A facelift, or rhytidectomy, a most effective approach to improve or reduce the aging-sign appearance from face to neck with an immediate and highly proven-safe result, by removing excess skin, tightening the underlying tissues and muscles and reshaping facial / neck skins, can propose you a tighter, smart look and a youthful facial appearance.
This procedure that improves visible signs of aging in the face and neck, such as:
Sagging in the middle of your face
Deep creases below the lower eyelids
Deep creases along the nose extending to the corner of the mouth
Fat that has fallen or has disappeared
Loss of skin tone in the lower face that creates jowls
Loose skin and excess fatty deposits under the chin and jaw can give even a person of normal weight the appearance of a double chin
The loss of youthful contours in the face can be due to a variety of factors, including heredity, gravity, environmental conditions, and stress.
Facelift procedure steps
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The incision
Depending on the degree of change you’d like to see, your facelift choices include a traditional facelift, limited incision facelift or a neck lift.
A traditional facelift incision often begins in the hairline at the temples, continues around the ear and ends in the lower scalp. Fat may be sculpted or redistributed from the face, jowls and neck, and underlying tissue is repositioned, commonly the deeper layers of the face and the muscles are also lifted. Skin is redraped over the uplifted contours and excess skin is trimmed away.
A second incision under the chin may be necessary to further improve an aging neck. Sutures or skin adhesives close the incisions.
An alternative to a traditional facelift uses shorter incisions at the temples, continuing around the ear and possibly within the lower eyelids or under the upper lip.
Sagging jowls, loose neck skin and fat accumulation under the chin may be corrected with a neck lift. The neck lift incision often begins in front of the ear lobe and wraps around behind the ear ending in the lower scalp.
Step 3 – Remove fat deposits and excess skins
Following the incision route defined, the plastic surgeon then shall undermine the skin layer to raise the overlaying layer. During this, at plastic surgeon's discretion, he may remove some fat deposits and excess skins from neck and chin region to help refining the skin profile.
When the skin is freed and raised so as to be pulled in place to smoothen and the muscle and tissues underneath will be tightened. Also with the same concept for temples, cheeks and neck, plastic surgeon then will raise the skin from such locations and lift to reposition the underlying connective tissues, remove the excess fat and skin.
Once this procedure is performed in conjunction with a NeckLift, surgeon will tuck muscles together, stitch them together to invent a strong sling of muscles to be able to sustain the neck and jaw. Other relevant procedures such as Liposuction for neck and jowls or Facial Implant may be added here to re-shape such neck / jowls and balance the chin an cheek's volume respectively.
Step 4 – Closing the incisions
Finally the incisions, precisely made along the hairline, ears and scalp (which are all hidden under natural creases or inconspicuous locations ), will be sutured to close the incision to ensure any scarring is minimal. The result from this may last for 5 to 10 years
After Care and Recovery
Some degree of swelling and bruising is unavoidable. Do not worry, since the surgeon will prescribe medication to keep your discomfort at lowest level. It is advised that patient should sleep with your pillow elevated about 40 degree for two weeks ( a pair of pillows stacked together are recommended ). In additional, cold compress at incision site applied for 48 hours before switch to a warm compress subsequently.
During your recovery period, a bandage will be placed around your face to mitigate swelling and bruising. Daily wound-dressing should be done twice a day using cotton bud damped with clean water to gently pat the blood stain, followed by Antibiotic cream or Betadine. Bandage then should be re-wrapped around your face to finalize the dressing.
If a drainage tube has been placed (usually behind the ear), it will also be removed 1 to 2 days after the surgery. Your doctor will remove your stitches in 5 to 10 days.
Patient should not let the wound get wet for a week.
Sutures will be scheduled to be removed for five to ten days post-surgery.
Face-washing is permitted. Also make-up / cosmetics are allowed after sutures removed completely.
Do not miss the follow-up appointment with the doctor and also strictly keep on taking all prescribed medicines from surgeon.
Patient should not forcefully rub or be kept away from any impact upon facial area and scalp for a month. Sun exposure should also being avoided for one month, since your face is highly susceptible to sunburn or discoloration, darkened pigmentation.
If you undergo a major surgery (FaceLift + NeckLift), should you place the bandage around your head, everyday for a period of three months.
Smoking ( or being among where people are smoking or any pollution ) and leaving your face un-nourished will cause a wrinkled / unpleasant face coming back quickly. Tobacco elevates the propensity of skin and tissue's death, delays your healing time and leave you a worse scar
Any activities vigorously affecting impact on the wound, for instance, jogging, house-working, sexual intercourse, steam-bathing and any doing increasing a higher blood pressure, must be stopped for two weeks. Alcohol should be stopped for two weeks.
Keep in mind that an sufficient rest will help speeding the healing time of wound.
Most people can retrieve their normal activities few weeks post-surgery.
Initially after surgery, it is normal that your face might feel of a stiffness. Numbness of skin might lurk around for months post-operatively. Also for a few months, a feeling of dried and rough skin might happen. This will disappear soon.
During the first to four weeks, your scars may display a redness and slightly rigid and protruded, but redness will be faded away with the scars softened. At least one year, you shall notice the final appearance of the scar.
During first week, patient should attempt to stay up (no matter Sitting, Standing and Walking around) as much as possible. This shall help mitigating the swelling.