Advanced Facelift for Timeless Beauty

A preservation facelift relies on groundbreaking surgical techniques to rewind the clock on aging while preserving the patient’s natural beauty and vitality. When compared to conventional facelift methods, it offers patients unprecedented rejuvenation along with minimal recovery time and discomfort. 

During surgery, Dr. Frankel releases and repositions the retaining facial ligaments to achieve the most comprehensive corrections in the midface, jawline, and upper neck. He focuses on elegant, nuanced changes that can make you look years younger, boosting your confidence and quality of life.

Dr. Jonathan Frankel – Facelift Specialist and Visionary in Cleveland, OH

  • Double-Board-Certified Surgeon
  • Extensive expertise in Facial Plastic & Reconstructive Surgery
  • Clinical Instructor at UH Cleveland Medical Center
  • Winner of the American Academy of Otolaryngology – HNS Foundation Humanitarian Travel
  • Award
  • Ivy league-educated

Dr. Frankel is a world-renowned expert in the art of facial surgery and consistently acquires the latest cutting-edge techniques to improve patient outcomes, reduce discomfort, and expedite recovery. He is also a prolific author who has contributed to countless textbooks and medical journals and was featured in Cleveland Magazine’s Best Doctors 2023. 

Dr. Frankel obtained his Doctor of Medicine degree from Case Western Reserve University School of Medicine, where he was honored with the Medicine Legacy Award. After completing a demanding five-year surgical residency in Otolaryngology-Head and Neck Surgery at the University Hospitals Case Medical Center, Dr. Frankel was chosen for an elite fellowship with the American Academy of Facial Plastic and Reconstructive Surgery in Cincinnati, Ohio.

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What Is a Preservation Facelift?

The “preservation” in a preservation facelift refers to maintaining more of the skin's connection to the underlying SMAS (superficial musculoaponeurotic system). This is particularly useful for facelifts in younger patients, as there is often less skin laxity to contend with. The technique allows for fewer areas of numbness, improved skin health, less swelling, and quicker recovery.

Dr. Frankel sometimes also chooses this technique for patients with a history of smoking or for those who have used energy-based devices in the past, as leaving the skin with a deeper connection to the underlying tissue improves the vascularity of the layer that is lifted and repositioned during the surgery.

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What Are the Benefits of a Preservation Facelift?

As a variation of the deep plane facelift, a preservation facelift comes with a wide array of powerful benefits, including the following:

  • Preserves natural beauty and individuality while accomplishing significant rejuvenation objectives
  • Reduces soft tissue injury at the superficial skin level
  • Reduces fluid accumulation and retention
  • Minimizes the risk of skin necrosis
  • Relies on a gentle vertical lifting technique that minimizes trauma
  • Refines and repositions the deeper facial layers and muscles for a naturally revitalized appearance
  • Expedites healing and recovery
  • Provides a profound and long-lasting transformation
  • Techniques can be employed during revision procedures
woman touching her face

Who Is a Candidate for a Preservation Facelift?

Ideal candidates for a preservation facelift are healthy non-smokers between the ages of 40 and 75 years old. They may be unhappy with signs of aging in the midface, jawline, and upper neck and struggle with drooping, sagging contours, jowls, nasolabial folds, and loose skin and muscles. Dr. Frankel will conduct a thorough consultation process to determine the best approach for achieving your anti-aging goals. He will examine your skin quality, review your medical and surgical history, and listen carefully to your goals for improvement. Once your candidacy has been confirmed, Dr. Frankel will curate a customized treatment plan that best utilizes his state-of-the-art surgical techniques and eye for artistry and precision.

How Is the Procedure Performed?

A preservation facelift is the next incarnation of a deep plane facelift. It is ideal for patients facing sagging skin, folds, wrinkles, and loss of jawline definition, concerns that are no longer well-addressed through fillers, non-surgical treatments, or at-home topical skincare products. During surgery, incisions are created within the delicate folds of the ears, stretching into the hairline, where scarring is later difficult to detect. Dr. Frankel then fully releases the retaining ligaments of the face in the sub-SMAS plane. The range of subcutaneous dissection is limited with a preservation approach, resulting in a quicker recovery and reduced risk of complications like bruising, swelling, and fluid buildup. 

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Recovery After a Preservation Facelift

A preservation facelift comes with minimal downtime when compared to its conventional counterparts. There is also a lowered risk of complications like bruising, swelling, and fluid retention. Most patients will need around two weeks of healing time, while some will feel they look presentable within about 7 days. As the tissues continue to heal and settle, patients will notice they look more youthful and attractive. It can take several months for full results to become apparent. 

After surgery, you will need to avoid heavy lifting and strenuous activity for 4-6 weeks. It is also advisable to stay away from direct sun exposure, smoking, and putting pressure of any kind on your incisions. Dr. Frankel will remain available to answer any questions or concerns that arise during your recovery, and he will make sure you go home with a detailed aftercare plan and prescriptions for the appropriate pain medications.

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