Project Description

Face and neck lift: Choosing the right doctor

Why Dr. Ridenour?

Perhaps more than any other cosmetic operation, the result of  a face-lift operation depends on the judgement and experience of the surgeon. It is commonly believed that most face-lift surgeons don’t gain the kind of experience necessary to perform the operation at the highest level until they have been in practice for at least 10 to 15 years. No amount of practice or education takes the place of experience.

Dr. Ridenour is one of the most experienced face-lift surgeons in the Midwest and St. Louis Area. He has been performing the face-lift operation for more than 20 years and averages about 100 face-lift operations each year. He has visited and learned from many of the best face-lift surgeons in world and has taught the face-lift operation to residents and fellows at  prestigious Washington University St. Louis for over 10 years. 

A face-lift operation is the best procedure to correct sagging of the cheek, the jowl and the neck. Despite the many advances in cosmetic surgery and medicine, it remains the single most effective procedure for rejuvenation of the lower face and neck. No other procedure is nearly as effective.

Your Initial Consultation

Your first consultation will last between 45 minutes and one hour.  We will take a complete medical history and learn if you have any special needs or considerations leading up to your procedure.  We will listen carefully to your goals and expectations and will will address any fears or concerns that you may have. We will help you choose the best type of anesthesia for you and pick the most appropriate surgical setting for your procedure. Many patients will choose to have an in-office procedure while others will choose to have surgery at an out-patient surgery center or larger facility such as Barnes West County Hospital. Photographs will be taken and computer imaging is available to help you understand the goals of the procedure. Dr. Ridenour will also talk to you about some new techniques to minimize bleeding and speed healing. Toward the end of your consultation we will provide you with additional information to help you reach a decision including additional literature, the cost of the procedure, and patient references.  We will always be helpful and we will never pressure you to make a quick decision.

Examination and Assessment

During your initial consultation Dr. Ridenour will perform a comprehensive physical examination of your face. He will measure the amount of sagging and laxity present in your lower face (jowl and neck) and will assess a range of smaller issues that  contribute to aging of the face such as poor bone structure and loss of supporting fat.  He will also look at the relative position of the superficial and deep muscles in your neck to assess whether they are favorable to achieve the most desirable neck angle.  He will look at your hairline and the amount of skin laxity to determine the best location for your surgical incisions. He will also examine your brow position and the relative age of your eyelids to see if any additional procedures are warranted.  Finally, he will discuss his overall assessment of your face with you and help you to find the treatment that will best meet your needs and budget.

Surgical Meeting

If you decide to proceed with surgery we will schedule a separate one-hour consultation to help you get ready for your operation. At the time we will go over your medication schedule and help you avoid any unnecessary medications or supplements that may cause bleeding or interfere with healing. We will review any lab work or testing that has been performed and consult with your primary care doctor if needed. We will  review the entire procedure with you including the location of any incisions and review the informed consent process. We will discuss your post-surgery care in detail and make any special arrangements that you may need including home visitis, lodging or transportation. We will give you all of your medications and provide you with a list of items that would be helpful for you to keep on hand. After this meeting you should feel very confident about your upcoming procedure.

The Day of Surgery

You should not eat or drink after midnight the night before your procedure. That morning, when you arrive at the office, hospital, or surgery center, you will be asked to change into a gown for surgery. You will be asked a few precautionary health questions and the nature of your procedure.  An I.V. will be started in one arm unless your procedure is being performed under minimal sedation.  You will meet the anesthesiologist and the nurses that will be taking care of you.  Dr. Ridenour will also be available prior to surgery to make certain that all of your questions have been answered. Dr. Ridenour will mark you with a surgical pen prior to surgery to assist in certain aspects of your operation. When it is time to begin the operation you will be taken to the procedure room and placed comfortably on a table. You body will be carefully padded and we will connect you to equipment to monitor your EKG, Blood Pressure, Oxygen Saturation, and exhaled Carbon Dioxide.

After Surgery

The day following surgery we will remove your dressings and evaluate your early progress. Most patients will have only modest swelling and light bruising the day after surgery.  We will assist you in caring for your incisions and will make certain that everything appears as it should. Depending on the procedure performed, we may elect to reapply your dressings. Sometimes only a light elastic strap is needed.  If surgical drains have been placed in the neck the drains are most often removed the day after surgery.  We will show your caretaker the placement of incisions and how to care for you in the coming week.

We will have you return to the office as often as needed to make certain that you are well cared for and have no questions or concerns.  At each visit we will instruct you in the care of your face, activity level and the important things to look out for as your are healing. We see patients as frequently as needed to ensure a great outcome.  Patients are typically seen the day after surgery, 3 to 4 days after surgery and one week after surgery for suture removal.

We  continue to follow our patients as long as necessary and even thereafter, so long as we can help and assist to look and feel their best.  Following surgery we  offer help with makeup, skin care, hair and ancillary services to compliment the results of surgery and to achieve the finest results possible.


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Contact Us

12460 Olive Blvd, 2nd Floor
St. Louis, MO 63141-6397

Phone: (314) 878.8600
Fax: (314) 878.8602
Hours: 9 to 5 (M-F)

Schedule a Consultation