Face lift surgery is a surgical procedure designed
to smooth the loose skin on the facial skin, jowls,
and neck in both men and women. Candidates for a facelift
include those with deep lines or folds running from
the corner of the nose to the corner of the mouth,
loss of a well-defined jawline, deep wrinkles in the
cheeks, and loose skin, wrinkles or excess fat in
the neck. In this procedure, underlying tissues are
tightened, excess fat is removed, and the skin is
gracefully re-draped for a natural and more youthful
appearance. A facelift (technically known as rhytidectomy)
can't stop the aging process. What it can do is make
the patient look younger improving the most visible
signs of aging 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 forehead
lift, eyelid surgery, or nose reshaping.
If the patient has had an original face lift operation
a "preventive maintenance program" can then be implemented.
This is particularly indicated in younger individuals
who can maintain a youthful facial appearance for
the remainder of their life by having periodic "tuck
ups" every few years. Many celebrities are known to
have had this procedure!!
Patients with systemic diseases, high blood pressure,
heart disease, or obesity are not acceptable candidates
for this type of surgery. Patients with a short, stocky
neck cannot expect the same amount of improvement
as those with more favourable anatomy.
The operation is usually performed with local anaesthesia
and sedation. The incisions are made inside the hair
line wherever possible but the hair is not cut before
the operation. The hair, though, should be shampooed
thoroughly before entering the hospital. Infrequently
there may be some thinning of the hair for a short
distance on each side of the incision line. If this
occurs, the thin area can be covered by combing the
adjacent hair over it. The site of the incisions will
be discussed during the preoperative visit. There
is little pain and discomfort following the operation.
Remember that the swelling and discolourations are
temporary, as are minor changes in the configuration
of the hair line which may occur and are usually unnoticed
by the observers or even by the patients.
There may be some areas of numbness particularly around
the ear which improve to a great extent within three
to six months. Some patches of numbness may persist
indefinitely.
Closing of the incisions is performed in such a manner
as to exert no tension on the lines in front of the
ear, where the scars are usually inconspicuous without
makeup. The tension resulting from the stretched and
lifted tissue is thus distributed to the areas behind
the ear and the back of the ear skirting the hair
line. These scars are therefore destined to be more
visible and have to be camouflaged by combing the
hair. At times, they may require a small adjustment
under local freezing eight to twelve months after.
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