FaceLift (Rhytidectomy) by Wave Plastic Surgery & Aesthetic Laser Center
As we age, gravity affects all parts of the body including the face in men and women. The effects of gravity is seen starting in the late 30s but more apparent and prominent in the 40s, 50s, and 60s with more lines, less facial muscle tones and sagging cheeks. A good facelift reverses the signs of aging with a natural appearing look and avoids making the face appear wind blown.
Facelift procedures only deal with the lower 2/3 of the face and neck. The upper 1/3 of the face and eyelids are different regions that also need to be addressed with a facelift. Since aging affects both the skin and muscle, both need to be corrected. Just tightening the skin or suspending the skin with threads or strings is inadequate. Tightening and resuspending the under lying muscle, and removing the excess skin will achieve a natural youthful appearance. The goal of the face lift is to restore the various structures back to its normal anatomical position.
At our certified outptient surgery center, this procedure is performed either with general anesthesia or under iv sedation with local anesthesia. The incision is made starting inside the hair above the ear, and down in front of the ear, and then behind the ear tracing down to the hairline in the neck. The skin is not lifted up much, but a layer of tissue called the SMAS/platysma is elevated extensively. This is used to re-elevate the facial structures and reposition the tissues to it/s more youthful location. This ensures a natural appearance.
After the procedure, you will need to do serial follow ups to receive medications to minimize swelling. You will be given specific instructions to how and when to wash your hair. Sutures will be taken out in 5 days then in 10-12 days and you will need to wear a facial garment to help minimize swelling and help reshaping the neck line. Most of the scars are well hidden and they will fade over time. Temporary swelling and numbness of the face are expected and the patient usually can return to work in 2 weeks.
Step 1 – Anesthesia
Medications are administered for your comfort during a facelift procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
A variety of other procedures can further enhance the outcome of a facelift. They include:
Step 2 – The incision
Depending on the degree of change you’d like to see, your rhytidectomy surgery 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. 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 – Closing the incisions
Once healed, the incision lines from a facelift are well concealed within the hairline and in the natural contours of the face and ear.
Step 4 – See the results
The visible improvements of a facelift appear as swelling and bruising subside. Your final result should not only restore a more youthful and rested appearance, but also help you feel more confident about yourself.Information & images are courtesy of ASPS®
What is FaceLift Surgery?
If you are bothered by signs of aging in your face, facelift surgery may be right for you. Technically known as rhytidectomy, a facelift is a surgical procedure to improve visible signs of aging in the face and neck, such as:
Rejuvenation procedures typically performed in conjunction with a facelift are brow lift, to correct a sagging or deeply furrowed brow, and eyelid surgery to rejuvenate aging eyes.
What facelifts won’t do:
As a restorative surgery, a facelift does not change your fundamental appearance and cannot stop the aging process.
Is it right for me?
A facelift can only be performed surgically; non-surgical rejuvenation treatments cannot achieve the same results, but may help delay the time at which a facelift becomes appropriate and complement the results of surgery. Facelift surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires to to try to fit any sort of ideal image.
Facelift surgery is a good option for you if:
Choose a surgeon you can trust
Plastic surgery involves many choices. The first and most important is selecting a surgeon you can trust.
Choosing an ensures that you have selected a physician who:
Questions to ask my plastic surgeon:
ASPS Member Surgeons are your partners in cosmetic and reconstructive plastic surgery.Information & images are courtesy of ASPS®
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Before & After Photos of Facelift (Rhytidectomy)
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