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A face-lift (rhytidectomy) is a cosmetic surgical procedure to create a younger appearance in your face. The procedure can reduce the sagging or folds of skin on the cheeks and jawline and other changes in the shape of your face that occur with age. During a face-lift, a flap of skin on each side of the face is pulled back, and tissues below the skin are surgically altered to return the contour of the face to a more youthful shape. Before the flap is sutured closed, excess skin is removed.
A neck lift (platysmaplasty) is often done as part of a face-lift to reduce fat deposits and sagging skin on the neck.A face-lift won't decrease fine creases or wrinkles in your skin or damage from sun exposure. Other cosmetic procedures can address the appearance or quality of the skin itself.
As you get older, the appearance and shape of your face is altered because of normal age-related changes. Your skin becomes less elastic and looser, and fat deposits decrease in some areas of your face and increase in others. Age-related changes in your face that may be reduced with a face-lift include the following:
A face-lift surgery can cause complications. Some can be managed with appropriate care, medication or surgical correction. Long-term or permanent complications, while rare, can cause significant changes in appearance. The risks include:
Like any other type of major surgery, a face-lift poses a risk of bleeding, infection and an adverse reaction to anesthesia. Certain medical conditions or lifestyle habits also can increase your risk of complications. The following factors may present a significant risk or result in unfavorable results, and your doctor may advise against a face-lift.
Initially, you’ll talk to a plastic surgeon about a face-lift. The visit will likely include:
Before a face-lift:
A face-lift can be done in a hospital or an outpatient surgical facility.
Sometimes the procedure is done with sedation and local anesthesia, which numbs only part of your body. In other cases, general anesthesia — which renders you unconscious — is recommended.
In general, a face-lift involves elevating the skin and tightening the underlying tissues and muscles. Fat in the face and neck may be sculpted, removed or redistributed. Facial skin is then re-draped over the newly repositioned contours of the face, excess skin is removed, and the wound is stitched or taped closed.
The incisions for the procedure depend on the techniques that will be used and the patient’s preferences. Options include:
A face-lift generally takes two to four hours but might take longer if other cosmetic procedures are done at the same time.
After a face-lift, you may experience:
Contact your doctor immediately if you have:
Your incisions will likely be covered with bandages that provide gentle pressure to minimize swelling and bruising. A small tube might be placed under the skin behind one or both of your ears to drain any excess blood or fluid.
In the first few days after surgery:
You will have several follow-up appointments scheduled during the next two months after surgery. They will include the following:
Self-care at home during the first three weeks will help your recovery and minimize the risk of complications:
In the weeks after a face-lift, you might style your hair to hide any remaining signs of the incision. You may also choose to delay attending major social events for a couple of months, when you are likely to feel back to normal.
A face-lift can give your face and neck a more youthful appearance. Face-lift results are not permanent. With age, the facial skin may begin to droop again. In general, a face-lift can be expected to last 10 years.
You may be a candidate for a facelift if you are in overall good health and have enough excess skin or sagging in the face and neck to make the operation beneficial. The average facelift patients are in their 40’s to 60’s, but a facelift can be successfully done on people in their 70’s or 80’s, as well.
A facelift cannot stop your face from aging, but it can improve your appearance by “setting the clock back.” Factors such as bone structure, heredity, skin texture, sun exposure, smoking history and others all play a role in the extent of improvement one obtains, as well as influencing how long it will last.
A facelift tightens the skin, removes excess fat and tightens underlying muscles in the lower two-thirds of the face and neck, providing a more youthful, fresher appearance. The end result of a facelift will look natural; it is not designed to pull the skin so tight that it would alter the corners of your mouth.
Facelift, or rhytidectomy, is a surgical procedure to improve visible signs of aging on the face and neck. As individuals age, the skin and muscles of the face region begin to lose tone. The facelift cannot stop the process of aging. It can improve the most visible signs of aging by tightening deeper structures, redraping the skin of face and neck, and removing selected areas of fat. A facelift can be performed alone, or in conjunction with other procedures, such as a brow lift, liposuction, eyelid surgery, or nasal surgery.
Facelift surgery is individualized for each patient. The best candidates for facelift surgery have a face and neck line beginning to sag, but whose skin has elasticity and whose bone structure is well defined.
Facelifts are usually performed with general anesthesia.
For a traditional facelift, an incision is made behind and slightly in front of ears and the skin of the face is lifted from the underlying tissues and muscle. The facial skin is then tightened and the excess removed before the incisions are closed. A bandage will be applied to the face at the completion of surgery.
Surgery is usually preformed as an outpatient or overnight stay and usually takes about two to three hours.
Most women can use their hair to hide the scars. For women with short hair, it might be a good idea to allow your hair to grow slightly longer while the scars are still fresh. You also can meet with our esthetician to discuss special makeup that can camouflage the scars.
A facelift is the ultimate surgical procedure for making a man or woman look younger. It is the standard to which all other facial rejuvenating procedures are compared. That is why so many non-surgical treatments use terms such as, “laser facelift, “liquid facelift,” “suture facelift,” “luncthime facelift,” etc. Only a facelift is actually facelift! A facelift involves an incision around the ear and sometimes under the chin. A facelift removes loose skin, thereby tightening the remaining skin. It elevates sagging tissues that cause nasolabial folds and marionette lines. It makes the outline of the jaw clearer and tightens the skin and muscles of the neck.
Facelifts are for both men and women. Candidates are individuals who have a sufficient amount of facial laxity to make the procedure worthwhile. Typical physical characteristics are visible neck muscles that are causing banding in the neck, laxity of skin or an excess of fat in the neck, a loss of the clear border along the jaw between face and neck, jowling, deep lines from the corner of the mouth to the jaw, and lines from the nose to the corners of the mouth. Low eyebrows are not treated with a facelift; those are fixed with a browlift. Extra skin and/or fat of the eyelids are treated with an eyelift procedure.
Since a facelift is elective surgery, patients must be in good health. An important part of being a facelift candidate is to understand the outcome that is likely for you and deciding if the risks and complications and costs make that seem worthwhile to you.
The most important factor to consider is whether a facelift does what you want it to do. A facelift tightens and lifts the face, but it does not fundamentally change elasticity. It does not remove fine lines or sunspots. Listen carefully to what the doctor tells you a facelift can do. It can produce wonderful results but ultimately you must consider is the outcome: does a facelift do what you want it to do for you?
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Ideally patients should not have any significant underlying medical problems or have a history of bleeding disorders or active smokers. A mini facelift is not for those looking for a dramatic result, but for those who want a subtle refreshed look.