Refined Dermatology | Los Gatos + Greater San Jose

What’s the first thing you notice about a person? No matter which detail you choose, from their eyes to their smile, it’s likely something on their face. Our faces display the majority of our emotions—and also show the first signs of aging.

Face It: Our Faces are Giving Away Our Age

Our faces and necks are the first places on our body to show our age for many reasons. For starters, we use them a lot. From smiling to furrowing our brows in concentration, all of that movement is a recipe for wrinkles. Plus, much of the skin on our face and neck is thin and delicate, such as the skin around our eyes, temples, and our lips. Add in the regular assault from UV rays (especially if we’re not as diligent with sunscreen as we should be), and it’s no wonder this are is the first to age. Fortunately, both surgical and aesthetic procedures are available from the highly-skilled Dr. Roy at Refined Dermatology.

Both procedures improve saggy skin at the cheeks and jowls, improve skin laxity in the face and neck, and define the jawline and neck contour. When excess skin is expertly removed and scarring is nearly invisible, you can reclaim your youth and self-esteem with a single procedure. With Dr. Roy’s expertise, you’ll enjoy long-lasting results that look completely natural. Which type of facelift is right for you? You’ll find out during your consultation with Dr. Roy.

Mini-lifts and Traditional Lower Facelifts: Which is Right for Me? A mini-lift or traditional lower facelift can instantly make you look younger, healthier, and happier while skyrocketing your self-confidence.


Also known as a limited-incision lower facelift, the mini-lift is a procedure designed for younger patients in their late 30s through early 50s to address aging changes in the lower face. Say No! to unwelcome jowls and neck skin laxity. Offering many of the benefits of a traditional lower facelift but with fewer incisions, faster healing and less downtime, a mini-lift is a great solution to bring you back to the you you recognize.

Using the safest, most advanced techniques, Dr. Roy can restore your youthfulness in just a few hours under local anesthesia. Patients can return to social activities in a little over a week and physical activity soon after that. Incisions are so fine and well-hidden that patients can wear a ponytail or rock a shaved head with confidence.

Lower Facelift

The traditional lower facelift is better suited for patients with heavier necks or who are experiencing significant muscular banding or cording in the neck. The major difference between this procedure and a mini-lift is the addition of a small incision beneath the chin to allow for direct neck contouring of fat and muscle. While a mini-facelift also helps lift the neck, a lower facelift provides more dramatic results in this area thanks to the access point.

Facelift Before/After Photos, Real Patient Results*

As a lower facelift is a little more involved, Dr. Roy likes to perform lower facelifts under IV sedation (aka twilight sedation), but there’s still no general anesthesia. Even though there is an additional incision with a lower facelift, the incisions are similarly well-hidden to ensure they’re virtually invisible after the recovery period.

Neck Lift

A neck lift is part of both types of facelifts. However, in some cases patients opt for a neck lift as a standalone procedure. These instances are rare, as it is unlikely that the neck requires lifting and contouring while the face does not. Still, since every person is different, it is possible that a neck lift alone might be right for you.

A neck lift as a standalone procedure works much like a facelift, removing excess fat and, when needed, skin, to help you look your best. It’s a procedure that can be performed under local anesthesia with mild oral sedation. Liposuction is often required with a neck lift, and this is done before muscles are tightened. Sometimes skin simply needs to be “re-draped” to achieve the ideal results, while other times skin may need to be tightened with radiofrequency heat or removed. A special, compression neck dressing is worn for one to three days, and stitches are removed one week after surgery. The recovery period for a neck lift is similar to that of a facelift.

J-Plasma Skin Tightening Neck Lift

Is your facelift and neck lift providing optimal results? Not if it doesn’t include J-Plasma. A traditional facelift encompasses a tightening and lifting of the lower face and neck, with some patients preferring solely a neck lift. Take your results to the next level with the Renuvion J-Plasma neck lift, which guarantees the results you want when you want them. Loose, sagging skin on and around the neck can now be treated with a minimally-invasive procedure that uses the least amount of incisions (just one!) and has a much shorter downtime than a traditional neck lift or facelift.

Neck Lift Before/After Photos, Real Patient Results*

J-Plasma is cutting-edge advanced energy that blends helium plasma with radiofrequency (RF) waveforms to better control tissue manipulation and provide the best precision with minimal trauma. A neck lift is effective, but invasive and it requires several incisions around the ears to vanquish excess skin. Optimal skin contraction sourced from heat can cause blistering, burns, and even scarring—until now. Thanks to Renuvion J-Plasma, skin can be optimally contracted in less than a second for a safe and very effective result. J-Plasma can be used as an alternative to a facelift and neck lift in some cases, or can even be an alternative to treating this troublesome sagging skin.


What to Expect During Recovery from a Facelift or Neck Lift

Both the mini-lift and lower facelift are outpatient procedures, and the surgery takes between three and four hours. You’ll go home the same day with minimal, temporary face and neck dressings. Afraid of surgical drains? Don’t worry! Dr. Roy’s use of the most advanced techniques and technologies means no drains are needed for either the mini-lift or the lower facelift procedures. One week after surgery, sutures are removed. Most patients feel comfortable returning to their full, normal life about seven to ten days after the surgery. At this point, most bruising and swelling will have subsided.

Two weeks after surgery, low-impact activities can be resumed. However, for athletes and gym rats, you’ll want to wait three weeks before returning to your hardcore fitness regimen. Full results are reached anywhere from six to 12 weeks post-surgery, but you’ll see an immediate difference in one week.

Ideal Candidates for a Facelift

Patients of all ages, including young adults, might be good candidates for a facelift or mini-lift. Since every person is one of a kind, we all age differently. We’ve had different lifestyles, degrees of sun damage which can cause lax skin, and of course unique genetics. These factors all play a role in determining how quickly our skin ages and how loose it can become. If you notice yourself regularly editing your photos to remove facial or neck wrinkles, lifting your chin to get rid of a double-chin or the dreaded “turkey neck,” or simply think you look older than you should, a facelift and/or neck lift might be the answer for you.

Complement Your Facelift

Complementary procedures can be surgical and non-surgical, and both can maximize the results of a facelift or mini-lift. However, the exact best procedures for you will depend on your skin and goals. One of the most common complementary procedures for a facelift or mini-lift is a neck lift. Dr. Roy will often recommend additional procedures such as skin tightening or chin augmentation to help maximize neck contours. Your journey to a more youthful you begins here with the experts at Refined Dermatology.

Surgical complementary procedures

Many patients benefit from an eyelid surgery along with a facelift. This can include upper eyelid surgery, lower eyelid surgery, or both. Also known as blepharoplasty, eyelid lifts specifically target the very first part of the face to show aging: your eyes. They’re the windows to the soul, so you want to keep them fresh and youthful.

A brow lift can also greatly help, and in some instances patients interested in an upper eyelid lift are actually better candidates for a brow lift. There are two primary types of brow lifts: a full brow lift and a lateral brow lift. Browlifts correct heavy, sagging brows while also helping to open the eyes.

Fat transfers are very common complements to a facelift. If you would like to restore lost volume to the face, most often in the cheek area, a fat transfer offers you an organic solution. It’s your own fat, which means it’s permanent and there is no need for fillers.

Chin augmentation can also be a fantastic addition to a facelift. This procedure can help better define your jaw and profile and contour your face to achieve better symmetry. Some people are simply born with “weaker,” less defined chins. A facelift can greatly improve this issue when the neck is lifted and re-draped, but a chin augmentation changes more of the underlying structure for optimal definition.

Non-surgical complementary procedures

If you want to take your results to the next level, dermal fillers can be a great addition to “plump up” hollowed-out areas of the face. It’s not just loss of laxity and wrinkles that age the face, but also loss of that “good fat” that makes us look young. If you do not have adequate fat to transfer, would prefer the temporary or semi-permanent solution of dermal fillers to try out a new look, or prefer to avoid additional surgery (as fat transfer is a surgical procedure), dermal fillers are a great solution.

Botox and Dysport can help to keep wrinkles in check, temporarily freezing key muscles and training them to be weaker so they are less likely to cause wrinkles in the future. There’s also laser skin resurfacing, and microneedling, which all often pair well with facelifts and mini-lifts. To find out exactly which procedures are the best to boost your results, schedule a consultation with Dr. Roy today.

Discover the Dr. Roy and Refined MD Difference

Dr. Sudeep Roy is a board-certified, fellowship-trained facial plastic surgeon who is 100% dedicated to surgical treatments of the face and neck. His immaculate credentials and glowing reviews for his surgical skills, natural results and exceptional bedside manner are proof of the five-star experiences he provides his patients. The goal of Refined MD is to offer patients all of the best treatments and procedures for lifelong gorgeous, glowing, healthy skin. This means both surgical and non-surgical aesthetic treatments are available, and we will always work with you to customize a plan to suit your goals. Find out more about facelift and neck lift surgery today. Call Refined MD, at (408) 831-3921 and schedule your consultation today.