Aging naturally reflects the moments that shape a person’s life. Over time, the face can develop sagging skin, deeper folds and a heavier neckline. While these changes are normal, many individuals seek a rejuvenated appearance that still respects their natural facial character. A facelift and necklift can refresh the face and neck by addressing the structural changes caused by aging while maintaining a balanced and natural look.
Dr. Amanda Fanous is well experienced in the field of facial rejuvenation. In Paris, she trained with Dr. Darina Krastinova and Dr. Bernard Cornette de Saint Cyr, two European pioneers in the field of esthetic facial surgery. Dr. Amanda Fanous’ goal for a facelift is to strive to avoid a “surgical look” and to give the face a more youthful and refreshed appearance without any signs of pulled eyes or a stretched mouth.
A deep plane necklift focuses on tightening and reshaping the deeper structures of the neck to restore a sharper, more youthful neckline. The procedure is performed through two small access points: a short incision hidden under the chin, and another discreet incision placed around the natural crease in front of and behind the lower part of the ear. These openings allow Dr. Amanda Fanous to work in the deeper neck layers, sculpting fat, trimming excess submandibular gland and refining the platysma and digastric muscles, therefore addressing fullness or banding at its source. Excess skin is then redraped for a smooth and natural finish. The surgery is done under local anesthesia with intravenous sedation, patients return home the same day, and recovery generally takes 2–3 weeks with gradual improvement in swelling and bruising.
A facelift, also called rhytidectomy, is a cosmetic procedure designed to lift and reposition the deeper facial layers to restore definition in the mid-face, lower face and neck. Dr. Amanda Fanous performs a deep plane facelift with an integrated deep necklift, a modern technique that works at a deeper level than traditional methods.
Traditional facelifts typically tighten only the skin or the superficial layers, which can lead to an overly tight or pulled appearance. The deep plane approach instead works beneath the skin and the underlying muscle layer, allowing the core facial structures to be repositioned as a single unit. This creates a natural lift, smoother contours and results that age gracefully.
The procedure is performed in our certified surgical center under local anesthesia with intravenous sedation. An incision is made that begins at the sideburn, continues in front of the ear, curves around the earlobe, then extends behind the ear and into the posterior hairline. There is also a small scar hidden under the chin. The goal is always to create the best scar possible, positioned discreetly and designed to avoid any distortion of the earlobe, hairline, sideburn or cheek.
Dr. Amanda Fanous uses the deep plane method to lift, release and reposition the deeper tissues before removing excess skin. This approach helps avoid the pulled look and enhances facial harmony. The deep plane necklift consists in sculpting deeper neck tissues including fat, submandibular glands and muscle. The surgery takes approximately 5 hours. Patients return home the same day with a head bandage.
Recovery typically lasts around 2 to 3 weeks. Swelling, bruising and discomfort can occur and gradually improve with time. In general, patients are restaurant ready within 4 weeks.
The clinicOur Montreal clinic is housed in a state of the art building that was custom designed to function as a modern medical centre for cosmetic surgery with the most advanced equipment available. The architecture was specially developed to take into account every single component that improves patient care. We researched and implemented every recommendation that improves patient outcomes with the goal of creating the best plastic surgery clinic in Canada.
