What sets us apart:
▷ Dr. Jess Prischmann is a Mayo Clinic-Trained, Board Certified Facial Plastic and Reconstructive Surgeon who has safely performed elegant facelifts for 15 years.
▷ She believes that the term “Facelift” actually refers to several different operations, and there is no “best” type of facelift.
▷ Dr. Prischmann is dedicated to making sure her patients are selecting the correct operation for their needs, and then delivering the best possible outcomes.
Facelift
As we age, facial volume shifts, skin loses elasticity, and jowls and creases begin to define the lower face. For many, a facelift is a powerful way to turn back the clock—without sacrificing natural expression. At her facial plastic surgery practice in the suburbs of Minneapolis, Dr. Prischmann offers advanced facelift procedures designed to restore facial contours, redefine the jawline, and rejuvenate the lower face. With a refined approach rooted in safety, anatomy, and aesthetics, Dr. Prischmann delivers results that are elegant, and never overdone.
What is a Facelift?
A facelift—also known as rhytidectomy—is a surgical procedure that repositions and tightens the underlying tissue layers of the face. The term includes many different techniques. Some facelifts purely reposition tissues, others reposition and remove excess skin.1 Generally speaking, the most effective facelifts target underlying structures to provide lift and support to the face. It is very important that patients understand exactly what is happening during their operations. This is because facelifts carry risk of nerve damage, and some techniques carry much greater risk than others.
Dr. Prischmann specializes in a facelift technique that targets a deeper layer called the SMAS (superficial musculoaponeurotic system). Her technique tightens the lower face, jowls and jawline, while removing excess skin. Unlike some facelift techniques that enter danger zones of the face, Dr. Prischmann performs a much safer facelift, one that tries to achieve maximal benefit with less risk.2
What is the “best” type of facelift and which one does Dr. Prischmann perform?
There is actually no “best” type of facelift. Because there are different patterns of aging, there are different procedures to address different faces. The names of procedures can be confusing because they often don’t convey exactly what is happening during surgery. This is why it is critically important to ask specific questions regarding techniques and risk during your consultation.
Broadly speaking, the most powerful facelift techniques involve lifting and repositioning the deeper SMAS layer (Extended SMAS facelift) , OR dissecting farther forward in the face and cutting through retaining ligaments of the face in order to lift the cheek and lower face as one subunit (Deep Plane Facelift, as described by Hamra).3
Neither an Extended SMAS or Hamra Deep Plane facelift is “the best.” They are two completely different operations for two different types of faces. The ideal patient for each is completely different and so is the inherent risk.
- Extended SMAS facelifts: Extended SMAS facelifts are excellent at improving the lower face. They are great for the patient who is looking for improvement in the jawline/jowl region. They are also excellent for smoothing out wrinkles caused by skin laxity on the cheeks. They do not jeopardize nerves that run next to anchoring ligaments of the face. While some surgeons may feel that Deep Plane Facelifts and Extended SMAS facelifts are equally safe, there is no question that the more invasive nature of a Deep Plane Facelift carries greater risk to the patient.
- Hamra Deep Plane facelifts: Hamra-type Deep Plane Facelifts are better at lifting the middle of the face (central cheek area). This is because a Deep Plane facelift involves cutting through structures along the cheekbone that anchor the cheek mound in place. Once these retaining ligaments are cut, the cheek is free to move in the new surgical vector. If you want your middle cheek lifted or nasolabial folds reduced, a Hamra-type Deep Plane facelift may be the best procedure for you (as long as you are comfortable with the risks).
Risk of a Deep Plane Facelift: Deep Plane facelifts involve dissection in a known “danger zone” of the face.4 This danger zone is an area where surgery could cause injury to nerves that are involved in facial expression. If you do not want your surgeon operating in this known danger zone, you should not have a Deep Plane facelift that divides the retaining ligament along the midface.
Dr. Prischmann has the goal of performing a safe facelift without nerve damage 100% of the time. She does not want to operate in known danger zones for elective cosmetic operations. She selects her patients very carefully to make sure that her technique will be the best for each patient. For these reasons, she performs a procedure that is most closely related to an extended SMAS facelift.
Benefits of a Facelift
- Lifts and repositions facial tissue for a youthful appearance
- Defines and smooths the jawline and neck
- Removes excess skin and softens deep creases
- Reduces the appearance of jowls and nasolabial folds
- Creates natural-looking, long-lasting results
- Improves multiple signs of aging in a single procedure
Facelift vs Mini Facelift
There is no clear definition of a “mini-facelift.” It refers to many different procedures that are all related in the limited degree of invasiveness. Mini-facelifts do not have the longevity of facelift procedures that reposition deeper tissues.
While it may seem attractive to consider a “mini” Facelift, the reality is that only a true facelift repositions the deeper tissues. This repositioning is critical in lifting the face and defining the jawline.
Who is a Candidate for Facelift?
Ideal candidates for Dr. Prischmann’s facelift surgery are individuals who want to address noticeable signs of aging in the lower face, jawline, or neck. Most candidates share the following characteristics:
Visible jowls, loose skin, or loss of definition along the jawline
Deep creases around the mouth or lower face sagging
Good general health and the ability to undergo elective surgery
Age is not the primary factor—rather, the degree of facial aging and skin laxity determines candidacy. Dr. Prischmann considers each patient’s anatomy, medical history, and aesthetic goals to recommend the most appropriate surgical plan.
With the rise of medication-induced weight loss from GLP-1 receptor agonists, more individuals are noticing facial volume loss and increased skin laxity. These medications can contribute to facial deflation, hollowing, and looseness, prompting some patients to explore facelift surgery earlier than they may have anticipated. Facelift can be a very effective procedure for improving laxity once patients have achieved their desired weight loss goals.
What is the most important question to ask during your consultation for a facelift?
The most important question to ask your surgeon during your consultation is this: “Have you ever had nerve damage as a result of your facelift technique? If so, was it temporary or permanent?”
All good surgeons are motivated by making sure their patients are happy with surgical outcomes. One difference between good surgeons is the tolerance for risk. Dr. Prischmann has an extremely low tolerance for risk and her facelift technique repositions deeper tissues without entering high risk zones for nerve injury. That, along with her meticulous technique, are just some of the reasons why she is very proud of her safety record with facelift surgery. Safety is the reason why she does not divide ligaments along the cheekbone during facelift surgery. She knows that dividing ligaments would lead to better results in the midface, but she is not willing to compromise safety for this benefit.
My experience with Dr. Prischmann’s facial surgery was exceptional from start to finish, confirming that she truly lives up to her outstanding reputation.
Qualities:- Dr. Prischmann is thorough in her discussions, written explanations, and surgical procedures.- She demonstrates a high level of respect and sensitivity to my needs, avoiding the condescension or dismissiveness that can sometimes be encountered in medical settings. Her attentiveness to every aspect of the procedure reflects a holistic understanding of her practice.- A small yet significant example of her approach: during moments of discomfort, Dr. Prischmann maintained a friendly dialogue to help distract me, which was effective in alleviating my anxiety. Such thoughtful gestures fostered a trusting environment.- She also collaborated with my husband, guiding him on how to assist me during recovery, including using his phone to document procedures and discussing the emotional aspects of surgery when necessary.- Having worked as an administrator, I recognize that the environment is shaped by leadership. The atmosphere in Dr. Prischmann’s office was consistently friendly, respectful, and attentive to my needs. For instance, when I arrived with bruises from surgery, the staff promptly escorted me to a room without delay, and they greeted me warmly, offering water and support.
This feedback represents just a fraction of Dr. Prischmann’s exemplary work.
Preparing for Your Facelift
The process begins with a thorough consultation—either virtual or in person at our office in Golden Valley, MN. Virtual consultations offer a chance to discuss your concerns and review candidacy basics, but all patients must undergo a formal, in-person assessment prior to surgery.
During the consultation, Dr. Prischmann will:
- Review your medical history and prior surgical procedures
- Discuss any past injectables, laser treatments, or skin care regimens
- Evaluate your facial anatomy and skin quality
- Explain realistic outcomes, recovery time, and risks
If you’re a good candidate for facelift surgery, you’ll receive:
- A written treatment plan tailored to your goals
- Cost estimates and financing options
- Pre- and post-operative instructions, including supplements to avoid and medications to discontinue
The Facelift Procedure
Dr. Prischmann performs facelift surgery under general anesthesia at an accredited surgical center. Incisions are strategically placed around the ear and hairline to camouflage visibility, or make them as least noticeable as possible. After lifting the skin, she carefully elevates the SMAS layer beneath the skin and repositions it in a direction that is best for each individual patient. Once the deeper layers are lifted and tightened, loose skin is carefully removed to create a natural result.
Key steps include:
- Precise marking: On the day of surgery, Dr. Prischmann very precisely marks the incisions for each patient. The incisions start in the sideburn area and then are expertly planned around the contours of the ear and behind the ear into the hairline.
- Tailoring the surgery for each patient’s needs: Dr. Prischmann creates a customized plan for each patient.
- Ensuring a safe procedure: Dr. Prischmann is known as a very methodical and meticulous surgeon. She pays extreme attention to every detail before, during, and after the procedure.
Surgical Steps:
- Dr. Prischmann very precisely and meticulously elevates the skin. She uses a gentle technique that allows for optimal healing and minimal complications.
- Lifting the deeper SMAS layer under the skin is next. Dr Prischmann uses a “high SMAS” incision for this step. This type of incision allows for a strong foundation for supporting the lift of the deeper tissues.
- Then, Dr. Prischmann repositions the SMAS layer. It is repositioned vertically and/or laterally and anchored to the deep fascia in the temple, as well as the deep fascia behind the ear. Lifting, anchoring, and repositioning this deeper layer are key steps in this process to create a firm and natural basis for the facelift.
- Trimming and redraping excess skin is next. Once the deeper tissues are elevated vertically and tightened, the skin of the lower face is redraped, tailored, and very precisely removed.
- Finally, Dr. Prischmann closes the incision with dissolvable sutures: The skin is sutured in a layered fashion with dissolvable sutures. Dr. Prischmann uses very small sutures to close the skin and places every suture carefully and methodically.
- To ensure a smooth recovery, Dr. Prischmann uses surgical drains to prevent fluid accumulation. She has an excellent safety record regarding hematomas. Drains are used for the first night after surgery. They are removed the day after surgery.
- At the end of surgery, a gauze dressing is placed.
This refined technique enhances facial contours while optimizing safety and avoiding the tight, “pulled” look. In many cases, a neck lift is performed at the same time for seamless facial rejuvenation.
Facelift Recovery
Dr. Prischmann and her team will give you very detailed information regarding post-surgical care in the appointments leading up to surgery. We have an excellent safety record. This is in part because we make sure that you are prepared to take care of yourself after surgery.
The first night after surgery is dedicated to pain and nausea control. Patients should rest with their head elevated and focus on limiting activities. All patients are asked to contact Dr. Prischmann’s cell phone for any questions or as needed.
The morning after surgery, all patients have an appointment in our Golden Valley office. At this visit, we will remove the compression dressing and drains. This increases comfort significantly. To ensure proper care, we offer to record post surgery instructions on your cell phone to help you remember them and make them easily accessible. We will also teach your caregiver on how to clean your incisions.
The first week is spent focusing on rest, recovery, and keeping incisions clean. We see patients in the office four days after surgery to check in and ensure things are healing properly. After seven days, we remove most of the surface sutures. Two weeks after surgery, patients have a lymphatic massage in the office, and the remaining surface sutures are removed. For many patients, this two week appointment is when they feel comfortable being in public.
Patients typically experience mild to moderate swelling, bruising, and tightness for the first two weeks after surgery. You may resume light activities within 10–14 days, with most returning to work around two weeks post-op. Final results gradually settle over 6–8 weeks as the facial skin relaxes and the underlying tissues heal.
We recommend:
- Sleeping on your back for three weeks
- Avoiding vigorous activity for up to six weeks. Mild to moderate activity is generally okay after the first two weeks.
- Following Dr. Prischmann’s comprehensive wound care protocol
Facelift Results
Facelift surgery offers long-term rejuvenation of the lower face, jawline, and neck. Aging creates a smaller underlying structure, and facelift surgery is often the only way to address the loose outermost layers that occur during this process. You can support your results with a healthy lifestyle, sun protection, and appropriate skincare or maintenance treatments like Skintyte™, BOTOX® or dermal fillers.
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After Recently, I underwent a surgical procedure to lift my lower face and neck as well as a total facial laser resurfacing procedure as a patient of Dr. Jess Prischmann. I found Dr. Prischmann to be a highly competent, compassionate, skilled surgeon. Through her guidance and education, I went into my surgery feeling very secure and informed. After my surgery, her care and follow-up were exceptional. I absolutely love the results she was able to help me achieve and highly recommend her as a very gifted surgeon.
– Karen
FAQs About Facelift
Is this the best facelift surgery near me?
If you are looking to lift your lower face, define your jawline and smooth out excess skin, Dr. Prischmann’s facelift technique is natural-looking, safe and effective. Dr. Prischmann will perform a thorough consultation to make sure her procedure is the best one for your specific needs.
Can I combine other treatments with a facelift?
Yes. Many patients benefit from combining a facelift with necklift or eyelid surgery (blepharoplasty),
For patients looking for comprehensive rejuvenation, we often plan for non-surgical treatments after facelift surgery. For example, HALO laser resurfacing can target lines around the mouth and lips. And BOTOX® or dermal fillers can help with facial aging as well. These combinations enhance facial rejuvenation and help address the upper face for more balanced results.
How much does a facelift cost near me?
At our Minneapolis practice, the cost of a facelift depends on the complexity of the procedure, anesthesia fees, and whether additional treatments are performed. We’ll provide a detailed estimate and review financing options during your consultation.
Will I have scars after a facelift?
Facelift incisions are placed around the ears and hairline to minimize visibility. With proper post-op care, most scars heal well and fade over time.
What are the risks of a facelift?
Dr. Prischmann is a very methodical and cautious surgeon. As a result, she has an excellent facelift safety record. Studies have shown facelift complications include: hematoma (a collection of blood under the skin), infection, poor wound healing, nerve injury, scarring, or unfavorable cosmetic results.5 Dr. Prischmann minimizes these risks by taking a thoughtful approach to surgery and closely monitoring each patient’s recovery. Patients can also reduce risks by following all pre- and post-operative instructions and disclosing their complete medical history during consultation.
How do I reduce the risk of complications like hematoma?
There are many factors that can contribute to bleeding risk. The most common include blood abnormalities (low platelets, for example), blood-thinning medication/supplement use, elevated blood pressure, and uncontrolled nausea and vomiting after surgery. We recommend that patients follow our pre and post operative instructions very carefully. Additionally, Dr. Prischmann is very careful in surgery to make sure the tissue is handled properly. As a result, we have not had many cases of hematoma in our facelift patients.
Contact Us
If you would like to learn more about whether you are a candidate for facelift surgery, please contact us to schedule your facelift consultation with board-certified facial plastic surgeon Dr. Jess Prischmann in Minneapolis. We’ll guide you every step of the way.
1 Mayo Clinic. Face-lift. https://www.mayoclinic.org/tests-procedures/face-lift/about/pac-20394059. Accessed May 30, 2025.
2,3Barrett DM, Casanueva FJ, Wang TD. Evolution of the rhytidectomy. World J Otorhinolaryngol Head Neck Surg. 2016 Feb 4;2(1):38-44. doi: 10.1016/j.wjorl.2015.12.001. PMID: 29204547; PMCID: PMC5698509. https://pmc.ncbi.nlm.nih.gov/articles/PMC5698509/. Accessed October 24 2025.
4Alghoul, M., Bitik, O., McBride, J., & Zins, J. E. (2013). Relationship of the zygomatic facial nerve to the retaining ligaments of the face: the Sub-SMAS danger zone. Plastic and reconstructive surgery, 131(2), 245e–252e. https://doi.org/10.1097/PRS.0b013e3182789c5c Accessed October 24 2025.
5 American Society of Plastic Surgeons. Who is a good candidate for a facelift? Available: https://www.plasticsurgery.org/cosmetic-procedures/facelift/candidates. Accessed May 30, 2025.
6 American Society of Plastic Surgery. What are the risks of facelift surgery? Available: https://www.plasticsurgery.org/cosmetic-procedures/facelift/safety. Accessed May 30, 2025.
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