Facelift in Langhorne, Bucks County, PA

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Many people think that a facelift will leave your face looking stretched and artificial, like you have just been through a wind tunnel. If this is your concept of the procedure, there is good news: techniques have come a long way in the last decade; now taking a "layered" approach to restoring a youthful look to the face. These modern techniques are not designed to simply stretch the skin, but to tighten the interlacing network of connective tissues that joins the facial muscles beneath the skin. The result is a smoother, longer-lasting and better rejuvenation, compared to old-style superficial skin tightening procedures. Double board-certified cosmetic surgeon and ophthalmologist, Dr. Alan Brackup of Cosmetic Surgery Specialists in Langhorne, Bucks County, PA makes his goal in facelift surgery is to produce a natural, revitalized appearance for our patients. We don’t want people to walk up to them and say, "Who did your face?" We want them to say, "You look great. Have you lost weight?"

Facelift Diary

Facelift Diary - Dr. Brackup

Surgical Technique

The technique used during a facelift is dependent on the patient’s facial features and conditions. Most surgeons will always aim for the less invasive technique, but some patient cases are severe and will require internal tissues, fat and skin to be manipulated. Patients must also understand the procedure in detail, including the level of invasiveness, placement of incisions, what layers of tissues will be corrected, and what risks may be associated with the surgery before moving forward.


The concept of less invasive mini-lifts have become increasingly important in recent years. While you may be considering facial rejuvenation procedures at an earlier age, not wanting to wait until the aging process is too apparent, cosmetic surgeons have developed the mini-lift with less invasive techniques to address the lesser aging changes. Often, the results can be as dramatic as more extensive procedures with significantly less downtime. The same procedures are frequently coupled with Botox or fillers such as Restylane to create the desired effect without a “surgical look.” Dr. Brackup is experienced in mini-facelifts and has a number of publications on this subject.


The S-Lift, as performed by Dr. Brackup, has been a major advance for patients seeking facial enhancement at an earlier age. Essentially, the cheeks, jowls, and skin beneath the chin can be lifted and repositioned with the same efficacy as a traditional facelift, with a much smaller incision. The S-Lift gets its name from the fact that it is accomplished through an “S”-shaped incision around the ears. Just as in a facelift, the underlying facial muscles are tightened to achieve a long-lasting effect, as the cheeks and jowls are lifted and excess skin removed. We are now able to convert many patients who otherwise would require a SMAS or full facelift to the S-lift procedure.

During/After Surgery

We perform the procedure under "twilight anesthesia," or sedation, at our facility in lovely Bucks County, PA, and you can go home the same day. It is normal to experience bruising and swelling after the surgery, and patients will feel as if their face is being pulled tight. This subsides within a couple of weeks. Optimal results will be evident after several months. It is important that activities are limited to help create a safe and quick healing.

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Facelift FAQs

Non-Invasive Techniques?

Cosmetic surgery is constantly evolving and always finding ways to minimize the invasiveness of procedures. There are countless options that are considered less invasive than a facelift, including wrinkle relaxers such as BOTOX®, injectable fillers, microdermabrasion and chemical/laser peels. These alternatives aim to correct signs of aging such as wrinkles, as well flatten and soften folds and contours. The effects, while effective, are often short-term lasting about 6 months to a year. Although these procedures can be safely repeated, for some, a facelift may be a better, more permanent option.

How Natural?

Immediately following a facelift procedure, the patient will feel tightness and a pulling sensation. This is normal as the facial tissues, skin and muscle adjust to their new positions. It is important to choose a reputable cosmetic surgeon that has years of experience in facial cosmetic surgery. A doctor with experience in facial surgery will create natural, smooth results that will last for years to come.

Visible Scars?

A traditional facelift requires an incision in the hairline, along the inner edge of the ear and trailing back behind the ear into the hair. The scars will be well concealed and heal well and will be practically invisible to the naked eye.

Best Age?

The truth is there is no right age. A person should have a facelift when they feel that they are ready for it. For most people, the earlier the better. The key to success is early intervention. It is easier to correct a little sagging than a lot. Also, it helps us to prevent a person’s appearance from aging prematurely, rather than trying to play catch-up.

Here’s what we tell our patients. If you are happy with your appearance, it doesn’t matter what age you are. You don’t need a facelift. If the procedure is right for you, let’s do it early enough so that we have the option of using the simplest and least invasive techniques to achieve your goal.

Our goal in facelift surgery is to produce a natural, revitalized appearance for our patients. We don’t want people to walk up to them and say, “Who did your face?” We want them to say, “You look great. Have you lost weight?”

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.