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Facelift surgery can reduce the appearance of wrinkles and diminish the signs of aging.

Are You Interested in a Facelift?


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Facelift

What is a facelift?

Rhytidectomy – more commonly called facelift – is a cosmetic surgery procedure that removes fat, tightens muscles, and repositions the skin of the face in order to diminish signs of aging.

Who is a candidate for facelift?

A facelift is a viable solution for many people who have suffered the effects of aging. However, before seriously considering the operation, there are several important considerations. The candidate should understand all aspects of the procedure and have reasonable expectations of its results. Patients with well-defined bone structures and skin that has retained some elasticity are generally most pleased with results. In addition, smokers are encouraged to discontinue smoking far prior to the procedure because it hinders the body’s ability to heal.

Indications of aging that can be improved by a facelift include:

  • Lines from the outer edge of the nose to the corner of the mouth
  • Wrinkles in the cheeks
  • Sagging of the jawline, commonly referred to as “jowls”
  • Loose skin or fat around the neck

It is important to see a qualified facelift surgeon to determine if you are a candidate for a facelift.

How is the facelift performed?

Patients must prepare for facelift surgery a few weeks in advance. The surgeon will instruct the patient on what to eat and drink and probably to discontinue smoking. Smoking can be particularly detrimental to the success of a facelift, as it reduces the flow of blood to the skin.

The facelift procedure is usually performed on an outpatient basis. Some doctors prefer general anesthesia, but most will have local anesthesia administered in conjunction with an intravenous sedative. In the former case, the patient will sleep through the operation; in the latter, he or she will experience minimal, if any, discomfort.

The facelift surgeon begins by making incisions. The primary incision begins over the ear (just above the hairline), extends to the front of the ear, goes under the earlobe and, finally, around behind it, meeting the hairline again. If the neck and cheeks are sagging, the facelift surgeon may need to make an additional incision just below the chin along the jawline to remove excess skin and fat there.

Next, the facelift surgeon separates the skin from the underlying fat and muscle tissue. Fat may be removed from the face and neck, either through trimming or suction. The muscle and membrane are tightened, and the skin is pulled up and back. Excess skin is trimmed at the point of incision above the hairline. The incisions are then closed with stitches and, if necessary, metal clips.

The head may be wrapped loosely with bandages to minimize bruising and swelling. In addition, since blood tends to build up in the area, the surgeon may insert a drainage tube into the incision.

What is recovery like?

Recovery from rhytidectomy is generally fairly painless. There is usually not much physical discomfort, although the area can remain bruised and swollen for a few weeks after surgery. There may be some numbness, but this will gradually subside.

The drainage tube will almost always be removed within 48 hours after the operation. The bandages may be removed after one to five days and the stitches will usually be removed within a week.

Scars may remain where incisions were made. However, these are in inconspicuous locations, and usually become unnoticeable over time.

Complications are rare in facelifts, and they are typically fairly mild when they do occur. Hematoma, or the buildup of blood under the skin, is usually removed through a secondary surgery. The muscle tissue and nerves of the face can be damaged, although this is rarely permanent. Other side effects include infections or reactions to the anesthesia.

 

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