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Facelift

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One of the most common reasons patients come to Dr. Timothy R. Miller's office is to learn more about the innovative neck and facelift techniques he performs in Aliso Viejo, CA to correct lax and sagging skin in the face and neck. A facelift is a surgical procedure designed to reverse these age-related conditions and Refresh the cheeks, jawline, and neck by gently elevating and repositioning the skin and underlying layers. Through proper evaluation, surgical technique, and an artistic approach, Dr. Miller gives his facelift patients in Orange County, the natural, defined, and Refreshed appearance they seek.

Dr. Miller is a double board-certified facial plastic surgeon. After medical school, his training and experience have been devoted exclusively to surgical and non-surgical procedures of the face and neck. At his Orange County office, he specializes in facelift surgery and other asethetic facial procedures for people in Mission Viejo, Laguna Beach, San Clemente, and other surrounding communities. To schedule your personal evaluation with Dr. Miller, call us at (949) 215-5402 or request your consultation online.

This lower face and neck lift was enhanced further by chin augmentation. The procedure was performed in Aliso Viejo at Refreshed Aesthetic Surgery Center by Dr. Timothy R. Miller. See more images and get more details here.

Featured Before & After Photos

View all Facelift photos in our gallery

Case 8: Facelift

This is a wonderful and energetic lady who in her fifties began seeking improvement in her appearance. She was concerned with her tired and sad appearing eyes and the developing laxity in her lower face. Additionally, she had a scar on her left cheek that she wanted removed and the quality of her skin was a concern as well; indeed, she had spent a great deal of time in the sun.During our consultation we discussed a deep plane mini-lift that would address her lower facial laxity. Her neck was not ...

Case 20: Facelift

This is an excellent example of how sometimes a few procedures can be combined to produce an amazing improvement in one’s appearance. Simply performing a facelift or laser would not have produced the results seen here.This 60 year old professional woman desired to “look better” and appear less “mean” to others; and unfortunate misconception by others as she was the sweetest of people. She understood that simply improving her contours with a “High-SMAS” f ...

Case 91: Facelift

This patient consulted with Dr. Miller seeking options for her lower face and neck laxity, but desiring natural results, not a pulled or altered appearance.  During the consultation process the topic of chin augmentation to enhance the neck and jawline was discussed.  The pictures depict her results from a lower face and neck lift with chin augmentation at 9 months and 1 1/2 years results (3D images).  Notice her scars are well hidden and imperceptible even on close inspectio ...

Case 96: Facelift

When patients have significant degrees of laxity and fullness in the neck, a combined lower face and neck lift is typically the best choice.  Moreover, non-surgical and mini-lift procedures will not be able to achieve the results illustrated here.  This patient had a high-SMAS lower face and neck lift completed by Dr. Miller. No other procedures were performed, although fractional CO2 laser skin resurfacing would improve her skin’s texture and the other lines and wrinkles no ...

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Doctor Miller's Approach to Facelifts

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My guiding philosophy for facelift surgery is that the result should be a Refreshed appearance. To achieve this, it is important to know and remember that there is no single cookie-cutter approach to face and neck lift surgery. I think it is essential to evaluate and study each patient's unique underlying anatomic features in order to determine the cause(s) of their facial aging and develop a personalized and well-rounded treatment plan, which may or may not require surgery.

If a facelift is required, I will typically perform a deep-plane facelift (also called a high-SMAS facelift). In certain cases, a mini-facelift is appropriate. The deep-plane facelift I perform is a more technical and advanced facelift procedure and it produces the best and longest-lasting results. It does take just a little longer to perform, but I find that the results and my patients are well worth the extra effort and time.

The deep plane facelift is well-known for delivering very natural-looking results because it involves release, repositioning, and tightening of the 'muscle layer.' Working at this level allows the skin and muscle layer to be repositioned in a tension- free manner. This is a very important point to consider. Other techniques rely on stretching the muscle layer – often in an unnatural direction –and applying excessive tension during skin closure. This can result in a pulled, unnatural appearance with the eventual migration of scars that become noticeable as the skin and muscle layer spring back.

Facial rejuvenation and obtaining a refreshed appearance is not only about face lifting. For instance, some patients not only sag but also "sink." That is, some patients, through aging, will lose volume in certain areas of the face. If I determine during the consultation that a patient would benefit from volume replacement to achieve his or her goals, then a procedure to add volume can be performed at the same time as the facelift. There are several options available but fat augmentation is an excellent and cost-effective procedure. Fat augmentation and volume replacement is important as it restores youthful facial contours. By re-establishing these contours and shapes during a facelift, I achieve a more refreshed and rested result.

Common Questions or Concerns

Will I have obvious scars? No. Dr. Miller's incision patterns are meticulously designed to be well concealed. In fact many of his referrals come from hair stylists, and because he takes the extra time to close his incisions his patients are not hesitant to wear their hair up or back in a ponytail.

Will I look wind-blown? No. Many people believe that all facelifts result in a wind-blown look. This too-tight or pulled look is often produced by older techniques or an inexperienced surgeon. Dr. Miller is a double board-certified facial plastic surgeon and sculptor who has refined his surgical technique through extensive training and experience. He uses only the most advanced techniques to create natural-looking results that truly represent you.


"Now that I look younger, I feel younger. I feel more vibrant and confident and much happier. Thank you! You did a truly wonderful job."
Read more patient testimonials


Are there nonsurgical alternatives to facelift surgery? Yes. Non-surgical rejuvenation procedures are limited but do exist. For those patients with minimal skin laxity of the face, volume augmentation or volume replenishment can achieve amazing results. The volume must be placed, or targeted, in the right areas, however. Common areas are the temples, cheeks, perioral area and jawline. Fat augmentation, Sculptra®, and fillers like JUVÉDERM®, RADIESSE®, Restylane®, and BELOTERO BALANCE® are popular choices.

Currently, non-surgical devices like Thermage®, Pellevé®, and Ultherapy® are promoted as non-surgical alternative to facelifts. Unfortunately, their results can be variable and modest. Additionally, it is important to know that these devices do not tighten the muscle layer or remove excessive redundant skin, and may impact the fatty tissue in the face and neck. However, these treatments can be effective for certain patients but are often marketed to patients who really require surgical measures to meet their goals.

For patients with "neck bands" with minimal to no skin laxity or fatty tissue, BOTOX® Cosmetic, Dysport®, or XEOMIN® are excellent options. These products will temporarily relax and elevate the neck bands, thereby diminishing their appearance. Many patients who are bothered by various elements of facial aging can benefit from a non-surgical facelift, a special procedure that uses a combination of fillers and neurotoxins to address several concerns at once. Unfortunately, it is important to know that neck bands cannot be eliminated by special neck exercises, electrical pulses, or skin care products. 

Can I improve my neck with liposuction alone? Maybe. There is no question that liposuction has a role in neck rejuvenation, but its role is often over-emphasized and overdone. It must be remembered that there is no single definitive approach to rejuvenating the neck. Sometimes liposuction is all that is required, but rarely is this the only procedure that is needed for those in their 40s or older.

As the neck ages the muscles become loose and liposuction alone will actually make these loose muscle bands or cords more visible. It is also important to understand that sometimes the fat in the neck is located below this muscle I just mentioned. Removing this fat by liposuction is dangerous as liposuction should only remove fat above the muscle. As a result, I offer my Aliso Viejo patients neck lift surgery in Orange County as a safer, more consistent option for neck rejuvenation. Consequently, a formal neck lift procedure is the most effective technique for removing excess fatty tissue in the neck while also allowing for more precise and lasting treatment of neck bands and excess skin. As a result, a neck lift is a safer, more consistent option for neck rejuvenation.

Step-by-Step Procedure Facts

  • Your procedure will be performed in our AAAASF-accredited operating facility.
  • You will receive either twilight anesthesia or a general anesthesia for increased comfort.
  • For most procedures you will be able to return home the same day. Some procedures will require an overnight stay in our licensed overnight suite.
  • The majority of the recovery period will take 1 to 2 weeks.
  • Some of the results will be noticed almost immediately but will improve further over the next several weeks.
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How to Find Us

Refreshed Aesthetic Surgery is conveniently located for those visiting us from throughout Orange County, and Timothy R. Miller, M.D. enjoys serving his diverse group of patients. To make your visit even easier, select your location below to find easy-to-follow driving directions to our office in Aliso Viejo.

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Welcome to Refreshed Aesthetic Surgery

"I opened this state-of-the-art cosmetic surgery office in Aliso Viejo, California, to provide patients seeking aesthetic services with something unique. Our mission is to educate and honestly assess each patient, offering the finest aesthetic treatments available so you will look and feel Refreshed." Read More »

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Dr. Timothy R. Miller