal result as well.


Results of a facelift do not last forever. Another procedure in around ten years is something you may want to consider. But, in another sense, the effects are permanent; years later, your face will continue to look better than if you had never had a facelift.