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What is a Facelift?
A facelift, technically known as a rhytidectomy, is a cosmetic procedure to reduce the signs of facial aging. This includes the loss of skin elasticity and firmness, sagging tissues and wrinkles, and the loss of muscle tone of the face and neck. Sagging in the midface can create a deep crease below the lower eyelid (called a tear trough) and between the nose and mouth (nasolabial fold) that may make you appear tired and sad. Loose skin and excess fatty deposits under the chin and jaw can make even a person of normal weight appear to have a “double chin.” The surgery affects the side of the face and neck. It is generally “custom tailored” to the individual’s needs. Sometimes liposuction is also performed in conjunction with a facelift to obtain the best overall result. A facelift is intended to give the patient a more rested and youthful contour to the face and neck. Facelifts range in size from “mini” to “standard” depending on location and the extent of skin laxity. A traditional facelift restores the midface, jowls, and neck, allowing excess skin to be removed.
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How is a Facelift done?
A facelift is performed on an outpatient basis (normally in our own state-licensed ambulatory surgery center) under general anesthesia. Incisions are made within the hairline (or along the hair margin) above the ear, extending down around the lobe and ending in or below the hairline behind the ear. The subcutaneous layers and neck muscles are tightened, the facial skin is redraped and lifted, and the excess skin is removed.
The patient goes home with head and neck wrapped in dressings, which are usually removed the next day. Minimal initial discomfort is easily controlled with oral medication. Sutures are removed within 14 days. Bruising and swelling decrease to “socially acceptable” levels in 10-20 days. The final result is evident in 4-6 weeks or sooner with continued improvement for several months.
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