What is a facelift?
A facelift (rhytidectomy) is a surgical procedure that rejuvenates the lower two-thirds of the face — cheeks, jawline, jowls, and often the neck — by tightening underlying muscle, redraping skin, and removing excess tissue. Performed by board-certified plastic surgeon Dr. Clayton Crantford at Crantford Costa Plastic Surgery + Skin Clinic in Charleston, SC, a modern facelift creates a refreshed, natural result that respects your underlying anatomy and never looks ‘done.’
How much does a facelift cost in Charleston, SC?
Facelift cost depends on the technique (mini, SMAS, deep plane, or extended with neck lift), operating room time, anesthesia, and whether additional procedures like eyelid surgery or fat transfer are combined. Pricing is customized during your consultation at Crantford Costa Plastic Surgery. We partner with PatientFi and CareCredit to offer affordable monthly payment options. Contact us at (843) 755-6591 for a personalized quote.
What’s the difference between a mini lift and a full facelift?
A mini lift addresses early signs of aging — mild jowling and loose skin — with shorter incisions and faster recovery, but offers a more modest and shorter-lasting correction. A full facelift addresses moderate to significant aging across the entire lower face and is typically the right choice for patients in their 50s or beyond who want substantial, long-lasting rejuvenation. Dr. Crantford will recommend the approach that fits your anatomy and goals.
What is a deep plane facelift?
A deep plane facelift releases and repositions the SMAS layer (the deep muscular and connective tissue of the face) as a single unit with the overlying skin, rather than pulling the skin alone. This technique produces a more natural-looking lift, restores midface volume without implants, and generally lasts longer than traditional techniques. It is more technically demanding and is best performed by surgeons specifically trained in deep plane anatomy.
What is the best age for a facelift?
There is no single right age. Most facelift patients are between their late 40s and their 70s, but the right time depends on your anatomy, skin quality, and personal goals rather than a calendar number. Some patients benefit from a mini lift in their early 40s; others wait until their 60s for a full facelift. Dr. Crantford evaluates each patient individually and recommends surgery when the combination of aging signs and your goals warrant it.
How long does facelift recovery take?
Most patients return to desk work within 2 to 3 weeks. Visible bruising and swelling resolve over 3 to 4 weeks, and most people feel comfortable in social settings around 3 weeks. Final results continue to refine over 3 to 6 months as tissue settles. Our ERAS Rapid Recovery protocol uses long-acting local anesthetics and a tailored post-op plan to minimize discomfort and accelerate healing.
Will my facelift look natural?
Yes. Dr. Crantford’s priority is a refreshed, rested appearance that never looks surgical. Modern facelift techniques lift underlying tissue rather than pulling skin tight, which produces a natural, tension-free result that ages gracefully. You should look like yourself — just more rested.
How long do facelift results last?
Facelift results typically last 10 or more years, with deep plane techniques often lasting longer than traditional SMAS lifts. Aging continues — a facelift doesn’t stop time — but it resets the clock significantly. Most patients never need a second facelift; those who do return 10 to 15 years later for a touch-up.
Will I have visible scars after a facelift?
Facelift incisions are hidden in the hairline above the ear, inside natural contours of the ear, and behind the earlobe. When healed, they are remarkably inconspicuous — visible only on close inspection and often completely hidden by hair. Dr. Crantford uses meticulous closure techniques and provides guidance on scar-minimization products to help your scars fade as cleanly as possible.
Can I combine a facelift with eyelid or brow surgery?
Yes — these procedures are commonly combined because they address different areas of facial aging. An upper blepharoplasty (eyelid lift) refreshes the upper eyes; a brow lift elevates a low or heavy brow; a facelift rejuvenates the lower face and neck. Combining procedures in one surgical session means one anesthesia exposure and one recovery. Dr. Crantford will discuss whether combining makes sense for your goals.
How long does facelift surgery take?
A facelift typically takes 3 to 5 hours, depending on the technique (mini vs. full vs. deep plane) and whether additional procedures are combined. Most facelifts are performed under general anesthesia. Many patients go home the same day, though overnight stays are sometimes recommended for extensive combined procedures.
Will a facelift help my neck?
A traditional facelift addresses the lower face and jawline. To treat neck laxity, loose skin, and platysmal banding (vertical cords), Dr. Crantford performs a combined facelift-neck lift. This typically involves a small incision under the chin in addition to the standard facelift incisions. The two procedures are almost always done together when neck aging is a concern.
What is SMAS and why does it matter?
SMAS stands for Superficial Musculoaponeurotic System — the deep layer of muscle and connective tissue that underlies the face. Modern facelifts lift and reposition the SMAS (rather than just tightening skin), which produces a more natural result, relieves tension on the skin, and lasts significantly longer. SMAS-based techniques have largely replaced the older ‘skin-only’ facelifts of decades past.
Can a facelift improve the jawline?
Yes. Restoring a defined jawline is one of the most visible and satisfying results of a facelift. By tightening jowls, lifting sagging tissue, and sometimes sculpting neck fat, Dr. Crantford can restore a crisp, youthful jaw contour that makes a dramatic difference in how rested and refreshed you look.
What is the ERAS Rapid Recovery program?
ERAS (Enhanced Recovery After Surgery) is an evidence-based protocol Dr. Crantford applies to facelift surgery to minimize pain, reduce opioid use, and accelerate healing. It combines long-acting local anesthetics like Exparel, pre-operative nutrition optimization, early mobilization, and a tailored post-operative plan. Most facelift patients are pleasantly surprised by how manageable recovery actually is.