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Face-lift or rhytidectomy is a surgical procedure used to lift facial tissue and make the skin look as it was before time had its effect on it. If you feel young and lively, but your mirror no longer shows you that image, a Face-lift may be of great help to you. Challenge the passage of time.
What does Face-lift surgery do?
It tightens the skin and lax (hypo tonic) muscles of the face. It helps improve the youthful appearance of mature people (about 40 years old) that have not aged yet and that wish to delay the aging process for personal or professional reasons. It rejuvenates the face of older people. The rejuvenating effect will be more impressive if the aging marks such as wrinkles and hanging skin are more pronounced. It is divided in two areas: a) Upper or temporal lift (also known as mini-face lift or lateral brow lift): it illuminates and refreshes the look and can be performed as a single procedure in young people who do not need to have their cheeks rejuvenated. b) Mid lift: used to correct the cheeks. Performed together with eyelift surgery (Blepharoplasty), neck lift surgery, and brow lift surgery, it completely rejuvenates the face and neck. The neck lift tightens skin and muscle that has become loose and hanging due to aging or hereditary family traits. It also removes excess fat from the neck and the double chin.
What does Face-lift surgery NOT do?
It does not eliminate crow’s feet or wrinkles around the lips, since these wrinkles do not appear as a result of the aging process, but due to repeated muscle contraction. It does not produce any changes in the area above the eyes. In order to do that, forehead or brow lift surgery will be necessary.
How is Blepharoplasty performed?
The surgeon makes the incisions along the natural folds of the eyelids so that the resulting scars will be disguised. On the upper eyelids, the incision is done along the natural folds and, on the lower eyelids; it is done just below the eyelashes. In some cases, the incisions extend some millimeters beyond the corners of the eyes. Working through these incisions, the surgeon removes the excess fat that accumulates beneath the skin (two lumps in each upper eyelid and three in each lower eyelid). Apart from this, he trims the excess skin of the bags that give the eyes the appearance of being ‘hanging’. After that, the incisions are closed with very fine sutures. If you have fat lumps but you do not need to have any excess skin removed, your surgeon may perform a transconjunctival Blepharoplasty. In this procedure, the incisions are made inside of the eyelids and they leave no visible scars but, it is necessary for the skin to be thick, firm and elastic, that is why it is generally indicated for young patients.
Anesthesia
Local anesthesia and complementary sedation.
Length of surgery
One to three hours, according to the complexity of the case.
Hospitalization
There is no need to be hospitalized; it is done on an outpatient basis.
How is a Face-lift performed?
The surgeon makes a vertical incision from the temples to the upper part of the ears. This incision, which is usually made behind the hair-growth line so that the resulting scar will be concealed, is the one used in upper or temporal lift surgery. In mid lift surgery (cheeks), the same temporal incision we just described extends further down in front of the ears and follows their natural outline to the back (periauricular line). By means of this incision, the surgeon separates the muscle and the skin from the face, he tightens them and replaces them further up to achieve a more youthful look. He cuts the excess skin and muscle and sutures. In order to rejuvenate lower areas of the face, such as the outline of the jaw, it is necessary to perform neck lift surgery. In order to perform the neck lift, the surgeon makes an incision that has two sections: the first one is vertical and extends behind each ear (retroauricular), and the second one is horizontal and extends about 2 inches (5 cm) along the hair-growth line on the back of the neck (mastoid). In some cases it may be necessary to make a small incision under the chin and/or a liposuction of the double chin to obtain better results. By means of these incisions, the surgeon separates the muscle and the skin from the neck, he tightens them and replaces them further up to achieve a more youthful look. He cuts the excess skin and muscle and sutures.
Anesthesia
Local anesthesia and complementary sedation or general anesthesia, according to the complexity of the case.
Length of surgery
Between 90 minutes and 2 hours if it is partial. Between 3 and 4 hours if it is complete.
Hospitalization
No hospitalization is required if the surgery is performed with local anesthesia. If it was performed with general anesthesia, you will be hospitalized for one day or one night.
The Results
The scars heal very quickly and become almost invisible after a few months. But even before that happens, after only 2 or 6 weeks, the results of the Blepharoplasty will be evident. You will have a more relaxed and youthful look for a long time. In many people, the results are permanent.
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