Plastic Surgery 101

How to get the best results with a facelift

Q. A friend of mine just had a facelift. While she looks really good, there are still things that surprise me. She has prominent nasal labial folds and still has some fine lines around her eyes and her mouth. Is this normal or did she not have a good facelift?

A. Facelift surgery is a complicated and a multifaceted operation. The surgery may include surgery of the eyes, forehead, face and neck. In addition, it may also include fat grafting and laser resurfacing to different areas of the face. Because of this, it is very important to have a discussion with your surgeon as to what bothers you, what your aspirations are and what your expectations should be. Not every patient needs every aspect of the surgery.

If you are considering a facelift, your consultation should go as follows: find a facial plastic surgery or plastic surgeon who performs many facelift operations. Seek recommendations from friends, family and colleagues. Once you have a few names, I would visit with each of them. (Keep the number to three, so you won’t get overwhelmed.)

Describe to your doctor what bothers you and then listen to his/her solution. Make sure you see before and after pictures and that you discuss your expectations. The pictures should represent a similar problem to yours.

By doing this, you're more likely to be happy with your results.

Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email questions to