Get the Face You Want With Facelift Surgery in Miami


Here at the Maercks Institute in Miami, FL, we are committed to helping each patient embrace the beauty of their body and face. When you choose Dr. Maercks for your plastic surgery procedure, you can rest assured that you are getting the best focused and individually tailored care.

A facelift is used to reduce the signs of aging from the face, and is an incredibly popular procedure. If you want to look younger and enjoy a rejuvenated appearance with a cleaner neck line, a facelift may be the perfect option for you.

What Is a Facelift?

During a facelift, a plastic surgeon deals with the areas surrounding the jowls, the cheeks and the neck. The procedure works to tighten the underlying layer of muscle and remove any excess skin from the area to tighten it up. This procedure can be combined with other corrective procedures, as aging is a common reason women choose a facelift. Common procedures performed with a facelift include eyelid rejuvenation, fat transfer into the face for better volume or an eyelid and brow lift.

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Is One Facelift Like the Other?

At the Maercks Institute, we are proud of our efforts to customize each treatment option to the individual patient. We consult with you to determine what results you would like to see, and explain the best options. After a facelift with Dr. Maercks, patients never look stretched or pulled, and he uses a customized signature technique to ensure that the effects of aging are minimized after a facelift yielding a natural appearing result. We focus on a balanced, natural looking face and a well-defined neck during surgery.

When Is a Facelift Necessary?

As the face ages, it goes through three transformations that are often visible to the naked eye. These are known as deflation, descent and radial expansion.

  • Descent – inferior displacement of the soft tissues of the face
  • Deflation – Facial fat is lost over time
  • Radial expansion – Facial tissue is loosened

Over time and as the body ages, the face’s layers may loosen and separate. These layers include muscle, fat and skin. A successful facelift will fully rejuvenate the neck and the face by properly addressing these issues when necessary.

Facelift for Descending Skin

Over time, the underlying tissues and the skin of the face will descend. This change is often noticeable first in the midface, where the cheek starts to descend, creating two different effects. Either a hollow spot forms as fat of the cheek descends, or jowls appear as the tissues of the face descend down and forward.

The muscle that starts in the lower face and continues to run down the neck is referred to as the platysma. As the body ages and this muscle descends, jowls are often the result. A jowl is the muscle’s front end as it sags. If the muscle sags in the neck, it may create bands around the front.

A facelift should elevate the cheek back to its original position. This restores fullness to the spot between the lower eyelid and the cheek. Many facelifts fail to account for this change, while we believe it is a huge part of restoring the natural, youthful look and feel of a face. A thorough facelift will reposition this muscle to its natural position in order to remove jowls. Along with the facelift, fat transfers may be used to further lift and balance the cheeks and create a younger appearance.

Facelift for Deflation

Patients that notice hollowness is some areas as the skin ages may be noticing deflation. Deflation is usually due to the descent of facial fat or a noticeable loss of fat volume. Most patients notice this problem first in the area directly underneath the cheek.

In order to correct for deflation, a facelift should account for these hollow areas created by a shift in fat volume from aging. During the procedure, volume is replenished by repositioning the deep tissues of the face, either by an autologous fat transfer or simple repositioning of the fat.

Facelift for Radial Expansion


Radial expansion is noticeable as an outward push in some facial areas that is common during aging. This creates a loss of the definition of the jawline, and is most noticeable in the jawbone’s lower border and the jowls. Radial expansion is a result of facial retaining ligaments weakening over time. These tissues separate from deeper tissues as they become weaker, and may be a very difficult problem to correct, even with surgery.

During the facelift to correct radial expansion, deep tissues are elevated and secured in order to recreate the original, youthful-looking jawline.

Facelift for Neck Sagging

The neck is one of the first places patients notice the effects of aging, as it often begins to sag over time. Muscle descent, increasing skin laxity and inflation are all causes of neck sagging, and should be addressed accordingly by your plastic surgeon during a facelift.

These changes are caused as the platysma muscle loosens over time. This causes a fullness right around the jaw that may create jowls and require a platysmaplasty, or tightening of this muscle.

When fat accumulates right under the chin, the neck may need to be sculpted during a facelift in order to maintain a natural, youthful appearance. Taking too much fat out of this area may leave the neck looking skeletonized and make structures of the neck visible.

When the neck loses elasticity and becomes lax, there may be extra skin over the neck. A facelift can tighten the skin and muscle and remove the excess skin, but does not address the issue of skin laxity and how to fix it. This may require certain non-invasive skin tightening procedures after a facelift. This is a common cause for the dissatisfaction some patients have with the neck area after the procedure.

How is a Facelift Performed?

Every plastic surgeon has a preferred method for a facelift, and that method may change based on the desired results or the individual needs of the patient. We encourage you to schedule a consultation to determine which method is right for your particular situation. Traditionally, facelifts have been a skin only type of procedure, but results didn’t last and patients were unhappy. This presented the need for a longer lasting method for performing a facelift.

Dr. Maercks typically performs what is called a “composite facelift” or may be referred to by some as a “deep-plane” facelift. While aggressive deep-plane facelifts of the past had significant complications associated with them, the modern composite facelift avoids many of the dangers of conventional facelift and conveys many advantages. The composite lift that Dr. Maercks uses avoids the thinning and delamination of the face that can result in the scarred or stretched appearance associated with a bad facelift. One of the other advantages are that the deep ligaments are resuspended and there is no tension on the skin resulting in superior treatment of the central face, and a extremely natural appearing supported face.

Typically, the patient is placed under anesthesia before the procedure is started. Your plastic surgeon may use any of the following techniques during your facelift:

  • Soft tissue augmentation
  • Wrinkle reduction
  • Resurfacing techniques
  • Facial fat grafting

The incision is hidden in the and around the ear. Fat is then redistributed or sculpted from the neck, face and jowls, and tissue is repositioned as muscles are lifted and reshaped. A more in-depth facelift may require an additional incision right under the neck. The incisions are closed with either skin adhesives or sutures after the procedure is complete.

Other facelift options include a non-surgical facelift or a liquid facelift. Dr. Maercks is able to give many patients facelift results with noninvasive procedures such as his signature “Aesthetic Facial Balancing.” Consult with your Dr. Maercks to determine which option is right for you.

Are You a Good Candidate for a Facelift in Miami?

Aging is one thing that happens to everyone, and no individual is exempt from the laws of gravity. While a facelift is a valuable tool on the path to a youthful appearance, it isn’t right for everyone. The ultimate goal of the facelift is to rejuvenate the mid-facial regions, the lower face and the neck. The procedure will not turn back the clock on the natural aging process.

Patients should have realistic expectations before surgery, and recognize that there are limitations to every type of plastic surgery. Your skin and muscles may react differently than another patient’s, illustrating the importance of consulting with a plastic surgeon before you undergo any procedure. We are happy to show you before and after photos of our previous patients to help you determine if a facelift is right for you.

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What Are the Costs Associated With a Facelift?

As with most cosmetic surgeries, the costs depend entirely on the patient and the nature of the surgery. Facelift costs may differ based on location, doctor and patient. Typically, the cost of a facelift at The Maercks institute is $15,000-$35,000 including anesthesia and operating room costs. This number is just a general estimate and may be different for every patient.

Preparing for a Facelift

A consultation with our plastic surgeon is the first step on your way to a facelift. Once you have been cleared and it has been determined that you are a good candidate for the results you want, you should stop taking any anti-inflammatory products, including aspirin at least two weeks before surgery. Avoid alcohol starting five days before surgery in order to decrease bruising and swelling.

Risks Associated With a Facelift

As with any surgery, there are risks associated with a facelift, although they can be controlled and minimized by a proper care routine. Although rare, there is a risk after a facelift for a hematoma, which is treated by draining in the doctor’s office. Facelifts are not typically performed on active smokers, as nicotine may reduce the skin’s blood flow and negate the results of the surgery.

Recovery After Facelift

A facelift is an outpatient procedure, and most patients return home the day of surgery. We offer overnight stay at The Maercks Institute with nursing care for patients that prefer this convenience. The first night should be spent in bed with activity at a minimum level. Patients can resume normal diet, and facial and neck swelling are reduced by keeping the head elevated. Patients should ice for the first night to control swelling.

After surgery, the doctor wraps the face in a bandage in order to minimize pain and keep the skin flat. Most patients can control pain with Tylenol, but additional pain medication may be given as required or needed. If the patient is in serious pain that is not controlled with any type of medication, the doctor should be called immediately.

The doctor will want to see the patient the day after surgery in order to remove the bandages. Some bruising on the neck is normal, and no bandage is typically necessary after the first morning. We offer in office hair shampooing the first morning. On day five after surgery, the stitches on the chin and ear are removed, and patients can resume regular hair washing and showering at this point.

Patients can expect to return to normal activity levels 2 weeks after the procedure. Within the first three weeks after surgery, close to 70% of expected swelling is resolved, although it may take 2-3 months for the swelling to completely go away.

The final desired results of any facelift may not be completely noticeable for several month after the procedure. Typically, patients report feeling ten years younger after a facelift, and results can last long ten years or more. Facial rejuvenation surgery has extremely high satisfaction results, and most patients love what they see.

We are proud of the results our patients see after a facelift in regards to scarring. All incision marks are hidden in creases of the skin and behind the hair. All incisions are closed without tension in order to reduce scarring, and closure is always tension-free and meticulous in order to give you the best results after your procedure. We know you want a more natural looking appearance after surgery, and do our best to hide the scars where no one will see them. You look ten years younger without the physical evidence that cosmetic surgery was performed.

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Give Us a Call

To learn more about facelifts and what it can mean for you, contact The Maercks Institute in Miami, FL today to schedule a consultation. We’ll determine if you are a good candidate, walk you through the procedure and identify the exact costs for your surgery before scheduling you. If you want a younger, more natural looking face after a facelift, come to us first.

Schedule your Consultation with Dr. Maercks today at 305.328.8256.