Facelift

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Facelift
Facelift full

Signs of aging in the face and neck occur for many reasons, such as heredity, skin type, sun exposure, and lifestyle choices. If you are bothered by a combination of deep facial wrinkles, sagging jowls, drooping eyelids, or loose skin and excess fatty deposits under your chin or on your neck, a facelift may be right for you. A full facelift is best described as a combination of separate procedures that affect different areas of the face. Not all people need the same procedures, so what may be full facial rejuvenation for one person may involve a slightly different set of procedures for another. Typically a full facelift involves a lower or mid facelift, a forehead lift and sometimes eyelid surgery. Your plastic surgeon can help decide the best options to give you the results you desire. A general overview is presented here, and surgical details for individual procedures commonly performed during a full facelift can be viewed separately.

Introduction
Signs of aging in the face and neck occur for many reasons, such as heredity, skin type, sun exposure, and lifestyle choices. If you are bothered by a combination of deep facial wrinkles, sagging jowls, drooping eyelids, or loose skin and excess fatty deposits under your chin or on your neck, a facelift may be right for you. A full facelift is best described as a combination of separate procedures that affect different areas of the face. Not all people need the same procedures, so what may be full facial rejuvenation for one person may involve a slightly different set of procedures for another. Typically a full facelift involves a lower or mid facelift, a forehead lift and sometimes eyelid surgery. Your plastic surgeon can help decide the best options to give you the results you desire. A general overview is presented here, and surgical details for individual procedures commonly performed during a full facelift can be viewed separately.

The Forehead
A forehead lift, also known as a brow lift, reduces forehead lines and creases, and can improve frown lines that may appear between your eyebrows. Sagging eyebrows may also be lifted with this procedure, restoring a firmer, more youthful appearance to the upper portion of your face.




Upper Eyelids and Lower Eyelids
Eyelid surgery, also known as blepharoplasty, may be performed on the upper eyelids, the lower eyelids, or both. During eyelid surgery, fatty deposits are removed or repositioned and excess skin and muscle tissues are often removed to brighten the appearance of the eyes.





The Mid Face
The mid facelift, sometimes referred to as a cheek lift, rejuvenates the center of the face in an area approximately from the corners of the eyes to the sides of the mouth. Underlying muscles and fat that have sagged over time are lifted back up onto the cheek bones.




The Lower Face and Neck
A lower facelift can help to reduce the appearance of deep facial wrinkles, sagging jowls, and sagging in the neck, restoring a firmer, more youthful appearance. During a lower facelift, underlying tissues and muscles are repositioned, fat deposits are removed, facial skin is tightened, and excess skin is removed.




For More Information
Consult with your physician to discuss the best options for you. You may learn more details about specific procedures in individual animations or by researching the particular procedures.






Facelift mid

Mid Facelift Introduction
An individual’s identity is often primarily determined by the face—its structure, overall appearance, and expressions. As such, age-related changes that can alter the appearance of the face may make an individual feel as if their identity has changed over time. Changes can occur in the upper, mid, and lower portions of the face; however, changes to the middle region of the face can often occur earlier than changes to the lower face. These changes may include loss of volume and sagging of the cheeks, as well as the development of deep wrinkles and hollow areas below the lower eyelids. Often appropriate for individuals who have not yet experienced sagging in the lower face, a mid facelift can help to reduce these signs of aging, restoring a firmer, more youthful appearance.

Facial Anatomy
Before you understand how a facelift works, it is important to understand the underlying structure of the face and how the aging process causes it to change over time. The face is composed of layers of skin, muscle, and fat which lie above the facial bones. Much like a rubber band that has been over stretched, the tissues within your face weaken, losing their resiliency and ability to maintain a firm, youthful position.

Facial aging occurs for many reasons. In response to sun damage and other factors, your skin’s support network of collagen and elastin breaks down. As a result, your skin loses some of its structure and elasticity and becomes lax. Additionally, the facial muscles weaken and stretch, and fat deposits, which normally give the face a soft, rounded appearance, migrate downward and are depleted. In combination, these changes work together to create sagging cheeks, hollow areas, and deep wrinkles in the mid face.

How Does a Mid Facelift Work?
There are several different types of facelift—each specialized to treat different regions of the face. For example, the mid facelift is usually performed to rejuvenate the middle portion of the face. Age-related changes in the upper and lower region of the face are usually corrected with a forehead lift and lower facelift, respectively. In addition, sagging and puffy eyelids can be addressed with eyelid surgery. During a mid facelift, the underlying tissues are tightened, and fat pads that give the face shape and volume are shifted upward to restore a firmer, more youthful appearance. It is important to realize that a mid facelift cannot correct loose skin in the neck or along the jaw line, nor can it address fine lines or uneven skin tone and texture. Your physician will help you determine which procedure is best for you, and whether an additional procedure such as eyelid surgery or skin resurfacing would produce more global facial rejuvenation.

Surgery Preparation
A mid facelift procedure may last approximately one and a half hours, depending on the extent of treatment. Prior to the start of your procedure, the treatment area will be cleansed and anesthesia will be administered. The procedure will most likely be performed under general anesthesia in which you are asleep.





Incisions in the Hairline
A mid facelift can be performed using a variety of different incisions and surgical techniques. For example, some physicians may choose to make incisions in the lower eyelid, among other locations. However, the endoscopic approach is gaining in popularity. With this approach, the physician generally makes small incisions just above the hairline. They may insert an endoscope into the incision, which is a thin, tube-liked instrument used to see inside the body. In order to access the fat deposits that will be lifted during the procedure, the physician may use blunt forceps to elevate the underlying tissues. Working toward the mouth, they carefully lift the tissue creating a small tunnel in the mid-face.

Incisions in the Mouth
Using a retractor, the physician will expose the inside of the mouth and make two small incisions along the gum line. As before, using blunt forceps they carefully elevate the tissues in the lower portion of the mid-face to open the region between the upper and lower incisions.






Adjusting Position of Fat Deposits
The physician will place what are known as suspension sutures in the fat deposits that have migrated downward with time. By threading the sutures through the incision in the hairline, the physician elevates the fat deposits and suspends them in a higher position. In doing so, the physician restores soft, round contours to the mid-face.




Incision Closure
Once the physician has finished making the necessary adjustments to the underlying structures, they may choose to place a surgical drain beneath the skin to prevent fluid build up as you heal, although this is typically not necessary. The incisions in the hairline and the mouth will then be closed using sutures.





Mid Facelift Recovery
While some physicians prefer not to use bandages, others may apply a loose-fitting wrap or a compression garment to facilitate healing. A compression garment is tight-fitting, and will help to reduce swelling by preventing fluid build up, as well as provide comfort and support as you heal. Although loose bandages may be removed in several days, compression garments are often worn for a few weeks.

As with any surgical procedure, you will likely experience some pain, bruising, and swelling, most of which will subside within a few weeks. If a surgical drain was used, it will usually be removed within a day following surgery, and non-absorbable sutures may be removed in seven to ten days. You will feel well enough to return to work in one to two weeks; however, you should avoid strenuous activity such as heavy lifting or exercise for up to three weeks to allow your body sufficient time to heal.

Mid Facelift Results
You will typically start to notice the results very soon after your procedure. They will become even more evident in two to three weeks, as the bruising and swelling continue to fade. As all individuals heal at different rates, the final results may continue to evolve for several months. Although a mid facelift will not stop the aging process, it can significantly reduce the appearance of loose skin, deep wrinkles, and hollowness in the face, restoring a youthful appearance for many years to come.

Facelift lower

Introduction
Signs of aging in the face and neck occur for many reasons, such as heredity, skin type, sun exposure and lifestyle choices. An aging face can create a tired appearance or falsely express feelings. A lower facelift can help to reduce the appearance of deep facial wrinkles, sagging jowls, and sagging and banding in the neck, restoring a firmer, more youthful appearance.



How a Lower Facelift Works
Much like a rubber band that has been over-stretched, the tissues in your face weaken over time, losing their resiliency and ability to maintain a firm, youthful position. Additionally, fat deposits, which normally give the face a soft, rounded appearance, migrate downward or are depleted, creating hollow areas. These changes create deep wrinkles, jowls, and loose skin in the lower portion of the face and neck. During a lower facelift, underlying tissues and muscles are repositioned, fat deposits are removed, facial skin is tightened, and excess skin is removed.

Preparation
Prior to the start of your procedure, you will be given one of two types of anesthesia to make you as comfortable as possible. General anesthesia causes you to sleep through the procedure; local anesthesia with IV sedation causes the surrounding tissues to be numb and allows you to relax, but you may not be entirely asleep. Prior to making incisions, the physician may part your hair along the incision area and carefully draw the incision lines so that the resulting scars will be as inconspicuous as possible.

Procedure
Typically, a single incision is made within the hairline that extends downward around the perimeter of the ear and into the hairline on the backside of the head. Surgical instruments are used to carefully elevate the skin away from the underlying tissues of the lower portion of the face, jaw line, and neck. The SMAS, which is a layer of tissue composed of muscle and fibrous connective tissue, is exposed and may be repositioned to lift and tighten the underlying structures of the face. Proceeding with the neck area, an incision will be made on the underside of the chin. Your surgeon may choose to reposition the neck muscles or remove a portion of them in order to reduce the appearance of skin laxity and banding in the neck. Additionally, fatty tissue may be removed to further sculpt the area. Once the necessary adjustments to the underlying structures are finished, your surgeon will stretch and remove the excess skin around the natural contours of the face. In some cases, a surgical drain may be placed beneath the skin to prevent fluid buildup as you heal. To conclude the procedure, all incisions will be closed with sutures.

Recovery and Results
Bandages around your face and drainage tubes are typically removed within a few days. Any non-absorbable sutures that were used will be removed in seven to ten days. As with any surgical procedure, you can expect to experience some pain, bruising, and swelling, but you will likely feel well enough to return to work in one to two weeks. You should avoid strenuous activity, such as heavy lifting or exercise, as recommended by your doctor, to allow your body sufficient time to heal. Results from your procedure will become increasingly more evident as weeks pass, and your scars will continue to fade. Although a facelift will not stop the aging process, it can rejuvenate your appearance, giving you the youthful look that reflects the way you feel.