Facelift (Rhytidectomy)

Facelift surgery at Pacific Plastic Surgery Group in San Francisco addresses mid-face, lower-face, and neck laxity through incisions placed along the hairline and behind the ears. Dr. Edward P. Miranda — board-certified, FACS, and a Castle Connolly Top Doctor — rearranges underlying facial tissue, removes excess skin, and can combine optional neck liposuction. Mini facelift targets the lower face; full facelift treats mid-face and neck. Recovery involves approximately one week of limited activity and one month before strenuous exercise, with final results emerging over one to two months. Results typically last a decade or more.

Facelift surgery (rhytidectomy) at Pacific Plastic Surgery Group is performed by Dr. Edward P. Miranda, who completed his plastic surgery residency and fellowship at UCSF — one of the country's premier academic plastic surgery training programs — and holds board certification from the American Board of Plastic Surgery and FACS credentialing from the American College of Surgeons. The procedure addresses the hallmark changes of facial ageing: descended cheek fat pads, deepened nasolabial folds, jowl formation, lax neck skin, and platysmal banding. Dr. Miranda offers both the mini facelift, which focuses on the lower face and jaw line through shorter incisions suited to patients with earlier-stage laxity, and the full facelift, which extends the correction to include the mid-face and neck and provides a more comprehensive rejuvenation for patients with more significant descent. Incisions are designed to follow the natural hairline architecture and the contour behind the ear, concealing them within anatomical shadows. The deeper structural layer — the SMAS (superficial muscular aponeurotic system) — is repositioned to provide a lasting lift that does not rely solely on skin tension. Optional neck liposuction through a small submental incision can be added to reduce jowling and submental fat simultaneously. The procedure is performed as same-day surgery; most patients are comfortable returning to light activities within one week and fully to strenuous activity within approximately one month. Swelling and subtle changes continue to improve through the first one to two months as the final result settles. Results from a facelift at this level of technical execution by a UCSF-trained, ASPS-member surgeon are typically associated with lasting a decade or longer. Consultations include a full assessment of facial anatomy, discussion of technique, and financing review. The practice is located at 77 Van Ness Avenue in San Francisco's Civic Center.