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The face ages in rather predictable ways. As the years go by, the skin on the face and neck begins to lose its elasticity. Crow’s feet become visible at the corners of the eye. The cheeks begin to descend, the lower eyelid becomes more hollow, and the nasolabial folds are deepened.

The skin around the jawline becomes droopier and loses its contour, in a process called jowling. For some, loose skin begins to form under the chin and around the neck, giving the appearance of a “second chin” or “double chin.”

And what started as fine lines slowly become more defined creases, and eventually transition into deeper folds. The visible signs of aging happen to everyone and factors such as sun exposure, gravity, heredity, and personal habits only exacerbate the changes.

What is a facelift?

Our Orange County facelift surgery, also known as a rhytidectomy, can help to reverse these negative signs of aging. In this surgical procedure, board-certified facial plastic surgeon, Dr. Ali Qureshi, will provide patients with a more youthful facial appearance by eliminating loose and hanging skin, and restoring the natural facial volume that has withered over time.

Facelifts are often combined with fat transfer to the cheeks, jawline or lips to volumize or augment these structures, giving your face a more natural, balanced appearance. This procedure may also be combined with HALO by Sciton laser or chemical peel skin resurfacing to treat the fine lines and wrinkles around the mouth.

If you are considering this surgery, it is important to select a surgeon that not only has the technical expertise but one who has the artistic vision to give you the results you want. It is especially important to ensure your results will be natural-looking as procedures done on the face are the easiest to identify and the most difficult to camouflage.

At South Coast Plastic Surgery, we believe that a facelift in Irvine should simply make you look like a more youthful and more vibrant version of yourself. Dr. Ali recognizes that each face requires an individualized approach to restore the appearance of youth and thus uses a wide variety and combination of techniques to achieve this goal. In the end, you will have the most natural-looking results that celebrate your true beauty.

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Choosing a Facial Plastic Surgeon

With facelifts being one of the most popular plastic surgery procedures, there is no shortage of surgeons to do the job. However, it is important to consider that the entire outcome of facial plastic surgery depends mostly on the performing surgeon. The body of scientific research and literature exists so that anyone trained can, at least theoretically, perform an acceptable facelift.

If “acceptable” is what you’re after. Yet it takes an artist with a keen eye, a careful hand, and extensive experience in the operating room to truly pull off a facelift that is not only highly complimenting, but timelessly beautiful, long-lasting, and aesthetically integrated with each patient’s unique ideals of beauty. Your facelift is unique to you.

"The Icing on the Cake"

Patient before Facelift & Necklift

Patient after Facelift & Necklift, no icing on the cake.

Patient after Facelift & Necklift, with icing on the cake using the RHA (resilient hyaluronic acid) line of facial fillers.

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This is The Dr. Ali Difference

These six factors set Dr. Ali apart as a preeminent facial plastic surgeon sought out by patients locally, nationally, and abroad.

  • An exact, complete, and nuanced approach to each age-related facial change.

Dr. Ali approaches the three most apparent age-related facial changes—sagging tissue, lost volume, and reduced skin quality–in a thoughtful, customized, and multimodality way. He lifts what has fallen, to restore your natural facial anatomy to what it was 10 or 15 years earlier. Lost volume is restored with the latest line of fillers that match most closely with the body's natural “filler.” Finally, he improves skin texture and quality using Halo hybrid fractional laser. These final touch improvements are the "icing on the cake," as described by Dr. Ali’s mentor, Dr. Grant Stevens.

  • Skin that isn’t pulled or stretched, but is lifted and reset into its youthful place.
    Dr. Ali does not “pull” the facial tissue, but rather lifts it. He lifts the fallen subdermal tissue and musculature, and then carefully lays the skin on top of it, removing excess skin for a tension-free closure that ensures a virtually imperceptible scar.

  • Curvilinear incisions that produce virtually imperceptible scars.
    Dr. Ali follows the natural contours, curvature, and shadows of the ear to hide the incisions. If necessary, he carries the incision into the hairline rather than along it, where the scar would be more visible. Dr. Ali’s facelift patients can wear a ponytail or have their hair up without worrying someone might know that they had surgery. His fine incision scars are hidden in the hairline.
  • Narcotics not required: Less pain, faster recovery.
    Dr. Ali doesn’t use narcotics in his practice. His patients use Celebrex and Gabapentin and start their medicine the day before surgery. “Just like no one can run a marathon without practice, the same is true of surgery,” says Dr. Ali. “If you prime the pain receptors before surgery, patients will have less pain afterward.” And it’s proven very true. After surgery, most patients report discomfort behind the ears and take Tylenol and Ibuprofen—making a vast difference in recovery time and results.

  • Faster, safer surgery.

While facelifts often take up to six or even eight hours for many surgeons, Dr. Ali has his patients spend a total time of between 2 - 3 hours in surgery. His facelift patients also require no catheter during surgery, and no drains after surgery. His patients can return home within an hour of surgery.

  • Complete care and compassion.

Dr. Ali follows up with his patients “like a hawk.” His patients will see him 48 hours after surgery, and again at 1 and 2 weeks, and 1, 3, 6, and 12 months out from surgery. This compassionate follow-up is an important part of ensuring the healing process is smooth and that the surgical results are exactly to the patient’s liking.

Dr. Ali on Facelift Precision

“I do a lot of rhinoplasties where surgery is measured in millimeters. I bring this same surgical precision to my facelifts. I also respect patient’s fears and emotions and help guide them through the surgical process. My goal is to help patients look refreshed, like a better version of themselves, and to help them look as young as they feel. I don’t want any of my patients to be asked, ‘Oh, who did your facelift?’ It should be subtle and people should say, ‘Hey, you look really good, did you change your hair or go on vacation recently?’” -  Dr. Ali Quereshi • Fellowship-Trained, Board-Certified Facial Plastic Surgeon

South Coast Plastic Surgery

Your facelift surgery

Often, a surgeon will employ a combination of techniques to deliver an optimal result. This includes lifting tissue that has fallen with age. It also includes removing excess skin that has lost its elasticity due to age, gravity, or changes in weight. Fat transfer may also be used to restore volume in specific areas. This fat may help to improve the quality of the skin as well.

A full facelift procedure requires the surgeon to make incisions in the area just above the ears that continue downward tightly around the earlobe, circling up in the groove behind the ear before returning into the hair of the scalp behind the ear. The skin of the middle and lower face is then loosened from the underlying tissue. The surgeon will reposition and tighten the underlying connective tissue and muscle. Some amount of fat may be removed, as well as the excess lax skin. After trimming excess skin, the surgeon closes all incisions with very fine sutures. Often, metal clips are used, which permit surgery without shaving hair from the incision site.

New surgical techniques

New technological advancements have impacted the medical community in a major way. Today, surgeons can use new surgical techniques as an alternative to the traditional method discussed above. It has become exceedingly common for lasers, endoscopy, and liposuction to be utilized during facelift cosmetic surgery procedures.

Laser techniques

Laser treatments may be used individually or in combination with a surgical procedure to reshape or resurface the neck.  The HALO by Sciton laser removes problems that live in the superficial layer of our skin which includes: pigment irregularities (dark spots), textural problems (fine lines/wrinkles and skin bumps), and pore-size irregularities. 

Facial fat transfer

Some patients will also opt for facial fat transfer along with the facelift procedure. A fat transfer refers to the process of taking fat from your tummy and injecting purified adipose fat tissue into another area of your body. The goal of the procedure is to improve the fullness of the cheeks, nasolabial folds, jawline, or lower eye area, giving extra volume to the facial structure. This procedure makes the overall result look more natural, avoiding the “facelifted” appearance.


Brow lifts are now performed with specialized endoscopy equipment which allows smaller incisions and decreased recovery time.


The jawline, chin, and neck areas are readily targeted by liposuction to remove fatty deposits and create a more contoured and attractive appearance. It can be done in conjunction with laser or traditional facelift procedures.

Chemical peel

In many cases, a chemical peel is performed in conjunction with a facelift in Ladera Ranch. A chemical peel uses a chemical solution to enhance and smooth the texture of the facial skin by removing its damaged outer layers. It is especially useful for the fine wrinkles on cheeks, forehead and around the eyes, and the vertical wrinkles around the mouth.

Before & After


You can expect, a small amount of bruising and swelling, which begins to resolve three days after surgery. Drainage tubes are not typically used. Patients can expect to return to work within 7-10 days after surgery. Most can attend a major social event within three weeks.

Interested in learning more about a facelift procedure? To schedule a consultation, please fill out the form on this page or call us today! South Coast Plastic Surgery serves Irvine, CA, and the greater Orange County area.

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