Full Facelift

PROCEDURES OF EXCELLENCE

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A full facelift stands as one of the most transformative procedures available in aesthetic medicine.

This comprehensive approach addresses multiple signs of facial aging simultaneously, helping countless individuals reclaim a more youthful, refreshed appearance.

The Expressions You Choose!

A full facelift, or rhytidectomy, delivers sophisticated facial rejuvenation through meticulous surgical technique. By precisely repositioning deeper facial tissues, removing excess skin, and restoring lost volume, Dr. Nodwell creates natural-looking results that harmonize with your existing features while turning back the clock on facial aging.

Choosing to undergo a facelift empowers you to address multiple concerns simultaneously—from jowls and deep folds to sagging cheeks and neck laxity. This procedure reveals a more vibrant version of yourself, one whose outer appearance better reflects the youthfulness you might feel on the inside.

Why Do We Need Full Facelifts?

Your face undergoes natural changes throughout the aging process. Over time, facial tissues gradually deplete collagen and elastin—proteins essential for skin elasticity and firmness. This breakdown allows gravity to exert its relentless pull, causing skin and deeper tissues to descend.

Simultaneously, facial fat diminishes and shifts downward, creating hollows in the upper face while accumulating along the jawline and neck. These changes often result in jowls, deep nasolabial folds, marionette lines, and a poorly defined jawline that can make you appear tired or older than you feel.

Environmental factors accelerate these changes. Sun exposure damages skin cells and breaks down collagen while smoking constricts blood vessels that deliver vital nutrients to facial tissues. Genetics also influence how quickly these changes manifest, with some individuals experiencing earlier or more pronounced facial aging based on their family history.

While injectable treatments like fillers and neurotoxins offer temporary improvements, they cannot address significant tissue laxity or displacement. Likewise, skin care products may improve surface texture but cannot reposition descended tissue or remove excess skin. For comprehensive rejuvenation that addresses the underlying causes of facial aging, surgical intervention provides the most effective and long-lasting solution.

A facelift surgically repositions the deeper facial tissues, removing excess skin and restoring a more youthful facial architecture. Through careful manipulation of both the superficial and overlying skin, Dr. Nodwell creates natural-looking improvement that refreshes your appearance while preserving your unique character and expressions.

What Does a Full Facelift Treat?

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Skin Renewal

Sagging cheeks and midface laxity

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Jowls

Prominent jowls along the jawline

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Nasolabial Folds

Deep nasolabial folds (from nose to mouth)

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Wrinkle Reduction

Marionette lines (from mouth to chin)

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Neck Rejuvenation

Loose skin and muscle banding in the neck

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Jawline Definition

Loss of definition along the jawline

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Hollowing

Hollowing in the temples and cheeks

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Stubborn Fat

Facial fat displacement and volume loss

What Are My Full Facelift Options?

Dr. Nodwell offers several facelift techniques, each designed to address specific patterns of facial aging while creating natural-looking results. Each patient's surgical plan is carefully customized based on their unique facial anatomy, degree of aging, and aesthetic goals. What works beautifully for one patient may not be the ideal approach for another, which is why Dr. Nodwell takes time during your consultation to determine which combination of techniques will deliver your optimal outcome.

Facial Rejuvenation Options
Neck Rejuvenation Options
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Deep Plane Facelift

The deep plane facelift addresses facial aging at an advanced level by releasing key ligaments that anchor facial tissues. This technique allows for significant repositioning of descended structures, particularly beneficial for patients with pronounced facial sagging. The deep plane approach achieves a dramatic yet natural-looking improvement of the midface, jawline, and neck. While technically demanding, this approach often delivers longer-lasting results with less tension on the skin.

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SMAS Plication Facelift

The SMAS plication technique targets the supportive connective tissue layer beneath the skin. This approach allows Dr. Nodwell to reposition the deeper facial tissues rather than simply pulling the skin tight. By carefully folding and suturing the SMAS layer, he creates natural, durable results. This technique effectively improves the midface, jawline, and neck with balanced, harmonious rejuvenation.

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Anterior Neck Lift

The anterior neck lift specifically targets laxity and banding in the central neck area. This approach is particularly effective for addressing vertical muscle bands (platysmal bands) and excess fat beneath the chin. Through a small incision under the chin, Dr. Nodwell can tighten the platysma muscle and remove unwanted fat, creating a smoother, more contoured neck profile.

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Extended Neck Lift

When neck aging extends to the sides of the neck or jawline, an extended neck lift provides more comprehensive improvement. This technique addresses a wider area of concern, including lateral neck laxity and jowling. The extended approach is often combined with facial rejuvenation techniques to ensure harmony between the face and neck.

During your consultation, Dr. Nodwell will evaluate your unique facial and neck aging patterns to recommend the most appropriate combination of techniques. Many patients benefit from a customized approach that may include elements from multiple techniques to achieve optimal rejuvenation.

The Nodwell Experience

Facial Rejuvenation Excellence

I've always been fascinated by technical drawing. There's something about precision, symmetry and clean lines that speaks to how I approach facial surgery today. When I examine your face, I'm seeing the underlying architecture, understanding how the ligaments have loosened and where the support structures need reinforcement.

Each facelift consultation starts with me listening carefully to what bothers you most. I spend considerable time really understanding what it is you see when you look in the mirror, and how we can reconcile that with how you feel on the inside. These conversations inform how I approach your surgery, because no two faces age identically.

The trust you place in me to care for your face, the part of you that greets the world every day, is something I never take lightly. I promise to honor that trust with results that make you feel refreshed, confident and completely yourself.

The Nodwell Experience

"Surgical excellence is just the beginning."

Am I a Candidate for Full Facelift?

Your overall health plays a crucial role in determining your candidacy for facelift surgery. During your consultation, Dr. Nodwell will thoroughly evaluate your medical history to ensure you can safely undergo surgery and achieve optimal healing. Certain conditions, such as uncontrolled diabetes, heart disease, or bleeding disorders, may increase surgical risks and require additional consideration or management before proceeding.

Realistic expectations form another essential component of facelift candidacy. While the procedure can take years off your appearance, it aims to refresh and rejuvenate rather than fundamentally change your facial features. Dr. Nodwell will discuss what improvements you can realistically expect based on your unique facial anatomy and aging pattern.

Though facelift surgery can benefit patients across a wide age range, your skin's elasticity influences your results. Even with significant laxity, having some remaining elasticity helps your skin conform to its new contours after surgery. Dr. Nodwell will evaluate your skin quality to determine whether you would benefit from facelift surgery or if alternative treatments might better suit your needs.

Your facial bone structure provides the foundation for your surgical results. Strong cheekbones and a well-defined jawline generally support longer-lasting, more dramatic improvement. During your consultation, Dr. Nodwell will assess your facial architecture to determine how it will influence your outcome and whether additional procedures might enhance your results.

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Show moderate to significant facial aging, including skin laxity and tissue descent

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Maintain good general health without medical conditions that impair healing

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Have realistic expectations about surgical outcomes

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Do not smoke or are willing to quit before surgery

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Demonstrate good skin elasticity despite age-related changes

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Have strong facial bone structure to support long-lasting results

Frequently Asked Questions

Do I Need a Facelift and Necklift?

Understanding whether you need a facelift and neck lift depends primarily on the extent of your facial aging and your specific aesthetic goals.

A facelift alone might be sufficient if your concerns are limited to the middle and lower face with minimal neck aging. This approach addresses jowling, nasolabial folds, and marionette lines while improving the upper neck.

A combined facelift and neck lift becomes necessary when you experience significant aging across both facial and neck areas. If you have pronounced jowls, deep facial folds, substantial neck laxity, platysmal banding, or excess fat under the chin, this comprehensive approach will deliver more thorough rejuvenation. While this combined technique involves more extensive surgery and recovery, it provides harmonious, longer-lasting results across both the face and neck.

During your consultation, Dr. Nodwell will evaluate several factors to recommend the most appropriate approach. These include your skin quality, degree of laxity, facial bone structure, and aesthetic goals. Considerations like the depth of your facial folds, the extent of jowling, and the condition of your neck tissues help determine whether a facelift alone or a combined procedure will best achieve your desired outcome.

Your age also influences this decision, though Dr. Nodwell evaluates each patient based on their unique aging pattern rather than chronology alone. Generally, younger patients with early signs of aging may achieve satisfactory results with a more limited approach, while those with more advanced aging typically benefit from the comprehensive rejuvenation that a full facelift and neck lift provides.

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How Should I Prepare for My Full Facelift?

Proper preparation plays a vital role in your surgical success and recovery. Dr. Nodwell recommends beginning your preparation several weeks before your scheduled surgery date to ensure optimal results.

From a medical standpoint, you will need to stop taking certain medications, supplements, and herbal remedies that could increase bleeding risk or interfere with healing. These typically include aspirin, ibuprofen, vitamin E, and various herbal supplements. Dr. Nodwell will review your current medications and provide specific guidance about which ones to adjust or temporarily discontinue.

If you smoke, you should commit to quitting at least six weeks before and after surgery. Nicotine significantly restricts blood flow to facial tissues, dramatically increasing the risk of skin necrosis, delayed healing, and suboptimal results. This requirement isn't just about the day of surgery—it's about optimizing your body's ability to heal properly during the critical recovery phase.

Schedule at least two weeks away from work or professional obligations to allow for proper healing. Arrange for a trusted friend or family member to drive you home after surgery and stay with you for at least the first 24 to 48 hours. During your initial recovery period, you'll need assistance with daily activities and medications.

Setting Up Your Recovery Station

Before surgery, designate a comfortable area of your home as your recovery station. Consider including:

  • All prescribed medications organized and readily accessible
  • Extra pillows to keep your head elevated during rest
  • A wedge pillow for sleeping with your head raised
  • Cold compresses or ice packs for reducing swelling
  • Comfortable, button-front shirts that don't need to be pulled over your head
  • Entertainment options like books, magazines, or a tablet
  • A water bottle with a straw for easy hydration
  • Healthy snacks that require minimal preparation
  • Phone charger and important contact numbers within reach

Complete household tasks before surgery, such as grocery shopping, meal preparation, and laundry. Stock your refrigerator with easy-to-prepare, nutritious meals and snacks that support healing. Fill prescriptions in advance and gather any recommended recovery supplies like gentle cleansers or ointments for incision care.

The night before surgery, follow Dr. Nodwell's specific pre-operative instructions regarding bathing, eating, and drinking. Remove all makeup, skin care products, contact lenses, and jewelry before surgery. Wear loose, comfortable clothing with a front-closing top to your surgical appointment.

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What Kind of Results Can I Expect from a Full Facelift?

When you choose a facelift with Dr. Nodwell, you can expect comprehensive improvement in your facial appearance that looks natural and harmonious. While initial changes are visible immediately after surgery, your final outcome will continue to develop over several months as tissues heal and adapt to their new contours.

Most patients experience dramatic improvement in their facial appearance, including a more defined jawline, reduced jowling, and smoother neck contours. Deep facial folds become noticeably softened while sagging cheeks and midface tissues appear more lifted and youthful. These changes create a refreshed, vibrant appearance without altering your fundamental facial character or expressions.

Your scars will initially appear pink or red and may feel firm to the touch. Over time, they typically fade to a lighter color and soften, though individual healing varies. Dr. Nodwell carefully places incisions within natural skin creases or along the hairline where they remain well-concealed. Most patients find these scars barely noticeable once fully healed.

Facelift results typically last between seven and 10 years, though this varies based on factors like skin quality, lifestyle, and genetic predisposition to aging. While the natural aging process continues, you'll always look younger than if you had never undergone the procedure. Many patients find that after the initial surgery, less extensive "maintenance" procedures may help extend their results in the future.

Factors that influence the longevity of your results include sun exposure, smoking, weight fluctuations, and your skin's natural aging pattern. Following Dr. Nodwell's recommendations for skin care, sun protection, and healthy lifestyle choices helps maintain your rejuvenated appearance for as long as possible.

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How Much Does a Full Facelift Cost?

At Nodwell Plastic Surgery, your specific facelift cost varies based on your unique surgical plan and whether you choose to include additional procedures like fat grafting or eyelid surgery.

We understand that a facelift represents a significant financial commitment. To help make your aesthetic goals more attainable, we offer several financing options through trusted third-party providers. These plans allow you to manage the cost of your procedure with monthly payments that fit your budget.

While cost considerations matter, choosing the right surgeon for your facelift should remain your primary focus. Dr. Nodwell's specialized training in facial plastic surgery, artistic eye, and commitment to natural-looking results ensures that your investment yields the beautiful, lasting outcome you desire.

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What Should I Expect From Full Facelift Recovery?

Your recovery journey begins the moment your tummy tuck procedure is complete. While every patient's healing process is unique, understanding the general timeline and expectations can help you prepare for a smooth recovery.

Immediately After Surgery

You will experience swelling, tightness, and discomfort in your facial area. These sensations are normal and typically peak within the first 72 hours. Dr. Nodwell will prescribe pain medication to keep you comfortable during this initial phase. You'll wake up wearing bandages, and small drainage tubes may be in place to prevent fluid accumulation. Keeping your head elevated at all times is essential for minimizing swelling.

Immediately After Surgery

1-2 Weeks

Your initial recovery period requires careful attention. The first two weeks demand the most rest, though short walks are encouraged to promote circulation. Dr. Nodwell will remove your drains when your fluid output reaches an appropriate level, typically within seven to ten days. Most sutures are removed during this period, and you'll notice significant improvement in swelling. By the end of week two, most patients can manage their discomfort with over-the-counter pain medication.

1-2 Weeks

2-4 Weeks

Many patients return to light work duties and social activities during this time. While subtle swelling persists, it's typically noticeable only to you and Dr. Nodwell. Most bruising resolves by this point, and your incisions begin to mature and fade. You'll likely transition from bandages to a less restrictive facial support garment worn at night. Sensation changes around your incisions—including numbness, tingling, or tightness—remain normal during this phase.

2-4 Weeks

4-6 Weeks

During this phase, you can gradually increase your activity level as comfort allows. Light exercise may resume with Dr. Nodwell's approval, though continue avoiding activities that increase blood pressure to the face. Your scars will continue to mature, and swelling will steadily decrease. You'll feel more comfortable in social settings as your appearance continues to improve.

4-6 Weeks

6-12 Weeks

Most patients return to their regular exercise routines, gradually introducing more strenuous activities. Your facial tissues will continue settling into their new positions, and you'll notice ongoing improvement in your contours as residual swelling resolves. Sensation changes in your face begin improving significantly during this period, though some areas may still feel different than before surgery.

6-12 Weeks

After 3 Months

While you'll see significant improvements by this point, your final results continue to develop. Scar maturation proceeds for up to 18 months, gradually fading from red or pink to a lighter, less noticeable color. Dr. Nodwell will provide guidance on scar care treatments to optimize your results. The last traces of deep swelling resolve completely, and sensation normalizes in most areas, though some patients experience permanent changes in small zones, particularly around the ear area.

After 3 Months
Immediately After Surgery
1-2 Weeks
2-4 Weeks
4-6 Weeks
6-12 Weeks
After 3 Months

Throughout your recovery, you'll have regular follow-up appointments with Dr. Nodwell to monitor your healing progress. Should you have any questions or concerns between appointments, our team remains available to provide support and guidance. Following your post-operative instructions carefully helps ensure optimal results from your facelift procedure.

Live well.
Choose well.
Nodwell.

From your initial consultation through your final follow-up appointment, the team at Nodwell Plastic Surgery remains dedicated to providing exceptional care at every step of your facial rejuvenation journey. Dr. Nodwell's specialized training and artistic approach, combined with our comprehensive support, create an unparalleled experience for patients seeking facial rejuvenation.

Begin your journey to a more vibrant, refreshed appearance by scheduling your private consultation today. Call us at 613-792-4415 or complete our online contact form. Together, we'll develop a personalized plan to help you achieve the youthful, natural-looking facial contours you deserve to choose.

Hear from Dr. Nodwell's Patients

From my first visit to Dr.Nodwell, to my final visit 3 months after my facelift, he has provided me with exceptional, kind, and empathetic attention. He always took the time to explain every step of the way, and for that l will be forever grateful. My facelift is fabulous, and no words can convey my sincere thanks to him for giving me back my life. I now look like l feel. His staff, Crystal and Hannah, were also terrific. I would highly recommend Dr. Nodwell and his team in a heartbeat for any cosmetic treatment you might want. They are beyond superb!

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Dr. Nodwell is one of the nicest and caring Plastic Surgeons that you could ever ask for. He has been my Botox and Juvederm Filler injector for years now. He takes his time explaining everything in detail and makes sure you are comfortable throughout the process. I would highly recommend Dr. Nodwell to anyone who would like over the top care and professionalism.

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I started seeing Dr. Nodwell around 4 years ago, for baby botox. He listened to what I was looking to achieve - a natural refreshed look - and took the time to walk me through what would work best for me, the process, and he made me feel extremely comfortable. I have always been incredibly happy with my botox results!Then, in 2019 we did a second consult for an abdominoplasty! I have two children, was “all belly” and my former 21” waist was stretched beyond natural repair. I am petite and athletic, but the harder I worked out, the worse my abdomen would look which was incredibly frustrating. I had already grown to know and trust Dr. Nodwell through my botox appointments, which really helped me make the decision to finally proceed with my abdominoplasty after 15 years of dreaming about it. I also had him remove a bony growth on my forehead while I was under.Long story short, my only regret is not proceeding with the abdominoplasty sooner, I am absolutely thrilled with my results, and Dr. Nodwell and his staff were a dream through it all.

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I had an appointment at The Ottawa Clinic today with Dr. Nodwell for lip filler. Going to a plastic surgeon for a basic procedure such as lip filler you expect top notch results, and that’s exactly what I got. Professional, kind, friendly service, and perfect results. I appreciated Dr.Nodwell taking a thorough look into my history (scar tissue on lips) to ensure the best and safest plan. Professional and experienced technique resulted in bruise/swelling free lips and perfect results. Thank you very much :)

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