ANTIAGING FACIAL TREATMENTS
Facial Cosmetic Surgery
With age, the effects of gravity, exposure to the sun,
and the stresses of daily life can be seen in our faces,
with changes in its deep structures.
The aging face not only loses skin elasticity and develops
looser droopy skin, but also loses fat and muscle tone.
There is a downward descent of the facial fat and skin,
which comes to rest at natural places in the face, such
as the creases by the nose and mouth, along the jaw line,
and in the neck.
Changes in the neck and eyes also occur, including the
accumulation of fat and loose skin.
A facelift [rhytidectomy] can't stop this aging process
but it can "set back the clock," improving the
most visible signs of aging by removing excess fat, tightening
underlying muscles, and redraping the skin of your face
and neck.
By repairing muscles and restoring the underlying structures,
patients can achieve a refreshed look without exaggerated
skin tightness.
A face lift does not get rid of skin wrinkles. Skin
treatments such as chemical peels, microdermabrasion or
laser resurfacing improve skin quality and can be performed
before or after a face lift.
For cosmetic surgery purposes the face is divided into
3 zones.
The goal of facial surgery should be to restore the facial
structures to a natural, more youthful position. Discrete
placement of incisions following the natural curves of
the ear blend easily and do not attract visual attention.
The procedures used depend upon age, skin condition and
facial area.
Upper Face
Mid Face
Lower Face
The majority of work is performed on the structures
beneath the skin, with each layer adjusted back to their
natural proper position such that the natural shape and
the curves of the face are restored. Following this, excess
stretched skin is removed and the skin is gently redraped
over the face.
Quick Fix Face Lifts
In these procedures, only the skin is stretched, no
underlying tissue replacement is done. This results in
distortion of facial features and a pulled, mask-like
appearance. The face is flattened but not rejuvenated.These
"skin-only" face lifts are of very short duration
and should be avoided.
A facelift can be done alone, or in conjunction with
other procedures such as a chemical peels, implants, dermal
fillers, Botox, forehead lift, eyelid surgery, or nose
reshaping.
Face Lift Procedure
Most procedures are performed in an outpatient setting.
- An incision is made starting in the hair or hairline
above and in front of the ear (the temporal region),
extended downward in front of the ear, under the ear
and then upward behind the ear ending in the hair or
hairline behind the ear.
- The skin and fatty tissues is lifted off the underlying
muscle and tissue as far forward as is necessary to
correct the loose skin problem.
- The underlying muscle and tissue can be tightened
with sutures if the surgeon feels it is necessary.
- The skin is pulled back and upward and the excess
skin removed.
- The opening is closed with sutures and skin staples.
- A drain often placed in the wound to remove excess
blood.
- Bandages are applied.
After Care
- Dressings are removed after approximately 3-5 days.
- Recovery time is usually one week but activities
can begin the day after surgery.
- Pain and discomfort are usually minimal.
Complications
These may include:
- Bleeding, haematoma, bruising
- Infection
- Temporary loss of muscle function or sensation
- Widened or thickened scar
- Loss of hair around the incision site
- Asymmetry between two sides
- Skin necrosis
Face Lift Results
A face lift results in an overall more youthful appearance,
and is generally very satisfying to patients. The effects
last about 10 years, when repeat procedures may be carried
out.
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