Dr. Paul K. Holden, MD
Paul K. Holden, M.D. is one of a select few double board-certified head and neck surgeons and specialty-trained facial plastic surgeons in Scottsdale, Arizona. Dr. Holden is part of a prestigious line of surgeons that date back to the original pioneers in the art of cosmetic nasal surgery.
Years of Experience
Happy Clients
Surgical Techniques
Traditional Facelift (SMAS)
This SMAS facelift is considered the gold standard. This surgery, while more complicated, produces results that are more dramatic and longer lasting. The technique involves manipulating a group of muscles beneath the skin known as the superficial musculo-aponeurotic system (SMAS). This section of muscle controls facial expression. An incision is made along the hairline from the temple to just behind the earlobe. The skin is then separated and lifted. The underlying muscles and tissue are tightened and secured so they maintain their new position.
Ponytail Upper Facelift
The ponytail upper facelift is a unique facelift developed by Dr. Holden to address the sagging, heavy skin of the forehead, eyes and cheek area. Through invisible incisions in the scalp, the skin of the forehead, eyes and cheeks is released and repositioned in an upward and backward way. Sutures are placed under the skin of the scalp to hold the tissue permanently. The results are a lighter, brighter look for the eyes and brows and cheeks that are lifted back onto the cheekbones. This technique is for the 40 to 50 year old age range who prefers to maintain a youthful appearance instead of waiting until a full facelift is desired.
Deep Plane Lift
The deep plane lift goes a step further than the traditional approach. It is better suited for those with severe sagging and drooping — usually reserved for older patients. In addition to the SMAS layer being adjusted, a deeper section, known as the deep plane, is also treated. While this procedure offers certain advantages over a traditional facelift, surgeons must be skilled and act with caution so facial nerves are not damaged during the surgical process.
Mini Facelift
A mini facelift is geared towards patients who want some of the benefits of a facelift, while at the same time minimizing the cost and invasive nature of the surgery. Some procedures that are considered “mini” include the “Quicklift” or “Lifestyle Lift”. Patients who wish to maximize the outcome of their surgery, resulting in the most dramatic results, will most likely need to turn to having a full facelift in order to meet these aesthetic goals.
FaceLift Reviews
68
4.9
"Highly Skilled Surgeon - From start to finish Dr. Holden was amazing. He is a highly skilled and talented surgeon. He performed a lower face lift with my neck lift and I truly love my results. The only thing I can say negative is... I didn't realize how long the recovery process could be, and believe me when I say, it's a "rough" recovery-IMO. Your in good hands with Dr. Holden!"
"Facelift and Eye Lift - I interviewed 3 top docs, after much research. My greatest concern was that I look natural. I also had some asymmetry that i was hoping could be improved. I am now 9 mos. post op and I couldn't be happier. Everyone says how young I look but nobody has guessed that I had plastic surgery, not even my daughters. I wanted natural eyes, not the deer-in-the-headlight look. My eyes look..."
"Facelift at 62 So Worth It! - I'm 62 and I've had a weak jawline all of my life. I've wanted a lower facelift for decades. I hated my profile. I worked really hard to take pictures to hide that, but it's all I ever saw. I never wore turtlenecks, or draping fabric around my neck, or choker necklaces because I thought it emphasized the least favorite part of my face. I've done fillers and botox for at least 10 years, and..."
"Exceptional doctor, caring staff, amazing results - Dr. Holden is an amazing professional with a combination of education, surgical skill, and artistic eye that can bring your vision to life. He is a warm and genuine person that surrounds himself with gentle and caring staff. I was told by other surgeons my expectation for a lower face and neck lift was not realistic for a woman in her mid-60s who had recently lost 50 pounds. Dr. Holden..."
"A new beautiful profile!! - I have received Kybella And a rhinoplasty from Dr. Holden, and I am absolutely delighted. My profile looks so nice, without the double chin and a new nose. I trust him completely. He was absolutely patient and kind throughout, as were his nurses. They are so friendly! I plan on returning to him again for a facelift in the future. Many other surgeons work on the face and body, but he has a..."
Facelift Surgery Process
Consultation and Preparation
Before your facelift with Dr. Holden, you'll have a consultation to discuss your goals and ensure you're ready for the procedure. Dr. Holden will explain the anesthesia options and administer it to keep you comfortable during surgery.
Surgery Time
During the surgery, Dr. Holden will carefully make incisions along strategic points, lift and reposition facial tissues to address sagging, and trim away excess skin if necessary. Each step is performed with precision to achieve natural-looking results.
Recovery Process
After surgery, you'll be monitored closely as you wake up. Dr. Holden will provide medication to manage any discomfort and give you instructions for postoperative care. This may include keeping your head elevated, using cold compresses to reduce swelling, and avoiding strenuous activities. Follow-up appointments will be scheduled to ensure your healing is progressing smoothly and to address any concerns you may have.
Photos before/after
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Surgical Care
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Facelift FAQs
Nonsurgical Alternative?
BOTOX®, injectable fillers, microdermabrasion and chemical peels are examples of some non-surgical procedures that can assist in smoothing out wrinkles, improving fine lines and adding facial volume. These procedures also help to even out skin tone. However, these are treatments that will only affect the skin’s surface. Patients with loose skin, drooping jowls or a sagging neck will need to consider surgery if they want these features improved.
Will I Look Fake?
In the days immediately following facelift surgery, patients will feel tight and pulled. These are some short-term effects, but they will subside. It’s important to find a reputable surgeon skilled in facial surgery. Surgeons who know what they are doing will make every effort to work within the confines of the patient’s bone, skin and muscle structures so a younger, more natural look can result.
Visible Scars?
Facelift surgery does require a long incision. However, in almost all cases, these scars are well hidden as they fall just along the hairline and around the ears in the natural folds of the scalp. In most cases, the scars should be barely visible to the naked eye.
Best Age?
The common age range for patients who undergo a facelift is between 50-70. It is safe to say most patients will look 5-10 years younger following a facelift procedure. Younger patients (40-50 years old) generally have stronger skin elasticity so their results may last longer than those of someone older. However, older patients may have results that appear more dramatic and, for them, this can be very worthwhile. Patients should think of a facelift as a process to turn back the aging clock. You will still age, but you will appear a few years younger.
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