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Facelift in Atlanta, GA

From the Inside/Out™
with No Scars on the Face

Facelift Atlanta GA  Atlanta, Facelift Atlanta GA  Atlanta,

Atlanta Facelift
with Oculus Plastic Surgery

Unlike past generations, you can age gracefully with your outer appearance showcasing your energetic, lively personality. However, even with better skincare products and routines, the sun, gravity, and many other environmental factors can still age your face faster than you'd like.

Luckily, science and medicine are advancing just as fast. Atlanta facelift provider, Dr. Harvey "Chip" Cole, III, MD, FACS, at Oculus Plastic Surgery has devised his own unique Inside/Out™ facelift technique, allowing the benefits of a facelift with no visible scarring and longer-lasting results. This technique is so groundbreaking and technologically advanced, that he has trademarked the surgical approach.

Age Gracefully

What is a facelift?

As you age, the skin on the face relaxes and sags. The lines between the nose and the corner of the mouth get deeper. Fat shifts downward or visibly decreases. The cheeks and jaw start to get jowls. Loose skin and extra fat in the neck can create the appearance of a double chin or "turkey neck.”

Your face can lose its youthful shape for a number of reasons, such as thinned skin, loss of facial fat, gravity, sun damage, smoking, and even heredity and stress. A facelift, also called a "rhytidectomy," is a surgical procedure that makes the face and neck look younger, smoother, and tighter, turning back the years on how you look. In addition to a facelift, a brow lift and blepharoplasty can be used to refresh the eye area and forehead. Fat transfer or fillers may be suggested to compensate for the lost fat volume. To improve the look and feel of the skin, treatments like IPL, dermabrasion, peels, and laser may be used.

A New Way to Get Great Results

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What are the benefits of a facelift?

With all of the youthful benefits of a traditional facelift, Dr. Cole's InsideOut™ facelift is uniquely positioned to provide more precise results because he can reach and access portions of the face that traditional facelifts cannot without leaving noticeable scars.

So naturally, this leaves your friends and family begging for your secrets because they won't believe you had work done, and of course, there will be no tell-tale signs. On top of that, because Dr. Cole's endoscopic procedure is much less invasive than traditional facelifts, your recovery time is also decreased. This means our Atlanta InsideOut™ facelift patients will be back to their normal routine faster than with a traditional facelift.

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Eclectic Customization

Your Facelift Consultation

With the InsideOut™ approach, you can be sure that you will look better than you expected. During your consultation for a facelift Atlanta plastic surgeon, Dr. Cole will advise you on the best course of action to take after thoroughly evaluating your case. His methods for tailoring your procedure to your unique needs are often eclectic. By customizing his procedures for each patient, Dr. Cole can preserve the main elements of his patients' facial structures while enhancing their natural features.

Facelift Videos

InsideOut™ (NO SCAR) Facelift by Dr. Chip Cole | American Academy of Cosmetic Surgery

Endoscope Camera Facelift Surgery | Surgeon Reveals the Details You Need To Know!

Facelift Scars | Plastic Surgeon Reveals the Answers

Facelift Scars 101 | Plastic Surgeon Reveals

A Revolutionary Approach

Your Facelift Procedure

Some parts of the face, like the jawline, nasolabial folds, jowls, and cheeks, are prone to developing sagging skin over time. These spots can be fixed with expertly targeted procedures that work on specific areas to repair and plump the skin tissue underneath. The answer is Dr. Cole's InsideOut™ endoscopic facelift, which is much less invasive than the traditional facelift and gives dramatic results in almost no time.

The surgery is done with either a local or an intravenous anesthetic. Atlanta facelift provider, Dr. Cole only makes a few minor incisions. These incisions are less than an inch long and are usually made above the hairline, inside the eyelid, and inside the mouth. Through these access points, a thin device that looks like a wand is put under the skin. This device has a tiny camera that lets Dr. Cole see what's going on through the monitor as he works. Then, with the help of small telescopic surgical instruments, facial tendons are released from different parts of the face where needed, and the facial muscles are reshaped and restructured to tighten the loose tissues underneath. When the procedure is over, the incisions are stitched back together so that the stitches are hidden and can't be seen. This results in no scars on the face, or tell-tale signs around the front or back of the ears.

Shed a decade or more!

Facelift Results

For someone aged 55 to 75, an endoscopic facelift will last roughly 10 to 15 years due to natural aging. However, if you are between 35 and 55, results may endure for 15 to 20 years. The Inside/Out™ approach allows for more access and precision during the facelift, which makes the effects last longer than traditional approaches.

Quicker Recovery

Facelift Recovery and Aftercare

Endoscopic facelifts require you to take less time off work than regular ones since less tissue is removed and less blood flow is cut off. Dr. Cole recommends patients wait at least two weeks before returning to normal activities after an endoscopic facelift but finds that three weeks is optimal. Make sure to follow all provided aftercare instructions carefully and contact us with any questions.

Facelift Frequently Asked Questions

The endoscopic facelift is an outpatient surgery that requires sedation anesthesia. However, patients needing minor facial adjustments may only need to be given sedation with a local anesthetic.

Sagging jowls and wrinkles can be treated with a less invasive mini facelift. Mini facelifts can only correct lower-face issues like sagging skin and wrinkles, not upper-face issues like under-eye bags, crow's feet, or forehead lines. As Dr. Cole likes to say, "mini facelifts usually mean mini results."

Technically, there is not a scarless facelift because when we make an incision, if you look under a microscope, there is a scar. But when people say, is there a scarless facelift, what they really mean is there one that you can't see any scars. And the answer is yes. I do a scarless facelift I call the InsideOut™ Facelift, where a lot of the work is done through the mouth, behind the lower eyelid, and then through sites that allow me to get to certain areas through the hair. And I close those areas with a stitch or two. So you technically have a scar, but you can't see the scar. So in terms of, is there a scarless appearing facelift, the answer is yes. But technically, there is a scar.

An endoscopic facelift is basically a facelift that's done with smaller incisions so you have access to larger tissue areas. You have an endoscope which is a lighted camera in one hand and in your other hand you have a surgical instrument. Endoscopes have been used for years in facial surgery. I started using them around 1990-1991. We first did brow surgery, then we did cheek and mid-face and now we have advanced to doing even lower facelift and neck lift surgery through incisions in the mouth and inside the eyelids, so you don't have an external scar. The endoscope has many advantages, especially in the beginning when you're learning all the detailed anatomy. Later to be able to do a facelift, without having scars, with someone that has a lot of experience with an endoscope is a huge advantage for people.

Technically, you cannot have a facelift without a scar. But what most people mean by that is a disfiguring scar or a noticeable incision. So the answer is you can get a scarless facelift, but you're going to have hidden areas that were accessed. So for instance, I might make an access in the hair or behind the eyelids and insert an endoscope through the mouth. When those incisions heal, they will technically have a scar. But if you can't see them and you can put your hair up and you can get out of a swimming pool and you can wear earrings and do other things, you don't worry about people seeing any scars. That's what people consider a scarless facelift.

You might feel a little sore afterward, but discomfort during recovery can be easily managed with oral medicine.

Dr. Cole doesn’t cut any corners and values his reputation for the best results using his method. The cost for a facelift starts around $24,000, including a necklift.

The best way to prevent unsightly scars when you have a facelift is to look at a lot of before and afters of the surgeon you're considering and make sure that he/she has not only an advanced technique but also the surgical skills to produce good scars. The other way to look at it is to do a technique that has no visible scars and that is a combination of endoscopic and intraoral where you have lots of access areas to get to the facial tissues but there are no external unsightly scars. So your ear looks normal, behind your ear looks normal, you can put your hair up. So the best way to have a good scar so to speak is to prevent it in the first place.

A minimal incision facelift is a term that usually refers to an incision in front of the ear and temple hair and behind the ear but not into the posterior hairline. So it's a slightly shorter incision than the traditional incision. A lot of times when a person makes a small incision, unless they're using advanced techniques to be able to go deep plane and through the mouth and behind the eyelids, they're not having access to the important structures that have to be recontoured. So I like to say with a mini lift, you get mini results.

Facelift scars are traditionally performed at the edge of the hairline, in front of the ear, behind the ear, and into the posterior hairline. So they're usually highly visible. If you put hidden access in the hair in different areas and you go through the mouth and you go behind the eyelids, those are all access points to do surgery on the face that is going to be truly scarless as far as appearance goes. Anytime you make an incision, there's technically a scar, but the real key is we don't want to see the scar. And if your surgeon uses a technique where you can see a scar, you want it to be the best scar it can be, and that depends on experience and lack of tightness and different treatment parameters that your surgeon can perform.

An endoscopic facelift lasts approximately 10 to 15 years for someone a little older, say 55 to 70, and it lasts 15 to 20 years if it's somebody on the younger end when they have it done, say 40 to 55. And the reason is the younger you have it done, the better it heals and the longer it lasts because your tissues are in better shape. And the endoscopic approach allows you to have larger areas to reset and anchor the tissues through a smaller incision that's hidden, as opposed to an open incision where you can't get to certain areas without there being a larger scar. So the tradeoff for most surgeons is they do a smaller incision to try to prevent scarring, but it affects how long that facelift will last. The InsideOut™ endoscopic facelift will actually last longer in experienced hands.

An endoscopic facelift is performed with a lighted telescope about the size of a large McDonald's straw and you have instruments in the other hand and that's called an endoscopic camera setup. It allows a surgeon to have smaller incisions with a larger view of the tissues. There is a steep learning curve because you have to learn the anatomy from the InsideOut™ so to speak because you're inside the tissues and you're not seeing the tissues from the outside. The endoscope allows a person that understands all that anatomy to do a lot of surgery that's very hidden so that's the advantage of the endoscopic approach. Unfortunately there's a learning curve and so it takes years to be very proficient and efficient at performing endoscopic surgery.

The recovery from an endoscopic facelift is less time than a traditional facelift because you're not disrupting a large vascular area and you're keeping the tissues intact. So if you go through a small incision with an endoscope and you're working on that tissue, but the skin is not disrupted, that's where the supply of blood comes from, the skin and the fatty layer that does not get disrupted with an endoscopic approach. So I tell people that the minimum to get back full steam ahead is about two weeks and I prefer for people to take three weeks for endoscopic facelift recovery.

When you think about having a facelift, you want to have a facelift that has natural results. You want to have no or very little scarring. You want to have minimal downtime and long-lasting results. And in my opinion, to get that combination, if you do it from the InsideOut™ approach, you're going to have essentially no scars that are visible. You're going to have a relatively quick recovery. You're going to have a long-lasting result because I free all the attachment areas and recontour before it's reset. I think the best result, the longest lasting, most natural, is an InsideOut™ approach using an endoscope and using areas to access the face that are not visible after you recover from surgery.

The recovery from an endoscopic facelift is less time than a traditional facelift because you're not disrupting a large vascular area and you're keeping the tissues intact. So if you go through a small incision with an endoscope and you're working on that tissue, but the skin is not disrupted, that's where the supply of blood comes from, the skin and the fatty layer that does not get disrupted with an endoscopic approach. So I tell people that the minimum to get back full steam ahead is about two weeks and I prefer for people to take three weeks for endoscopic facelift recovery.

When we talk about scars, what we mean is it's something visible or kind of distorted. Technically, when you have an incision, you always have a scar. But if a tissue has tension on it, it's going to give a noticeable scar. So you can see facelift scars if you know where to look for them. The area that's the most distorted is right in front of the ear. And a lot of people know that if you look in front of the ear or in back of the ear or even at the temple hairline or posterior neck hairline, you might see a facelift scar.

Scars will improve over time, but the scar will always be present. It goes through some color changes. In the beginning, it's a little red because it has extra blood flow. And then it starts to fade out. And at the end, hopefully you'll have pigmentation that matches the other pigmentation. If there's a little faded area because of loss of pigmentation, it's going to be more noticeable. That's why if you can avoid a scar, it's always the best.

A traditional facelift involves an incision right by the sideburn area, in front of the ear, around the ear, and back in the hairline around the ear. I recently did a presentation where it's shown that that's about 70 centimeters. If you do a non-traditional facelift, what I call a no-scar technique, then you can hide incisions and it's only about 7 centimeters. So it highly depends on the type of facelift that you have as to where the scars are going to actually be.

After a facelift, the wound will go through predictable stages of wound healing. And whether you have a one inch incision or a 10 inch incision, you still go through the different stages of wound healing. The wound will be a little pink in the beginning, and then it will start to fade, and it will actually look its best at about a year. The reason that most doctors don't recommend any further enhancements or touch-ups or adjustments for at least six months is because of the scar maturation process. So everything does look better with time. If you have an unsightly scar, that's a different situation that could actually look worse over time. So the real key is a facelift that has either good scars or has hidden scars. Obviously, a hidden scar in the hairline or in the hair is always better than a visible scar.

The goal of an excellent facelift is to be able to put your hair up and wear it so you cannot see the scars. Unfortunately, with a traditional facelift, you have distortion of the earlobe and you have scars in front and behind your ears. So you want to try to find a surgeon that does an advanced approach where you can wear your hair up and not see any scars. That's not typical, but it is available.

A deep plane facelift is a facelift that goes right to where the attention is causing all the aging. It's like that old joke, I think it might have been Willie Sutton's, why do you rob banks? And he's like, well, that's where all the money is. It's the same thing with a deep plane facelift. Back around the ear is skin, but in the front of the face is where all the action is. So a deep plane facelift goes to the angle of the jaw and then dives under the deep area. The only challenge with it is you have to really know the advanced anatomy and have a lot of skill, because technically it's more difficult. If you look at the statistics, about 97 to 98 percent of facelifts done by surgeons in the U.S. is what's called a SMAS, S-M-A-S facelift, which is not a deep plane facelift. So a deep plane facelift gives the smoothest, best results. And the reason it does is the skin and the fatty layer underneath don't get separated. With the traditional facelift and a SMAS tightening, you separate the skin from the fatty layer. And so you disrupt that vascular plexus. So if you disrupt the vascular area, you're going to have more trouble healing. So deep plane is definitely the way to go. And that's what I would certainly do if I was operating on a family member.

A deep plane approach traditionally involves making an incision in front of the ear and going over in the skin area and then going deep into the facial tissues. With newer more advanced techniques, you can actually do all of that endoscopically and through an InsideOut™ approach, you can loosen the ligaments through the mouth area so that there's no scar and I can come in through the hair area where again there's no scar. So you literally have no scar in front of your ear and no scar in the back of your ear at the posterior hairline.

The most natural looking facelift is where you take your tissues that have changed primarily because of gravity and we put your own tissues back where they belong. To do that, we have to release some facial ligaments, then we have to re-contour the face, and then we have to anchor it and set it in place. So the best thing to do is to release the tissues, to re-contour, and to reset. And you want to do that with the least amount of incision sites. If you approach things from the InsideOut™, you can do 85% of the work from the inside tissues so you do not have a scar. And in my opinion, that's the best way to do a facelift.

The facelift of today is not the facelift that your mom and your grandmother did. People are having it done younger and younger because we've been able to see with anatomy the younger that you have a procedure, the more natural it looks and the longer it lasts. It used to be facelifts lasted five, eight, maybe ten years. Now they can last 20 years, 25 years because people are doing it younger. It's kind of what we have termed prejuvenation instead of rejuvenation. Sometimes you don't wait and have this one big facelift and it's noticeable and we've all seen people where you kind of say, wow, do they look different and hopefully they look better, but a lot of times they only look different. If you have it done earlier, it looks more natural, it lasts longer. So I have people that are having facelifts routinely in their 40s and that's actually an ideal age to do it, 40s and 50s.

Schedule your consultation with Atlanta’s premier facial plastic surgeon

Learn what’s possible with some of the most advanced techniques in the field today. During your consultation, Dr. Cole will use his extensive knowledge and experience to recommend an optimally beneficial treatment plan tailored to you. At Oculus Plastic Surgery, our honest and patient-focused approach ensures that every patient can achieve their best outcome.

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