Board-certified plastic surgeon Dr. Rudy Coscia can help you achieve balanced, natural results by combining a facelift with additional procedures that enhance your eyes, neck, or skin. At his offices in Sacramento, Granite Bay, and Coeur d’Alene, Dr. Coscia provides comprehensive treatment plans that restore youthful contours while maintaining your unique features.

Why Combine Procedures?

Facial aging rarely affects one area in isolation. While a facelift tightens and lifts your lower face, other areas (such as your eyes or neck) may continue to show visible signs of aging. Combining treatments allows harmonious improvement across all your features, ensuring results that look balanced and natural rather than limited to a single area.

You may also benefit from a single recovery period, fewer anesthesia sessions, and overall cost efficiency compared to spacing procedures months apart.

Complementary Procedures

Eyelid Surgery (Blepharoplasty)

One of the most common pairings with a facelift is eyelid surgery. This procedure removes sagging skin and puffiness from your upper or lower eyelids for a refreshed appearance. When performed alongside a facelift, it creates a more alert, youthful expression that matches your rejuvenated lower face.

Neck Lift

The neck and jawline are intimately connected, which is why Dr. Coscia often recommends a neck lift with a facelift for the most seamless outcome. The neck lift tightens lax muscles, smooths banding, and removes excess skin, resulting in a sleek transition from your chin to your collarbone. Together, these procedures redefine the overall facial profile.

Fat Grafting or Injectables

Volume loss is another key component of facial aging. Facial fat grafting or dermal fillers can be added to restore fullness to the cheeks, temples, and under-eye areas. Using your own fat, Dr. Coscia enhances natural contours for results that look soft and youthful.

Skin Resurfacing

After surgery restores the underlying structure, laser or chemical peel treatments can refine skin texture, reduce discoloration, and complete the rejuvenation process. A smooth, radiant complexion enhances the overall outcome.

Experience You Can Trust

Dr. Rudy Coscia is a board-certified plastic surgeon known for his artistry, precision, and patient-centered approach. His advanced training and experience allow him to customize every procedure for natural, lasting results that reflect each patient’s goals and anatomy.

To explore facelift combinations tailored to your needs, schedule a consultation with Dr. Coscia today. Call the Sacramento area office at (916) 318-5826 or Coeur d’Alene at (208) 665-7546, or request your appointment online.

Our board-certified surgeon, Dr. Rudy Coscia, believes in customizing facelifts for the individual. He uses techniques based upon your needs, including some innovative approaches that focus on preserving your natural good looks while restoring your youthful appearance.

Today, Dr. Coscia explains some specifics about the advanced facelift techniques he uses to give patients beautiful outcomes.

The Full Facelift: What It Includes

To understand the techniques used, you first need to know a bit about how the incisions work. A full facelift procedure covers the areas from the temples down to the neck. Dr. Coscia hides your incision just behind your hairline.

The incision goes down to the top of the ears and then continues behind the ears, ending within the hair at the back of your ears. This long-but-hidden incision allows Dr. Coscia to address areas including:

• Crow’s feet
• Loose midface skin
• Nasolabial folds (around the mouth)
• Jowls around the jaw
• Neck skin sagging

Dr. Coscia usually creates an additional small incision beneath the chin to treat the neck area accurately.

How Newer Facelift Techniques Are Unique

Decades ago, facelifts focused mainly on tightening the skin, but didn’t pay a lot of attention to the delicate and complex layers of tissue beneath it. That often led to a plastic or “overdone” look.

Dr. Coscia uses modern facelift techniques that target the superficial musculoaponeurotic system (SMAS). The SMAS contains fibrous tissue and muscle, and it’s vitally important in supporting the skin of the face and neck.

You can think of the SMAS as a foundation for your face. Just like you can’t build a stable home without a good foundation, a facelift won’t have great results unless you strengthen and improve the foundation of your face.

Dr. Coscia elevates your SMAS layer and secures it with tiny sutures. This creates the stable facial foundation you need. Then, he repositions your skin. This includes trimming excess skin, tightening, and securing it in a more elevated position on your face.

A SMAS facelift is designed to give you natural-looking results for many years. It allows your face to move naturally and restores your appearance without making you look overdone.

Dr. Coscia also offers other facelift options; for example, mini facelift for patients who aren’t quite ready for a full facelift yet. We’re happy to tailor your procedure to your wishes and needs.

Natural Facelifts in Sacramento

Ready to learn more about facelift procedures? Call our office or request your consultation online now.

To help you get the most of your facelift consultation, Dr. Rudy Coscia offers some tips here.

Do Your Research

Doing some preliminary research on facelift ahead of time can help you have a more productive conversation with your plastic surgeon. You will have a baseline understanding of the steps involved with the surgery and the general recovery process. If some aspects of facelift surgery do not make sense, your surgeon can clarify during your consultation.

Write Down a List of Questions

As you do your research, prepare a list of questions for your plastic surgeon. Writing them down on a notepad or as a note in your smartphone is useful so you don’t forget any questions in the moment. You may want to inquire about the surgeon’s particular experience with facelift, where the surgery will take place, what type of anesthesia will be used and how long it will take for you to resume work or school after surgery.

Have Specific Ideas of What You’d Like To Improve

Your plastic surgeon may open up the conversation by asking how he or she can help you. At this point, they will listen to you as you describe your expectations, and then provide feedback on whether those expectations are achievable with facelift.

Be prepared to describe in detail what you would like to achieve from surgery. Instead of saying, “I’d like to look younger,” pinpoint what it is that you want to improve. For example, you could say you’d like to get rid of fleshy jowls along your jawline, or soften creases around the corners of your nose or mouth.

Be Prepared To Discuss Your Medical History

To ensure proper planning and safety, your plastic surgeon will ask you questions about your current health and any medical conditions you have. Be prepared to discuss any problems and medications that you take.

Ask for Before-and-after Photographs

Looking at before-and-after patient photos is important to determine whether your aesthetic style aligns with that of your surgeon. Experienced, talented plastic surgeons have plenty of happy patients and are usually proud to show you before-and-after photographs that demonstrate the quality of their facelift results.

Schedule a Facelift Consultation With Dr. Coscia

Dr. Coscia is a talented facelift surgeon serving Sacramento and beyond. To schedule a consultation with him, please call or email our practice today.

Read on as Dr. Rudy Coscia suggests some strategies to get the best facelift outcomes.

Pick Your Facelift Surgeon Carefully

Your facelift surgeon’s skillset and experience will have the greatest influence on the quality of your results, so select your provider carefully. Do your homework on surgeons in your area and interview a few surgeons to get a sense of their expertise and to discuss how they would approach your case. Look through surgeons’ “before and after” facelift galleries, ask yourself if you like the outcomes, and read through patient reviews to get a sense of whether patients are satisfied.

Follow Your Pre-Op and Post-Op Instructions Carefully

The pre- and post-op instructions you receive from your surgeon are intended to help you enjoy a safe procedure and a smooth recovery. Complications during or after the surgery can impact your final result, so it is essential that you follow your instructions carefully.

Commit to a Healthy Lifestyle

What you do in the months and years following your facelift plays a big part in how good your results look and how long they last. Healthy skin is crucial to a great facelift result. Commit to taking care of your skin from the inside out by doing the following:

• Eat a healthy diet full of nutritious foods.
• Drink plenty of water.
• Exercise regularly.
• Manage your weight.
• Avoid smoking.
• Get plenty of sleep.
• Manage stress.
• Protect your skin from the sun with sunscreen and a wide-brimmed hat.

Consider Adjunct Treatments or Professional Products

Medical-grade skin-care products and non-surgical skin rejuvenation procedures can enhance your facelift outcome. A trained, experienced aesthetician can help you curate a regimen of skin-care products tailored to your skin type and goals; he or she can also recommend treatments like chemical peels, Botox or filler injections or microneedling to accentuate your facelift results.

Schedule a Facelift Consultation With Dr. Coscia

Our Sacramento plastic surgeon would be pleased to meet with you, evaluate your facelift needs and develop a treatment plan to help you accomplish your specific goals. To request a consultation with Dr. Coscia, we invite you to call or email our plastic surgery practice today.

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What to Expect from My Facelift Results

Your facelift results are usually visible almost right away, although bruising and swelling may prevent you from seeing final results for about four to six weeks.

Facelift results can be life-changing, especially for patients who have felt self-conscious about the appearance of their skin for a long time. These results include smoother and younger-looking skin, with fewer wrinkles and facial folds, as well as less sagging skin around the jowls.

* Individuals Results May Vary.

How Long Will My Facelift Results Last?

Good news: Your facelift results can last for up to ten years. 

The reason why facelifts last so long is that the procedure works to repair sagging facial muscles and put them back in their originally youthful position. Once muscles have been repositioned, they stay there for several years, until the aging process and gravity starts to tug the muscles back down again.

While every patient ages differently, it usually takes about five to ten years for facial muscles to start sagging again, meaning you can enjoy results for a full decade before needing any maintenance.

Facelift Consultations Available

Am I a Good Candidate for a Facelift?

You’re a good candidate for a facelift if you’re a healthy nonsmoking individual who has realistic expectations for how you’ll look after your facelift procedure. Most candidates have sagging skin, especially around the jowls, as well as moderate to severe wrinkles and facial folds. 

If you’re not ready for a facelift procedure but still want to treat sagging skin or facial wrinkles, you may be a good candidate for non-surgical facelift solutions, like the Liquid Facelift, Ultherapy skin treatments, and more.

Dr. Rudy Coscia treated me for wounds from an injury. Because of his excellent care I opted for a facelift and eye lid lift. Dr. Coscia is not only technically excellent but a real pleasure to interact with. I am very pleased with my natural looking results.

Take the Next Step

Want to learn more about what you can expect from your facelift results? Schedule a consultation with board-certified plastic surgeon Dr. Rudy Coscia at his new plastic surgery practice in Granite Bay, CA.

But perhaps your research uncovered another question that’s been on your mind: “Do I have to get a neck lift with my facelift?”

Should You Get a Facelift and a Neck Lift?

While the procedures you choose to get are entirely up to you, it is generally recommended that patients undergoing a facelift get a neck lift at the same time.

Here’s why: When you’re undergoing a facelift surgery, chances are that you’re doing it because you’ve been experiencing moderate signs of aging, like sagging skin, drooping muscles, and maybe even excess fat around the jawline and eyelids. This aging effect isn’t just restricted to your face; in fact, if it’s happening to your face, it’s likely that it’s happening around your neck, too.

Facelift Consultations Available

If you just get the facelift, it may help you look younger – but like with skin care, if you neglect the neck, your neck skin is going to give away your real age. That’s why so many plastic surgeons recommend combining the two procedures so as to produce the best possible results.

Take the Next Step

Want to learn if you should combine your facelift with a neck lift? Schedule a consultation with board-certified plastic surgeon Dr. Rudy Coscia at his new plastic surgery practice in Granite Bay, CA.

Dr. Coscia’s practices also serve Coeur d’Alene and the Sacramento metro area. Granite Bay (916) 773-5559 and Sacramento (916) 929-1833

If you’re bothered by sagging skin or excess fat around the jawline, you may be wondering if you need chin augmentation or a lower facelift. Both of these surgeries are designed to help contour the jawline while reducing the appearance of a double chin (not to mention the dreaded turkey neck). But when it comes down to it, how do you know which procedure is right for you?

Wonder no more because we’re about to take a look!

Chin Augmentation

This surgical procedure has a single purpose: to help provide more structure and definition to the jawline. For example, if you have a weak chin, a chin augmentation helps to highlight the chin and add a bit more “oomph” to the jaw. A chin augmentation is usually performed by adding an implant in the submental tissue, which is located directly underneath the chin.

The best candidates for a chin augmentation are patients who have a weaker jawline or feel like they could benefit from more jawline definition.

Lower Facelift

While a chin augmentation is focused on adding definition to the jawline, a lower facelift is dedicated to minimizing sagging skin and wrinkles in the mid- to- lower facial region. For example, if you have a double chin, turkey neck, or excessive lines around your mouth and cheeks, you could benefit from a lower facelift. This procedure is performed by making small incisions behind the ears and around the hairline, which allows the plastic surgeon to access and pull the muscles taut. Excess skin is removed to help highlight your newly contoured appearance.

The best candidates for a lower facelift are those patients who have sagging skin and excess fat around the chin, jawline and neck. These patients should also exhibit moderate- to- severe signs of aging.

Take the Next Step

Want to learn more about the differences between a chin augmentation and lower facelift, as well as which procedure is right for you? Schedule a consultation with board-certified plastic surgeon Dr. Rudy Coscia at his new plastic surgery practice in Granite Bay, CA. Dr. Coscia’s practices also serve Coeur d’Alene and the Sacramento metro area. Granite Bay (916) 773-5559 and Sacramento (916) 929-1833

It’s understandable; after all, many patients often question if they’re eligible for a facelift based on their current aging symptoms, or if they’d be better off seeking out a non-surgical option first. If you find yourself wondering how to tell if you need a facelift, here are the usual determining factors:

• You have poor skin laxity: One of the main goals of the facelift procedure is to correct sagging skin. If you’ve noticed that your skin is starting to droop – especially around the neck and jawline – you may see significant results by undergoing a facelift. The procedure is designed to remove excess facial skin, so you can enjoy tighter, firmer-looking skin again.
• You have severe wrinkles: Folks with mild-to-moderate facial wrinkles may want to try other treatment options first, as there are a host of non-surgical procedures that can help (more on that in a bit). If you feel that your wrinkles are pretty significant and severe, a facelift procedure might be the best option for you.
• You’re unhappy with how your eyes look: People who have excess folds over the eyes, undereye bags, and/or deep creases around the eyes may want to seek out a facelift. This procedure can help address aging symptoms around the eyes, thus helping to take years off of your appearance.

Of course, everyone’s different; you should meet with a plastic surgeon who can help you decide if you’re ready for this surgical procedure.

If, however, you think you might not be ready for a facelift procedure, there are plenty of other treatments you can undergo to minimize the appearance of wrinkles, fine lines, and sagging facial skin. Dermal fillers, Botox, and ultrasound skin-tightening devices can all provide improvement in your appearance. You may find that the improvement is enough to make yourself feel confident and comfortable in your skin again!

To learn more about the facelift procedure – including if you’re a candidate for treatment – schedule a consultation with board-certified plastic surgeon Dr. Rudy Coscia at his new plastic surgery practice in Granite Bay, CA. Dr. Coscia’s practices also serve Coeur d’Alene and the Sacramento metro area. Granite Bay (916) 773-5559 and Sacramento (916) 929-1833

They say you look as young as you feel – but sometimes even a youthful spirit can’t stop facial fat pads from breaking down and migrating south. As we age, facial fat begins to feel the tug of gravity. When weaker skin laxity is added to the equation, it can often result in the appearance of sagging jowls.

So when it comes to treating these sagging jowls, are over-the-counter creams and serums enough – or should you do a little more?

The truth is, once sagging jowls appear, you’ll need a little extra help than what you can get at your local beauty store. Sagging jowls are best corrected by a traditional facelift procedure, as any non-surgical solutions aren’t going to produce the dramatic results you’ll be looking for.

One of the main reasons that sagging jowls occur is because the facial muscles and skin have lost their youthful elasticity. A facelift procedure allows a plastic surgeon to correct this elasticity loss by repairing and rearranging facial muscles. Once the muscles have been repaired, the facial skin is pulled tighter, which helps alleviate the appearance of sagging skin.

*individual results may vary*

Not all facelifts are created equal – in fact, some candidates with sagging jowls may find their best relief from a lower facelift, which corrects sagging issues associated with the mid-to-lower regions of the face. Candidates with sagging around the jowls and the eyes may see their best results with a full facelift procedure.

To learn more about the different types of facelift options and which procedure is best for reducing sagging jowls, schedule a consultation with board-certified plastic surgeon Dr. Rudy Coscia at his new plastic surgery practice in Granite Bay, CA. Dr.Coscia’s practices also serve Coeur d’Alene and the Sacramento metro area.

A facelift procedure is a major surgery, but has significant payoffs.  A facelift surgery can help address plenty of common aging concerns, including sagging skin, wrinkles, drooping brows and eyelids, and even jowls.  That’s why you need to ask your plastic surgeon the following questions if you want to have the best experience from your facelift surgery:

1. What board are you certified by? (Remember, if the plastic surgeon isn’t board certified by the American Board of Plastic Surgery, you should take your business elsewhere!)

1. Where were you trained?  Where did you go to medical school?

1. How many facelift procedures have you performed? Do you have a portfolio of before-and-after photos of these patients?

1. What makes me a good candidate for a facelift?  If I’m not a candidate, what other procedures would you recommend for me?

1. Do you have admitting privileges at any area hospitals? If so, which ones? (You should always choose a plastic surgeon with admitting privileges!)

1. Does the facelift surgery fee cover the costs of lab tests and medications resulting from recovery?  What about the cost of anesthesia?

1. Do you work with a board certified anesthesiologist?

1. Will I be able to get in touch with you if I have any questions or concerns about my recovery?

1. What kind of pain and swelling should I expect during my recovery?

1. What steps will you take to ensure I get the results I’m looking for?

Ready to find the best facelift plastic surgeon in the Sacramento area?  Schedule a consultation with board-certified plastic surgeon Dr. Rudy Coscia at one of his three practices in Sacramento, Granite Bay, and Coeur d’Alene. Dr. Coscia can walk you through the facelift procedure, as well as help you understand what to expect immediately after your surgery. Call Sacramento 916-929-1833 & Granite Bay 916-773-5559