What is Face lift?
A face lift is a cosmetic surgical procedure to create a younger appearance in your face. The procedure can reduce the sagging or folds of skin on the cheeks and jawline and other changes in the shape of your face that occur with age.
During a face lift, a flap of skin on each side of the face is pulled back. A neck lift is often done as part of a facelift to reduce fat deposits and sagging skin on the neck.
Why would you need to have face/neck lift?
As we get older the appearance and shape of your face is changed because of normal age-related changes. Skin becomes less elastic and looser and fat deposits decrease in some areas of face. Age-related changes in face / neck that may be reduced with a face lift include the following:
- Sagging appearance of cheeks
- Excess skin at lower jawline
- Sagging skin and excess fat in the neck
- Sagging and dropping appearance of eye lids
- Wrinkles around the eyes
- Bruises and bagging under the eyes
- Visible and deep forehead lines
- Visible and deep nose line
- Visible and deep lip lines
- Sagginess under chin
- Skin blemishes, dullness and thinness
What are the risks of the operation?
A face lift surgery can cause some possible complications. Some can be managed with appropriate care, medication or surgical intervention.
- A collection of blood (hematoma) under the skin that causes swelling and pressure is the most common complication of face-lift surgery. Hematoma which usually occurs with 24 hours of surgery is treated promptly with surgery to prevent damage to skin .
- Incision scars from a face lift are permanent but typically covered by the hairline.
- Nerve injury; Injury to nerves while rare can temporarily or permanently affect nerves that control sensation or muscles. Surgical interventions may offer some improvement.
- Hair loss; You might experience temporary or permanent hair loss near the incision sites.
What to avoid before the operation?
Please be aware of issue that may cause difficulties
- Blood-thinning medications or supplements; Medications or supplements that thin the blood can affect your blood’s ability to clot and increase the risk of hematomas after surgery. These medications include blood thinners (Coumadin, Plavix, others), aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), ginseng, Ginkgo biloba, fish oil and others.
- Medical conditions; If you have a medical condition that prevents blood clotting, you won’t be able to have a face-lift. Other conditions, such as poorly controlled diabetes or high blood pressure, increase the risk of poor wound healing, hematomas and heart complications.
- Smoking significantly increases the risk of poor wound healing, hematomas and skin loss after a face lift.
- Weight fluctuation; If you have a history of repeated weight gain and loss — factors that affect the shape of your face and condition of your skin — the outcome of the surgery may not be satisfactory or may be satisfactory for only a short time.
How you prepare
Initially, you’ll talk to a plastic surgeon about a face lift. The visit will likely include:
- Medical history and exam; Prepare to answer questions about past and current medical conditions, previous surgeries, previous plastic surgeries, complications from previous surgeries, history of smoking, and drug or alcohol use. Your surgeon will do a physical exam, may request recent records from your doctor or order a consultation with a specialist if there are any concerns about your ability to undergo surgery.
- Medication review; Provide the name and dosages of all medications you regularly take, including prescription drugs, over-the-counter drugs, herbal medications, vitamins and other dietary supplements.
- Facial exam; Your plastic surgeon will take photos of your face from different angles and close-up photos of some features. The surgeon will also examine your bone structure, shape of your face, fat distribution and quality of your skin to determine your best options for face lift surgery.
- Your surgeon will ask questions about your expectations for the outcomes of a face lift. He or she will help you understand how a face lift will likely change your appearance and what a face lift doesn’t address, such as fine wrinkles or naturally occurring asymmetry in your face.
Before a face-lift:
- Follow medication directions; You’ll receive instructions about what medications to stop taking and when to stop. For example, you’ll likely be asked to discontinue any blood-thinning medication or supplement at least two weeks before surgery. Talk to your doctor about what medications are safe to take or whether the dosage should be adjusted.
- Wash your face and hair; You’ll likely be asked to wash your hair and face with a germicidal soap the morning of the surgery.
- Avoid eating; You’ll be asked to avoid eating anything after midnight the night before your face-lift. You will be able to drink water and take medications that have been approved by your surgeon.
- Arrange for help during recovery; If your face-lift is done as an outpatient procedure, make plans for someone to drive you home after surgery and stay with you the first night after surgery.
What you can expect
A face-lift can be done in a hospital or an outpatient surgical facility.
Before the procedure
Sometimes the procedure is done with sedation and local anesthesia, which numbs only part of your body. In other cases, general anesthesia — which renders you unconscious — is recommended.
During the procedure
In general, a face lift involves elevating the skin and tightening the underlying tissues and muscles. Fat in the face and neck may be sculpted, removed or redistributed. Facial skin is then re-draped over the newly repositioned contours of the face, excess skin is removed, and the wound is stitched or taped closed.
The incisions for the procedure depend on the techniques that will be used and the patient’s preferences. Options include:
- A traditional face lift incision starts at your temples in the hairline, continues down and around the front of your ears and ends behind your ears in your lower scalp. An incision might be made under your chin to improve the appearance of your neck.
- A limited incisionis a shorter incision that begins in your hairline just above your ear, wraps around the front of your ear, but does not extend all the way into the lower scalp.
- Neck lift incision starts in front of your earlobe and continues around your ear into your lower scalp. A small incision also is made under your chin.
A face lift generally takes two to four hours but might take longer if other cosmetic procedures are done at the same time.
After the procedure
After a face lift, you may experience:
- Mild to moderate pain
- Drainage from the incisions
Contact your doctor immediately if you have:
- Severe pain on one side of your face or neck within 24 hours of surgery
- Shortness of breath
- Chest pain
- Irregular heartbeats
Your incisions will likely be covered with bandages that provide gentle pressure to minimize swelling and bruising. A small tube might be placed under the skin behind one or both of your ears to drain any excess blood or fluid.
In the first few days after surgery:
- Rest with your head elevated
- Take pain medication as recommended by your doctor
- Apply cool packs to the face to ease pain and reduce swelling
You will have several follow-up appointments scheduled during the next two months after surgery. They will include the following:
- The day after surgery, your surgeon will likely remove your drainage tube, apply antibiotic ointment to your incisions and place new bandages on your face.
- Two to three days after your face-lift, you may be able to switch from wearing bandages to wearing an elasticized facial sling.
- About a week after surgery, your doctor will remove your stitches and assess the wound.
- Subsequent visits will likely be scheduled to monitor your progress.
Self-care at home during the first three weeks will help your recovery and minimize the risk of complications:
- Follow wound care instructions as directed by your surgeon.
- Do not pick at crusting scabs that develop on your wound.
- Follow instructions on when you can begin using shampoo and soaps and what kinds you can use.
- Wear clothes that fasten in the front (rather than clothes that are pulled over the head).
- Avoid excessive pressure or motion on and around the incisions.
- Avoid using makeup.
- Avoid vigorous or aerobic activity or sports.
- Avoid direct sun exposure to the incision for three weeks and use a sunscreen of SPF 30 or higher thereafter.
- Avoid coloring, bleaching or perming hair for at least six weeks.
In the weeks after a face lift, you might style your hair to hide any remaining signs of the incision. You may also choose to delay attending major social events for a couple of months, when you are likely to feel back to normal.
A face lift can give your face and neck a more youthful appearance. Face lift results are not permanent. With age, the facial skin may begin to droop again. In general, a face lift can be expected to last 10 years.
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