RHYTIDECTOMY (FACE LIFTS)

Face Lift Procedures


What is a Face Lift?

Face-lift surgery is a cosmetic procedure that involves removing sagging skin and tightening muscle tissue of the face and neck to counter signs of aging.

A facelift can correct many things to improve appearance, including:
• Sagging in the midface
• Deep creases below the lower eyelids
• Deep creases along the nose extending to the corner of the mouth
• Fat that has fallen or is displaced

Purpose

The purpose of face-lift surgery is to improve the appearance of the face by repositioning the skin and tightening some of the underlying muscle and tissue. The procedure is designed to counter sagging and looseness in skin and muscle tissue that becomes more pronounced as individuals age. Face-lift surgery will not completely eliminate all facial wrinkles. For example, wrinkles around the mouth and eyes may benefit little from face-lift surgery. Also, additional procedures including blepharoplasty may be necessary to achieve desired results.

Procedure

The surgeon makes an incision within the hairline just above the ear. The incision continues down along the front edge of the ear, around the earlobe, and then up and behind the ear extending back into the hairline. The location of this incision is designed to hide any sign of the procedure later. The same procedure is repeated on the other side of the face. The surgeon separates the skin of the face from its underlying tissue, moving down to the cheek and into the neck area and below the chin. Fat deposits over the cheeks and in the neck may be removed surgically or with liposuction at this time. The surgeon tightens certain bands of muscle and tissue that extend up from the shoulder, below the chin, and up and behind the neck. If these muscles and tissue are not tightened, the looseness and sagging appearance of the skin will return. The surgeon trims excess skin from the edges of the original incision and the skin is pulled back into place. The incision is closed with sutures.

Risks

Candidates with other medical conditions should consult with their primary care physician before undergoing a face lift. Lung problems, heart disease, and certain other conditions can lead to a higher risk of complications. Persons who use medications that affect blood clotting (including female hormones, aspirin, and some non-aspirin pain relievers) should stop taking these medications prior to surgery to lower the risk that a hematoma will form. A hematoma is the most frequent complication of face-lifts. Most hematomas form within 48 hours of surgery. The typical sign is pain or swelling affecting one side of the face but not the other.
Another risk is nerve damage. Sometimes it can affect a person's ability to raise an eyebrow, or distort the smile, or result in limited sensation in the earlobe. Most of these nerve injuries, however, repair themselves within two to six months.

Normal Results

Some swelling and bruising is normal following a face lift. There should be a noticeable improvement in the contour of the face and neck. Some fine wrinkling of the skin may be improved, but deep wrinkles are likely to require another cosmetic procedure to improve their appearance. 
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