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Facelift

Face lift surgery is beneficial to men and women who are experiencing sagging of the face due to the ageing process. Normally this procedure is performed on clients aged from around 40 years and up to around 70 years. Ultimately the upper age limit is determined by the health of the client. Face lift surgery is performed under general anaesthetic and takes between 2 and 5 hours depending on the type and extent of the procedure undertaken.

Types of Facelifts

  1. Standard Facelift – classical full Face lift with SMAS technique.
  2. Mini Facelift – usually advised for younger clients who need only a little correction along the jaw line or cheek or for clients who have had a standard facelift but now their skin needs to be tightened again due to the sagginess. The incisions and also the recovery are shorter. This type of facelift has limited results.
  3. S-lift – is a variant of the mini-lift. The incision is made above the ear, coming down to the earlobe and continuing behind the ear. This procedure is recommended for clients with minor facial and neck skin sagginess.
  4. Midface lift – advised for clients who have lost the youthful fullness of their cheeks due to ageing. With this technique the surgeon is able to improve the area from the cheekbone down to the upper lip. The incision is placed in the temporal hairline. A secondary benefit of this procedure may be some decrease in the depth of the nasolabial folds (the creases coming from the side of the nose to the corners of the mouth).

If you are considering a Face lift…

As people age, the effects of gravity, exposure to the sun and the stresses of daily life can be seen in their faces. Deep wrinkles form between the nose and mouth; the jaw line grows slack and jowly; folds and fat deposits appear around the neck. A facelift (technically known as rhytidectomy) can't stop this ageing process. What it can do is „set back the clock,“ improving the most visible signs of ageing by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a neck lift, forehead lift, brow lift, under chin liposuction, or eyelid surgery.

The best candidates for a Face lift

The best candidate for a facelift is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well-defined. Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well. A facelift can make you look younger and fresher, and it may enhance your self- confidence in the process. But it can't give you a totally different look, nor can it restore the health and vitality of your youth. Before you decide to have surgery, think carefully about your expectations and discuss them with plastic surgeon.

Preparation for Face lift

You should come to the operation without make-up. Pharmaceuticals containing acetylsalicylic acid (Acylpirin, Aspirin, and Anopyrin etc.) should not be used for 3 weeks before the surgery, as they decrease the clotting time of blood. If case you have short hair we advise you to grow it longer, so you will be able to hide the scars during recovery time.

If you are a smoker you are advised to stop smoking or at least to cut down on cigarettes. Smoking slows down the recovery process and it can also increase the risk of complications.

Operation

This operation can last several hours and is performed with a combination of general (intravenous) anaesthesia and local anaesthesia (a so called neurolepanaes­thesia). Incisions are made between two and four inches above the ear and then around the front of the ear, around the earlobe into the crease behind the ear, and into or along the hairline behind the ear. In this way, any scarring will be invisible, as it will be “hidden” within the hair and behind the ears.

Scars take 9 to 18 months to fully mature, gradually they became smoother and the color will change from purple to pink and whitish. After making the incisions the surgeon lifts and separates the fat and skin from the underlying muscles. The surgeon has to lift enough to ensure that when the skin is tightened all creases and folds are minimised. The skin of the neck will be lifted almost down to the collarbone and across your entire neck. After all the skin dissection is done, the surgeon also tightens the next deeper layer in a procedure known as submusculoapo­neurotic system (SMAS).

The SMAS makes the facelift last longer than facelifts that lift only the skin and keeps the smooth neck from disappearing as quickly. Next, the excess skin is trimmed and the incisions closed. The plastic surgeon will introduce a little drainage under the skin on each side to evacuate the blood and fluid. Finally the surgeon will apply helmet-type dressing, which will stay on for 3–4 days. The drainage is removed on the second day after the surgery.

Post-operational Course

During the first few days after the operation, it is necessary to sleep strictly on your back so as to prevent swelling on one side or, as the case may be, larger post-operational bruises. Your hair can be washed gently 5 days after the operation.

To know more about facelift from the best plastic and cosmetic surgeons in Los Angeles visit our website www.beverlyhillsphysicians.com

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Disclaimer: Results vary, patients may achieve different cosmetic and weight loss results depending on body type, medical history, selected procedure and a variety of other factors. One patient’s success as shown by before and after pictures in no way guarantees similar results for other prospective patients.