What a facelift cannot do
Am I a good candidate?
• You do not smoke
Prepping for your surgery
During the consultation, your medical history will be taken in order for Dr. Sigler to evaluate your general health. A careful examination will also be conducted. Together with Dr. Sigler, you will discuss the procedure and communicate your desires, your concerns and the results you hope to achieve. You may bring photographs to show Dr. Sigler examples of what you are looking for. Dr. Sigler will go over details of the procedure itself and the possible risks and complications as it pertains to any medical or structural issues she sees in your case. She will go over the type of anesthesia to be used. Once you have all your questions answered, you will both agree on a surgery plan and a proposed date. Photos are taken before and after the surgery in order to determine the amount of improvement.
Setting Your Surgery Date
A deposit is required to confirm the date and time of the procedure. See pricing and payment above for details.
If You Smoke
If you smoke, this habit should be stopped at least two months prior to surgery. This includes vaping and marijuana smoking.
Two Weeks Prior to Surgery
Review and download this list of medications and supplements to avoid.
Stop taking any medication on this list two to three weeks before the surgery. Avoid any intake of aspirin, ibuprofen, Naproxen (excedrin, Motrin, Aleve, Advil), vitamins that include vitamin E, and energy drinks as well.
Arrange for family or friends to be available for assistance when you return home to recuperate. Clear your schedule. Make a list and organize your environment to be safe and condusive to bedrest. Stock your kitchen and plan ahead for a period of time spent watching TV, reading or simply relaxing.
Pre-op labwork should be done two weeks before the surgery with your own doctor, and then sent to Dr. Sigler. If you prefer Dr. Sigler to do the labwork, you will need to make arrangements prior to your surgery date. Required labwork includes:
CBC (Complete Blood Count), CMP (Chemical Metabolic Panel), PT (Prothrombin Time) and INR, PTT (Partial Thromboplastin Time) and any other labwork specific to your particular medical condition(s), such as a Thyroid Hormonal Panel.
If you are over 50, it will be necessary to have a cardiovascular assessment including an EKG and possibly a chest x-ray. Dr. Sigler will advise.
Approval for Surgery
If you are currently undergoing treatment for a medical condition or disease, a letter from your treating specialist must be sent to Dr. Sigler at least two weeks prior to the surgery stating you are cleared to go ahead with the procedure, and include any pre-op and post-op recomendations in order to avoid possible complications during or after the surgical procedure.
Night before Surgery
Eat a lighter dinner and do not eat or drink past midnight. Fast at least 8 hours prior to surgery.
Day of Surgery
Do not eat or drink anything except a little water. Allow sufficient time to get to the surgery center. Using Dr. Sigler’s car service is usually the most efficient way to ensure a timely arrival. Intake is typically scheduled two hours prior to the actual surgery. You will meet with Dr. Sigler for your pre-op consultation, pre-op photos and markings on body or face, and for a final discussion about your procedure. Paperwork is completed and final prepping by your surgical team is carefully performed.
Post surgery care
5-7 days stitches out pending Dr. Sigler's evaluation — this also may be done over several visits depending on surgery and patient
5-7 days regular activities (keep head elevated to avoid excessive blood flow)
2-3 weeks regular exercise
You can expect redness and swelling around the incision areas. Bruising may occur, depending upon the type of surgery you had. It is important to keep the stitches covered in antibiotic ointment.Keep the head elevated and use ice or cold compresses every few hours for the first three days and three nights. week to reduce swelling and bruising. Continue to use for the rest of the first week if swelling and brusing are still present.
Use extra pillows to prop yourself up at a 45 degree angle in bed or on the couch. Rest and sleep on your back for the first week. Avoid physical efforts such as bending over or lifting anything heavier than 1 pound for the first two weeks in order to keep strain and blood flow away from the neck and face.
Post-surgery pain is minimal to moderate and the jaw may typically feel tight; accompanying soreness may be treated with analgesics.
Avoid heat or sunlight to the face in orde to reduce swelling. Avoiding sunlight to bruises on face will avoid permanent dark discoloration to the skin.
When a necklift is performed, the patient must avoid turning the head sideways since bleeding in this area may occur up to two weeks after the surgery. Therefore, driving is prohibited for two weeks following a facelift/necklift.
A compression garment to the neck is sometimes recommended (depending the case) to be worn day and night for the first week and then only at night for the following week(s).Dr. Sigler will determine when the sutures are to be removed and this may be done in stages in order to minimize scarring. Scars from the incisions fade significantly with time and are, for the most part, inconspicuous because they are located within natural creases. Swelling and discoloration disappear in a week or two. Swelling can be reduced by keeping the head in a slightly elevated position when reclining. A tightness or numbness of the treated area may be present for weeks or months, depending upon the patient's healing and lifestyle.
Pricing and payment
Pricing may vary upon each patient's specific request and condition.
Contact Dr. Sigler for pricing and payment by clicking this link for a consultation
or by phone:
English: +1 (619) 735-6832
Spanish: +52 (664) 634-3790
What are the different types of facelifts?
"Dr. Sigler is an incredible human being. She is honest and has great bedside manners. I have special needs, and she made sure every lab was cleared before surgery. I have, and will continue to recommend her to everyone I know."