“Placing those incisions in strategic points in the scalp can help make the vector pull high and back just like one may experience with a really tight ponytail,” she explains. This procedure can take anywhere between one to four hours depending on if the patient is getting additional treatments done in the same surgery, and is done under local anesthesia.
What is downtime like?
After the procedure, you might see some bruising or swelling for two weeks, according to Dr. Pierce. “Patients should plan on some down time after the procedure for a couple weeks, as with most invasive surgeries,” he says.
Because of the placement of the incisions, patients have to be gentle with the hair and scalp around the area until the sutures have completely healed. “You’ll want to avoid combing or brushing your hair vigorously in the suture and incision areas until they’re healed,” Dr. DeRosa says. She also suggests using a gentle, non-irritating shampoo and to avoid getting your hair colored for at least two weeks after the procedure.
What are the possible side effects of a ponytail lift?
“With any surgical procedure there are risks of scarring, bleeding, or damage to the nerves in the face,” Dr. Levine says. “One complication, which isn’t a true complication, is that a ponytail lift may not fully correct a saggy jawline or neck.”
The most common possible side effect for this particular procedure, though, is hair loss. “Since the surgeon is making incisions in the hair bearing scalp, there is a risk of hair loss in the incision line,” Dr. DeRosa says. “This can result in wide and visible scars within the hairline.”
How much does a ponytail lift cost?
Just like any other plastic surgery, the cost of a ponytail lift will vary depending on your location and doctor. Dr. Doshi says in New York City, it can run you anywhere between $35,000 to $70,000 due to the amount of training and experience needed to execute it. On average, though, you should expect to pay at least $20,000.
All this said, it may not be a fit for every single person that wants a more-lifted appearance. “The most important thing to consider when considering facelift surgery is not only the credentials, experience, and outcomes of the surgeon, but also your thoughts on incisions, recovery times, and durability of the results,” says Dr. Doshi. “Always have an open and in depth conversation with your surgeon to decide which technique may be right for you.”