Refresh and Rebalance the Face

The Charleston Custom Lift is a personalized facelift that aims to restore a youthful facial structure rather than simply tighten the skin. Dr. Ulm uses advanced deep plane lifting, precise neck contouring, and selective fat grafting to address sagging, volume loss, and facial aging at their source. Your plan is built around your anatomy, goals, and how your face has changed over time. The objective is natural, balanced rejuvenation that looks like you, just more refreshed, rested, and aligned with how you feel inside.

Charleston Custom Lift Overview

woman smiling

What Does the Charleston Custom Lift Treat?

The Charleston Custom Lift is performed to address multiple visible signs of facial aging by restoring structure, support, and balance. Common concerns treated with this approach include:

  • Sagging along the jawline and jowls
  • Loose skin in the lower face and neck
  • Loss of cheek volume and definition
  • Deep facial folds and creases
  • Under-eye hollowing or tired appearance
  • Downturned mouth corners
  • Facial asymmetry related to aging

Why Choose Dr. Jason Ulm for Charleston Custom Lift?

Dr. Jason Ulm is a double board-certified plastic surgeon with advanced fellowship training in aesthetic and craniofacial surgery at Harvard/Massachusetts General Hospital. This depth of training informs a refined understanding of facial anatomy and aging, allowing him to perform technically demanding facelift procedures with precision and consistency.

Patients choose Dr. Ulm because he listens carefully, studies your facial structure in detail, and builds a plan around what you specifically want. Consultations are unhurried and educational, with honest discussion about what will and will not work. Many patients report receiving exactly what they asked for, along with natural-looking results that look refreshed, not overdone.

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Words from Our Clients "It has taken me some time to find the words to describe Dr. Jason Ulm."

My experience receiving chin liposuction from Dr. Ulm and his team was wonderful. From the very beginning they were supportive and informative, and really helped answer my questions and prepare me ...

My experience receiving chin liposuction from Dr. Ulm and his team was wonderful. From the very beginning they were supportive and informative, and really helped answer my questions and prepare me for exactly what I was in for. In the week leading up to surgery, they checked in on me and made sure to talk through any of my questions and fears, and the day of they were so kind and accommodating. They continued to check in during recovery, and my healing process was so quick and easy. I couldn’t be happier with the results - they’ve honestly changed my life and how I view myself. The whole process felt so personal and turned out exactly how I wanted!

SML

5 star rating

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the tim...

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the time to understand my goals, explain the procedures in detail, and set realistic expectations which gave me so much confidence going into surgery. Dr Ulm's precision, skill, and eye for aesthetics made all the difference , and I am so happy with the outcome. The entire staff was also warm, professional, and supportive throughout the entire process - from pre-op to recovery. They made sure I felt safe and informed throughout the process. I would totally recommend Dr. Ulm for any plastic surgery. This has been one of the best decisions I have ever made. I wish I had done it sooner.

Melanie

5 star rating

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get th...

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children. My results are better than anything I could've dreamed of!

NSFW

5 star rating

I was referred to Dr. Ulm by my cousin who worked with him at MUSC. She said that he was the best and I couldn't agree more! He has brought me back to my pre-baby body after three children and I wi...

I was referred to Dr. Ulm by my cousin who worked with him at MUSC. She said that he was the best and I couldn't agree more! He has brought me back to my pre-baby body after three children and I will forever be grateful. He is very professional and took the time to make sure I would be thrilled with my results and I am! Ladies, do yourself a favor and visit Dr. Ulm. For the first time since having children, I am excited about swimsuit season!

Murrells

5 star rating

Dr. Ulm and his whole staff were wonderful. I went to a few different doctors for consults and felt most comfortable with Dr. Ulm due to his amazing bedside manner and his explanations of everythin...

Dr. Ulm and his whole staff were wonderful. I went to a few different doctors for consults and felt most comfortable with Dr. Ulm due to his amazing bedside manner and his explanations of everything. I scheduled my mommy makeover with him and I am glad I did. My results were better than expected and I received daily phone calls in the post operative time period to check on how I was doing. I highly recommend Dr. Ulm!!

Celebrated677251

5 star rating

I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children....

I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children. My results are better than anything I could've dreamed of!

mimzy123

5 star rating

I had 3 C-sections, the most recent 12 1/2 years ago, and during the pandemic, I lost almost 90 pounds. I had a lot of skin after I lost my fat. My abs were shot, and my skin was flabby, so I could...

I had 3 C-sections, the most recent 12 1/2 years ago, and during the pandemic, I lost almost 90 pounds. I had a lot of skin after I lost my fat. My abs were shot, and my skin was flabby, so I couldn't really enjoy my huge weight loss. I wanted a tummy tuck and brachioplasty. Last minute, I added on a little liposuction for the last little bit of stubborn fat. I met with Dr. Ulm, and felt immediately comfortable with going through with the procedure. We moved quickly because I wanted it done over my holiday break. It was DEFINITELY worth it. I was really anxious on surgery day as the pandemic was still going on, and I was nervous about major surgery, especially one I didn't "need." The anesthesiologist, nurse, and Dr. Ulm did not ignore my mental health on that day! I felt very safe and "in the right hands." He said the pain/recovery would be like with my C-sections, and that was about right! Afterward, Dr. Ulm called my husband every day to make sure I was okay, and I had to check in with a nurse every day. I felt confident that if there were a problem, I would be taken care of, even over a holiday break. Aftercare has been great, as well. My scar (on my abdomen) is right over my C-section scar. My arm scars are, of course, harder to hide, but I'm still very, very happy (as my arm flab was harder to hide!). I am still getting used to my tummy being numb, but he says it will keep getting better, and that is a small price to pay! I am about 12 weeks post-op, and I bought my first bikini ever! On the day of the consult, Dr. Ulm showed me where my scar would be, and he asked if that would "interfere with where my bikinis normally lie." I told him I have never worn a bikini. He said, "well after this, maybe you will." I didn't believe I would ever be THAT confident with my body. Laura was also awesome, helping me navigate all the craziness of scheduling the surgery and aftercare. She was always available to me. In summary, I DEFINITELY recommend Dr. Ulm and his team for your tummy tuck!

Sshdoughty

5 star rating

I am so glad I went to Dr. Ulm, I am 10 days post op for a tummy tuck, implant exchange and lift. This is by far the worst pain I have ever been in but it gets better each day. I’m excited to see w...

I am so glad I went to Dr. Ulm, I am 10 days post op for a tummy tuck, implant exchange and lift. This is by far the worst pain I have ever been in but it gets better each day. I’m excited to see what my final results will be but so far I’m satisfied!

Thrifty444293

5 star rating

My dream was to find a plastic surgeon to make me look refreshed and very natural. After going on several consults, I was so impressed with meeting Dr Ulm and his team. He listened to me when I exp...

My dream was to find a plastic surgeon to make me look refreshed and very natural. After going on several consults, I was so impressed with meeting Dr Ulm and his team. He listened to me when I expressed that I wanted to smooth out the deep wrinkles on my cheeks, remove the excess skin from my neck, & give me a slight lip lift to refresh my face . When I asked Dr. Ulm if I could speak to one of his past clients, he did not hesitate, and after listening to her rave about Dr Ulm and looking at her before and after pictures, I knew that I could trust Dr Ulm. He listened to every word I said.
Dr Ulm did a perfect job and truly displayed excellent work and making me look very natural. I find    myself looking in the mirror & so happy with what I see!! Double board certified, highly accomplished, and extremely meticulous in his work , Dr Ulm took the time to listen to me, showing me genuine care and concern while making me feel comfortable and explained the process every step of the way. Dr Ulm has a wonderful team that is professional, personable and dedicated. His experience, skill, and compassionate approach made me trust him completely.
Dr Ulm made me “Trust The Process” Forever grateful 🤍

Kat

5 star rating

A few months ago, I solicited a recommendation from an Aesthetispa professional (Lisa) for a plastic surgeon to perform an elective facelift. Being a retired engineering professional from New York,...

A few months ago, I solicited a recommendation from an Aesthetispa professional (Lisa) for a plastic surgeon to perform an elective facelift. Being a retired engineering professional from New York, I began to compile data on Dr. Jason Ulm, and requested a consultation. My “data mining” and research verified Dr. Ulm’s technical competence, credentials and experience. What was unexpected and most delightful was Dr. Ulm’s “ bedside manner” and personable style. I was so impressed with his compassion, attentive listening skills and probing questions intended to fully understand my personal goals. He thoroughly and clearly articulated the surgical procedures and processes, expected outcomes, and requirements to ensure success. SUCCESS ON ALL FRONTS WAS ACHIEVED! I could not be more delighted with the outcomes! Dr. Ulm and his competent support staff far exceeded every expectation. I highly recommend Dr. Ulm and his professional staff to anyone who demands world class technical competencies, compassion, and professionalism. Dr. Jason Ulm is “the whole package”….and I’m blessed he was my surgeon

Nagelc

5 star rating

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get th...

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children. My results are better than anything I could've dreamed of!

NSFW

5 star rating

 I got botched by a Dr in Florida who was on Lifetime fixing botched patients therefore I thought he was good. I had a saline leak from a previous implant. This Florida Dr, despite my 5 emails...

 I got botched by a Dr in Florida who was on Lifetime fixing botched patients therefore I thought he was good. I had a saline leak from a previous implant. This Florida Dr, despite my 5 emails not to be bigger than I was before (I’m small framed) not only made my breast 350 to 415,, one breast was much larger than other by one size, they were oddly shaped, and they were much saggier from what I was before. I was so scared for surgery again, who to have it with. I didn’t want to stay that way , I always work hard on my body. I worked out running and weights, it crushed me. It was extremely emotional. It’s not like a bad tailored shirt I could take off. It decreased my confidence and was financially draining . Not only did Dr. Ulm's revision make me back to where I was but better !!! I’m perkier and shaped beautifully ! I think it’s so very very important to find a doctor who listens! Who knows how to give you the right fit and knows how to do beautiful surgery! Cosmetic surgery is an art!!! It’s so extremely important to find a good surgeon ! I highly highly recommend Dr. Ulm ! Thank Dr Ulm for giving me confidence back!!!

Marcie Amoroson

5 star rating

Dr.Ulm and his team are the best! My procedure was a breast implant exchange (went smaller), and he did exactly what I asked for. I know two other ladies who have gone to him for different procedur...

Dr.Ulm and his team are the best! My procedure was a breast implant exchange (went smaller), and he did exactly what I asked for. I know two other ladies who have gone to him for different procedures that also HIGHLY recommend him.

Camille

5 star rating

Dr Ulm and staff were so good to me . They are so nice and care for me well. Dr Ulm is down to earth, he was so gentle and professional. I didn't get any pain or discomfort after my breast argument...

Dr Ulm and staff were so good to me . They are so nice and care for me well. Dr Ulm is down to earth, he was so gentle and professional. I didn't get any pain or discomfort after my breast argumentation. Highly recommended.

QL

5 star rating

All I can say is after this procedure is I wish I had found Dr. Ulm and did this years ago! Dr Ulm listened to my concerns for wanting to look and feel as natural as possible and where I feel some ...

All I can say is after this procedure is I wish I had found Dr. Ulm and did this years ago! Dr Ulm listened to my concerns for wanting to look and feel as natural as possible and where I feel some plastic surgeons will go bigger then requested when it comes to breast Aug he gave me a range to work with and I trusted him to do the rest which could not have been more perfect. I feel like my new breasts were made for my body and I would recommend him and his friendly amazing staff to anyone! I have a new confidence I never thought could be possible

Bostonchick4

5 star rating

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gon...

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gone after 2 months! Highly recommend!!!

Hailey

5 star rating

I have had multiple procedures with Dr. Ulm and each time I couldn’t be happier!!
I have had a breast augmentation, chin lipo, and recently just got lipo 360. I am extremely happy with all of my...

I have had multiple procedures with Dr. Ulm and each time I couldn’t be happier!!
I have had a breast augmentation, chin lipo, and recently just got lipo 360. I am extremely happy with all of my results!!! 10000 out of 10 recommend Dr. Ulm 🤩

Taylor

5 star rating

Dr. Ulm’s office and staff are incredible! Friendly and helpful in every way. Dr. Ulm has been very helpful, knowledgeable, and answered all of my questions! Pre and post operative care has been in...

Dr. Ulm’s office and staff are incredible! Friendly and helpful in every way. Dr. Ulm has been very helpful, knowledgeable, and answered all of my questions! Pre and post operative care has been incredible. If I could give more than 5 stars, I would! My breast augmentation and lift healed great, the whole experience has been incredible. I would recommend Dr. Ulm and his practice to anyone wanting plastic surgery!

Mary-Michal

5 star rating

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. He centered my experience around me and wh...

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. He centered my experience around me and what I wanted. He gave his professional advice when asked but definitely followed my lead as the patient. He wants to see extensive inspirational photos to know exactly what his patients want and delivers it. I never once felt rushed in his office the way I have in others. He was also very easy to get in touch with post-surgery. I will send all my friends (in- and out-of-state!) to Dr. Ulm.

Katie

5 star rating

I came in with inspiration photos and an idea of what I wanted, but I’m so glad I trusted his recommendations because he truly knew what would look best for my body and proportions. My results from...

I came in with inspiration photos and an idea of what I wanted, but I’m so glad I trusted his recommendations because he truly knew what would look best for my body and proportions. My results from my breast augmentation look exactly like my inspiration, natural, balanced, and even better than I imagined. His attention to detail and expertise are unmatched.

Anniston

5 star rating

I recently got my first breast aug done with Dr. Ulm, it looks better than I could’ve ever imagined! I chose Dr Ulm after a long search of doctors throughout the southeast. I let Dr. Ulm use his ju...

I recently got my first breast aug done with Dr. Ulm, it looks better than I could’ve ever imagined! I chose Dr Ulm after a long search of doctors throughout the southeast. I let Dr. Ulm use his judgement to help me decide the best size and look for my body type, and I’m so happy with the results. Looks so natural and exactly how I wanted. It was such an easy recovery. The team is warm and friendly and professional, and the entire experience has been so comfortable and easy. 

Leigha

5 star rating

I had a breast augmentation/lift with Dr Ulm. He did an amazing job. He used my inspiration pictures for comparison and he hit the mark. I had pretty significant asymmetry/drooping from kids and th...

I had a breast augmentation/lift with Dr Ulm. He did an amazing job. He used my inspiration pictures for comparison and he hit the mark. I had pretty significant asymmetry/drooping from kids and they look even, perky and perfect for my body. I told him to do what he felt looked best and he delivered. Also, his bedside manner and professionalism was something I was happy with as well. I definitely recommend him and will be back for my next procedure. 

Tia

5 star rating

Could not be happier with my results! So in love with my breast Aug results, I wouldn't go anywhere else! They look and feel amazing and fit my body perfectly!

Madison

5 star rating

I can’t say enough about how great my experience has been with Dr. Ulm and his team. After two kids, I wanted my breast done so I made the appointment and we decided Preservé implants were the best...

I can’t say enough about how great my experience has been with Dr. Ulm and his team. After two kids, I wanted my breast done so I made the appointment and we decided Preservé implants were the best option for what I wanted to achieve. My surgery went better than expected and the healing process was easier than I imagined. I am beyond thrilled with my results and would recommend Dr. Ulm to anyone that is interested in having any sort of work done!

Megan

5 star rating

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. Dr. Ulm was never once pushy. He centered ...

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. Dr. Ulm was never once pushy. He centered my experience around me and what I wanted. He gave his professional advice when asked but definitely followed my lead as the patient. He wants to see extensive inspirational photos to know exactly what his patients want and delivers it. I never once felt rushed in his office the way I have in others. He was also very easy to get in touch with post-surgery. I will send all my friends (in- and out-of-state!) to Dr. Ulm.

Katie

5 star rating

I’d been considering a breast augmentation for years. When I consulted with Dr. Ulm and he explained the new Preserve technique it was an almost immediate “YES” for me. This type of breast augmenta...

I’d been considering a breast augmentation for years. When I consulted with Dr. Ulm and he explained the new Preserve technique it was an almost immediate “YES” for me. This type of breast augmentation checked all the boxes:
• noninvasive
• little downtime
• subtle and natural results

I carefully consulted with Dr. Ulm and his staff about my desired results. The day of surgery his entire staff was incredibly comforting and put my worries at ease. The recovery has been remarkably easy. I rested the day of surgery but was able to drive my kids to school the next morning. One of my biggest hesitations with the surgery was anticipating a long recovery and I am so pleased Preserve allowed me to get right back into my daily life. I am currently two weeks postop and easily give this entire experience a 10/10. I could not be happier with my results.

Kelly

5 star rating

I am absolutely obsessed with my results — truly over the moon. I did so much research before committing to breast augmentation, and going with Dr. Ulm and the P...

I am absolutely obsessed with my results — truly over the moon. I did so much research before committing to breast augmentation, and going with Dr. Ulm and the Preservé technique is hands down one of the best decisions I've made for myself!!

The recovery genuinely shocked me. I was back at work the very next day, feeling like myself and so good. Everything looks natural and exactly the way I'd hoped. Dr. Ulm and his team made me feel completely taken care of from the first consult through every step after.

If you're even thinking about it, this is your sign, go see Dr. Ulm. You won't regret it.

H

5 star rating

I have an active lifestyle, so a procedure that would take me out for six weeks was never going to work.

After months of research, I found the Preservé technique — smaller...

I have an active lifestyle, so a procedure that would take me out for six weeks was never going to work.

After months of research, I found the Preservé technique — smaller incisions, less pain, and a recovery that actually let me get back to my life. It preserves your natural tissue and sensation, and the implants move with your body for a more natural look and feel.

I did a few consults. Some felt rushed. Dr. Ulm took his time and understood my lifestyle. He's double board-certified and one of the only surgeons in Charleston trained in this technique. Couldn't be happier I did the Preservé technique with him.

Hannah Jackson

5 star rating

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gon...

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gone after 2 months! Highly recommend!!!

Hailey

5 star rating

My experience with Dr. Ulm and his staff was outstanding. Their communication was clear and supportive throughout the entire process, and the results exceeded my expectations. Truly professional, c...

My experience with Dr. Ulm and his staff was outstanding. Their communication was clear and supportive throughout the entire process, and the results exceeded my expectations. Truly professional, caring, and skilled!

Gina

5 star rating

Dr Ulm took the time listen and provide guidance on what to expect during and after surgery. He was recommended to me by a friend and I am so thankful to him for changing my life for the better! He...

Dr Ulm took the time listen and provide guidance on what to expect during and after surgery. He was recommended to me by a friend and I am so thankful to him for changing my life for the better! He provided me the confidence I was lacking without judgement.

Denise

5 star rating

I had lip fillers done by the doctor Jason Ulm and I loved the results! The shape is beautiful and natural, not fake or stiff at all. The doctor was very gentle and gave great advice. After the pro...

I had lip fillers done by the doctor Jason Ulm and I loved the results! The shape is beautiful and natural, not fake or stiff at all. The doctor was very gentle and gave great advice. After the procedure, my lips look fuller but still natural. I feel so much more confident!

Buddhawajana

5 star rating

It has taken me some time to find the words to describe Dr. Jason Ulm. He is kind, compassionate, and incredibly talented. His super power is his unique ability to listen to your concerns and desir...

It has taken me some time to find the words to describe Dr. Jason Ulm. He is kind, compassionate, and incredibly talented. His super power is his unique ability to listen to your concerns and desires. He is skilled and perfectly delivers results that YOU want. I am amazed daily at how "perfect" my outcome is. I fully trusted him and allowed him to guide me through my process and I am so thankful I did. He nailed it and quite honestly gave me a restored confidence that I thought was unattainable. My prep, surgery, and recovery were all seamless and with very minimal pain. Dr. Ulm is hands down a master of his craft, and will always be my go to plastic surgeon!

Tabatha

5 star rating

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the tim...

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the time to understand my goals, explain the procedures in detail, and set realistic expectations which gave me so much confidence going into surgery. Dr Ulm's precision, skill, and eye for aesthetics made all the difference , and I am so happy with the outcome.

The entire staff was also warm, professional, and supportive throughout the entire process - from pre-op to recovery. They made sure I felt safe and informed throughout the process. I would totally recommend Dr. Ulm for any plastic surgery.

This has been one of the best decisions i have ever made. Wish I had done it sooner.

Melanie

5 star rating

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Charleston Custom Lift vs. Traditional Facelift

When most people think of a facelift, they are usually referring to a traditional, standardized procedure that lifts tissues in the lower face using a similar technique for nearly every patient. These surgical approaches can improve certain signs of facial aging, but they often focus on a limited area and rely heavily on tightening rather than restoring deeper facial support. As a result, outcomes may appear modest or occasionally unnatural. The Charleston Custom Lift takes a different approach to facial rejuvenation.

Dr. Ulm designs each procedure around your unique anatomy, pattern of aging, and personal goals. Rather than applying a single method to everyone, he uses deep-plane lifting, careful neck contouring, and, when appropriate, selective fat grafting to address sagging, volume loss, and structural changes at their source. This strategy allows for more balanced, longer-lasting rejuvenation with results that look natural, refreshed, and aligned with what you specifically want to achieve.

Typical Components of the Charleston Custom Lift

Deep Plane Facial Repositioning

Deep-plane facial repositioning focuses on lifting and restoring the deeper structural layers of the face rather than simply tightening the skin. By releasing and repositioning these underlying tissues, Dr. Ulm can recreate youthful contours across the cheeks and jawline with minimal tension. This avoids the tight or pulled appearance associated with traditional facelifts.

Precision Neck Contouring

The neck plays a critical role in overall facial rejuvenation. As part of the Charleston Custom Lift, Dr. Ulm evaluates excess fat deposits, muscle banding, and skin laxity beneath the chin and along the jawline. Targeted contouring refines the neck, creating a smoother profile and a cleaner, more defined transition between the face and neck.

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Selective Facial Fat Grafting

Volume loss is a key contributor to an aged appearance. Selective facial fat grafting restores subtle fullness to areas such as the cheeks, temples, lips, and chin using your own purified fat. When performed precisely, this surgical technique enhances facial balance without overfilling, complements surgical lifting, and helps achieve a natural, refreshed look.

Skin Quality Enhancement

Skin texture, tone, and fine lines also influence how youthful the face appears. When appropriate, skin resurfacing or other skin-focused treatments may be incorporated into the Charleston Custom Lift plan. These treatments improve skin surface quality and promote smoother, brighter skin, completing the rejuvenation process for harmonious results.

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Am I a Candidate for the Charleston Custom Lift?

You may be a suitable candidate if you have noticeable sagging in the face or neck, loss of definition along the jawline, or feel that your appearance looks tired or aged despite good overall health. The ideal candidates typically have some skin elasticity and realistic expectations about improvement. Dr. Ulm assesses your candidacy through a personalized consultation that evaluates your facial anatomy, skin quality, medical history, and personal goals.

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Benefits of the Charleston Custom Lift

The Charleston Custom Lift is performed to deliver natural, balanced rejuvenation by addressing facial aging at its source. 

Key advantages of this customized approach include:

  • Personalized surgical planning for your unique anatomy
  • Lifting of deeper facial structures rather than only the skin
  • More natural-looking, longer-lasting results
  • Improved jawline and neck definition
  • Subtle restoration of lost facial volume
  • Reduced risk of a tight or overdone appearance
  • Comprehensive facial rejuvenation in a single procedure

Your Complete Charleston Custom Lift Experience 

Charleston Custom Lift Surgery

On the day of surgery, you arrive at our accredited surgical facility and are placed under anesthesia so you remain completely comfortable. Dr. Ulm begins by creating carefully hidden incisions around the ears and within the natural creases of your skin. Through these openings, he gently releases and lifts the deeper facial support layer (the SMAS), repositioning it back toward its more youthful location rather than simply pulling the skin.

Next, the neck and jawline are addressed by tightening underlying muscles, removing or redistributing excess fat when needed, and smoothing loose tissue beneath the chin. If you have areas of volume loss, small amounts of your own purified fat may be placed into specific regions, such as the cheeks or temples, to restore natural fullness. The skin is then laid back into place without tension and closed with fine sutures.

Charleston Custom Lift Consultation

Your consultation begins with an in-depth conversation about what you see changing in your face and what you hope to improve. Dr. Ulm carefully evaluates your facial structure, skin, and areas of sagging or volume loss. He may review photographs to understand how your features have changed over time. You also receive a clear explanation of recommended techniques, expected outcomes, and risks, so you can make an informed decision about your care.

Charleston Custom Lift Recovery

After surgery, you can expect swelling, bruising, tightness, and mild discomfort, which are most noticeable during the first 7 to 10 days. Prescription or over-the-counter medication is sufficient for pain control. You will wear a supportive dressing initially, and sutures are usually removed within one to two weeks. Most patients feel comfortable returning to light activities and desk work after 2 weeks, while strenuous exercise is restricted for 4 to 6 weeks.

Charleston Custom Lift Results

You will notice visible improvements once early swelling begins to subside, typically within 2 to 3 weeks. As the healing process continues, your facial contours become more refined over the next several months. The results are long-lasting, with many patients enjoying their outcome for 10 years or longer. While the natural aging process continues, you should expect to look refreshed and more youthful for years compared to if you had never undergone surgery.

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Possible Alternatives to Charleston Custom Lift

While the Charleston Custom Lift is an effective option for patients seeking comprehensive facial rejuvenation, it is not the right choice for everyone. Some individuals may have earlier signs of aging, prefer less invasive treatment, or want to explore options with shorter downtime. Others may only be concerned with specific areas of the face rather than overall rejuvenation. Dr. Ulm carefully evaluates your anatomy, skin quality, and goals to determine whether a surgical facelift or an alternative approach is more appropriate for your needs.

Depending on your concerns, alternatives may include:

  • Facelift for a comprehensive, permanent facial rejuvenation
  • Mini facelift for mild to moderate lower-face laxity with shorter recovery
  • Neck lift for concerns primarily focused on the neck and jawline
  • Eyelid surgery for sagging or puffiness around the eyes
  • Fat grafting for restoring lost facial volume without lifting
  • Dermal fillers for temporary improvement of volume loss and folds
  • Skin resurfacing for improving texture, tone, and fine lines

What Is the Cost of a Charleston Custom Lift?

Cost varies based on technique, surgeon experience, facility fees, anesthesia, and location. According to the American Society of Plastic Surgeons, the average facelift in the U.S. has a surgeon’s fee of around $11,395 (not including anesthesia or facility costs), and total costs can range from about $7,000 to well over $20,000, depending on complexity and location.

Because every Charleston Custom Lift plan is tailored to your anatomy and goals, the best way to determine what this surgery will cost you is to schedule a consultation with Dr. Ulm.

During that visit, you’ll receive an accurate quote based on your specific needs and surgical plan. 

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Charleston Custom Lift Frequently Asked Questions

Will my facelift look natural?

Yes. The Charleston Custom Lift restores the facial structure rather than simply tightening skin. By repositioning deeper tissues and selectively restoring volume, your features are refreshed in a balanced way. You should look like yourself, just more rejuvenated.

What are the risks associated with a facelift?

All surgical procedures carry some risk, including bleeding, infection, scarring, nerve irritation, or delayed healing. However, serious complications are uncommon when surgery is performed by a board-certified plastic surgeon like Dr. Ulm. During your consultation, Dr. Ulm reviews all potential risks with you in detail so you can make an informed decision about your care.

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