5(5)
San Mateo, California, United States

Facelift San Mateo by Koch Facial Plastic Surgery: R. James Koch, M.D.

Vertical SMAS Imbrication Facelift San Mateo, CA | Koch Facial Plastic Surgery: R. James Koch, M.D.

Vertical SMAS Imbrication Facelift San Mateo, CA | Koch Facial Plastic Surgery: R. James Koch, M.D.

Understanding Facial Aging and Facelift Solutions

As individuals age, facial skin naturally experiences sagging due to gravitational effects and changes in skin quality. Facial fat distribution also transforms over time, leading to less firm and more lax skin. Koch Facial Plastic Surgery offers specialized facelift procedures designed to address these age-related transformations.

Awake Facelift: A Modern Approach to Facial Rejuvenation

Dr. Koch specializes in awake facelift procedures that provide less invasive alternatives to traditional surgical techniques. These in-office treatments help refresh facial contours without extensive surgery, offering patients faster recovery times and reduced medical risks.

Key Facelift Procedure Characteristics

  • Performed in-office under local anesthesia
  • Targets lower face and neck regions
  • Improves jawline definition
  • Removes excess neck skin
  • Addresses aging-related facial changes

Advanced Surgical Technique: Vertical SMAS Imbrication

Dr. Koch performs the state-of-the-art "Vertical SMAS Imbrication Facelift" to comprehensively address lower facial and neck aging. This technique allows for precise facial rejuvenation while maintaining natural aesthetic outcomes.

Ideal Candidates for Facelift Procedures

Potential candidates typically exhibit visible jowling, decreased jawline definition, and loose neck skin. Dr. Koch evaluates individual anatomy to determine the most appropriate facelift approach, whether a comprehensive procedure or a minimally invasive mini-facelift.

Procedure Methodology

During an awake facelift, patients remain comfortable under twilight sedation. Carefully placed incisions camouflage surgical sites, preserving natural hairlines and minimizing visible scarring. The underlying facial muscle layer is strategically tightened to achieve optimal aesthetic results.

Recovery and Expectations

Most patients experience minimal swelling and bruising within one week, with a typical two-week recovery period. Follow-up appointments ensure proper healing and address any patient concerns throughout the post-operative process.

For more information about Facelift in San Mateo, CA, submit an enquiry to Koch Facial Plastic Surgery: R. James Koch, M.D.

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Reviews (5)

Adrienne Nahm
March 13, 2025
Dr Koch is a brilliant surgeon - his background is monumentally impressive. He is exceptionally knowledgeable and exceedingly skilled in a wide variety of cosmetic and other procedures. To top that all off, he is as gentle and kind a person as you could ever hope to meet. His staff are as kind as they are capable. This office books only one person at a time and I have never experienced any waiting. It is all very quiet and pleasant and patient centered. I will only go to Dr James Koch and that is saying a lot for I have moved across the bay and no longer drive that much. But for Dr Koch I would fly in from Timbuckto.
Maria Zenquis
January 24, 2025
Nancy Marsh
November 22, 2024
Dr. Koch took the time to thoroughly explain the details of the procedure I’m considering and patiently answered all of my questions. His expertise and experience gave me great confidence in his abilities, and I’m certain he will be the doctor I choose once I finalize my schedule. Candy was also wonderful—her kindness and reassurance made a big difference. I went in feeling a bit apprehensive, but left feeling completely comfortable and at ease.
Debra Johnson
August 29, 2024
My experience and procedure with Dr Koch and staff was 100% positive. My result is already above and beyond my expectations and will continue to improve over time. Dr Koch is a brilliant surgeon, very kind and personable as well.
Alexa Cortez
May 15, 2024
A super kind doctor and above all very professional, thank you for your help