What is the difference between a facelift and a minifacelift? Dr. Lindsey in DC explains | McLean

Well I think that is a complicated question.  The lower facelift I was taught in the 90s, took about 2 hours under general anesthesia…and when I first started…it took me 3.5.  But as I discuss in another thread, practicing anything makes you better and more efficient.   So in about 2001 I started doing short scar facelifts in the office.  The first 100 were pretty small changes on perfect candidates who needed JUST A LITTLE.   After 100, and my nurse and I were just discussing this…some of these perfect ladies, brought in not perfect candidates (for a minilift).   And they didn’t want a big lift.  SO, after a series of blunt discussions..I did a few.  And of course I had to do a little more work to get them some change.  And maybe the first couple were some change, but then you start to see that with just a little more numbing and a bit of a larger procedure…you can really do what used to take general anesthesia and a bunch of hours, in 90 minutes with valium.

I do think it really depends on how much the patient needs.  How much they actually want.  And how experienced the doctor is.   For me now….I think for MOST patients, I can deliver nearly the results…and maybe more in some folks…with a short scar facelift and valium more safely than a bigger case under anesthesia.