How is Short Scar Facelift Performed?

A short scar facelift is a procedure that helps someone to correct the sagging skin around the lower face and jowls, though some people want to manage the skin along the neck as well. More commonly, you may know it as an S-lift or even a ponytail facelift, but they all involve the same methods. It gets the name “ponytail” facelift from the idea that you would want to be able to pull back your hair without seeing all the sagging skin and scarring during activities.

Most people choose this type of face lift to make themselves look years younger. Over time, the natural elasticity, tightness, and collagen production of the skin wanes, which is what forms prominent wrinkles. While there are some creams that help with the condition of the skin, the best way to eliminate this excess of fat and skin on the neck and jawline is through a face lift, like the short scar procedure.

What Makes You a Suitable Candidate?

Before you decide to go through any surgery, you will need a consultation with a doctor to ensure that this procedure is the best one for your needs. The best time to get a procedure like a short scar facelift is during the 40s and 50s, when the skin is only just beginning to lose the enzymes that keep it taut. If you are combining a face lift with another procedure, then your doctor may be able to use this remedy to reduce the overall appearance of wrinkles. While it’s important to have a realistic idea of how the skin will look after, consultation with the right doctor will put aside any concerns.

During your consultation with the plastic surgeon, you should let them know about any medical conditions you have, including uncontrolled high blood pressure, or any blood-related issues.


As the date of your face lift gets closer, you will be assigned a regimen that you need to abide by before the surgery. Your doctor will outline the best dietary guidelines to follow, but some of the common recommendations include:

• No smoking, which may be for up to six weeks before the procedure.
• Consume a high protein diet to promote healing.
• Restrict certain medications that can inhibit how the incision closes.
• Abstain from solid foods on the night before the procedure.
• Sleep a full night’s rest on the night before the procedure.

Each doctor has a few variations upon this preparation, so you should talk to the specific surgeon to ensure that your body is ready for the procedure and the healing process.


Once you are sedated and properly under anesthesia, the doctor will start off the process by using a small incision right above the ears. This incision will connect with a line that goes across the hairline and meets at the natural crease above the ear, ensuring that it is as inconspicuous as possible.

Once the incision is done, the skin is gently separated from the fat and muscles in this area. There’s light liposuction performed at this stage, eradicating the fat that is found in the chin and neck to make a smoother and thinner shape. As the doctor works on this newly shaped area, he will also tighten the muscles and eliminate excess skin formed in the process.

Typically, depending on the severity of the skin and fat, most people have a jawline that looks up to a decade younger than before. The whole procedure can take about 1 to 3 hours.


While you rest at home, lay back and relax. If you have a recliner, that would be your best place to recover, but you want to avoid most facial movements and turning in ways that could pull at the incision. Some people prefer to bring someone to their home to help them get out of bed and avoid strenuous activity. With just a little TLC for yourself, the healing process is actually quite relaxing.

The great part about a short scar facelift is that the recovery time is minimal, usually only taking about 5 to 14 days to see the whole incision fade. However, most doctors will recommend that you avoid anything with vigorous activity for about three weeks.

The biggest appeal of a procedure like this is the nearly invisible scar. Though the healing process may show the incision prominently, treating it properly will ensure that there’s no sign you ever had work done.

Maintenance and Follow-Up Care

Even though this procedure is fairly minor, you need to keep up with any appointments after that three-week healing period. Your doctor may want to see you more frequently if you had a pre-existing medical condition. Speak with your doctor about skin care treatments after, or request to be referred to a reputable dermatologist.

Choosing a doctor that can meet your needs is important, and reputation can be a deciding factor for choosing the best one. In Los Angeles, there’s Dr. Frankel as a qualified plastic surgeon who specializes in facelifts and other facial rejuvenation procedures. He has earned the title of the best facial plastic surgeon in America.

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