Aging of the face is inevitable. As the years go by, the skin begins to loosen on your body and on the face and neck. Crow's feet, forehead lines, nasolabial folds become more visible, the jaw line softens into jowls, and beneath the chin, another chin or vertical folds appear at the front of the neck. Usually many men and women go through botulinum toxin injections and various fillers, but sometimes a patient needs surgery. One of the possible ways to stay younger for more years is facelift.
Before deciding on a facelift, every patient should discuss his problems with a plastic surgeon thoroughly. The ideal candidate is a middle-aged woman with a fair or medium body build, a minimal amount of fatty tissue, moderately sagged skin in the jowl and neck regions. The best results may be achieved for an individual with a strong, attractive underlying osseous framework, including prominent zygomata, conversely, an individual who is overweight with hyperpigmented thick skin does not obtain optimal results. Individuals with ptotic submandibular glands and an inferiorly positioned hyoid have a more obtuse cervicomental angle and obtain less-than-optimal results.
Many different procedures of face lifting exist. The differences are mostly the type of incision, the invasiveness and the area of the face that is treated. Each surgeon practices multiple different types of facelift surgery. At a consultation the procedure with the best outcome is chosen for every patient. Expectations of the patient, the age, possible recovery time and areas to improve are some of the many factors taken in consideration before choosing a technique of face skin tightening.
As any other surgeries, this surgery is not suitable for all patients. Patients having medical (physical and psychological) problems, cigarette smokers, patients with hypertension and diabetes and those who experience hypersensitivity to anesthesia must be examined thoroughly before taking this step.
In the traditional facelift, an incision is made in front of the ear extending up into the hairline. The incision curves around the bottom of the ear and then behind it, usually ending near the hairline on the back of the neck. After the skin incision is made, the skin is separated from the deeper tissues with a scalpel or scissors over the cheeks and neck. At this point, the deeper tissues, including SMAS (Superficial Musculoaponeurotic System), can be tightened with sutures, with or without removing some of the excess deeper tissues. The skin is then redraped, and the amount of excess skin to be removed is determined by the surgeon's judgment and experience. The excess skin is then removed, and the skin incisions are closed with sutures and staples.
Facelift is performed under general anesthesia and requires three to four hours to complete. After the surgery bruising and swelling are expected for 2-3 weeks, numbness until six months; sutures are removed after 7-14 days following the surgery and depending on wounds special garments are recommended for approximately one week. Scars will remain firm and pink for about six weeks and then begin to fade over several months.
The most common potential complications can be necrosis of the skin flaps, infection, hematoma, nerve injury, hair loss, hypertrophic scars, pigmentation changes, prolonged edema, earlobe traction deformity, chronic pain. These complications are not the concurrent part of facelift, if the patient was chosen properly, if the doctor had required qualifications, if the patient followed postoperative recommendations these complications are rare.
|The incision curves around the bottom of the ear and then behind it, usually ending near the hairline on the back of the neck.|
|The successful face lift result - the face of natural look and well rested appearance.|