Throughout one’s life, the sun’s radiation, stress, gravity, and other factors cause the skin to sag and fit more loosely. Areas of the face and neck, in particular around the jaw line, are especially prone to the aging process. Though these changes are gradual, wrinkles and other signs of aging can make individuals “feel older” than they really are.
What is a Facelift?
A Facelift (Rhytidectomy) is a surgical procedure designed to smooth and firm the skin, providing a fresh, youthful appearance.
Surgery for a facelift involves the contraction and realignment of facial and neck skin, and in some instances the removal of excess fat deposits. A facelift is often performed in combination with other facial cosmetic procedures and can be performed any time signs of aging begin to appear.
For more information on Facelifts, read the article written by Dr. Narasimhan for the Plastic and Reconstructive Surgery Journal.
Reasons for considering Facelift surgery
Sagging skin, muscles, and fat in the face and neck.
Excess skin and fat on the neck.
Sagging jaw line.
Crease lines along the nose, mouth, and chin.
Ideal candidates typically are healthy, do not have major cardiac issues, and are non-smokers. In addition they have maximize their weight loss, and follow a healthy balanced lifestyle.
The standard procedure for a facelift commonly involves making small incisions just inside the hairline, following the contour in front of the ear, and continuing under the earlobe to the backside of the ear and to the lower scalp. Tissue and fat deposits are separated, the skin is stretched and tightened, and any excess skin is removed.
If the neck line requires attention, an additional incision is made under the chin and the same procedure is again followed. Minuscule stitches are used to close the incisions and to reduce any chance of scarring. Metal clips or staples may also be utilized at the hairline.
What to expect immediately after surgery
Immediately after surgery, the face is fitted with bandages in order to decrease the recovery time and to reduce swelling. The stitches, clips or staples are normally removed within a week. Patients sometimes report some minor pain associated with surgery. Any discomfort can be treated effectively with oral medication. While complications are rare, patients can minimize potential problems by carefully following the directions given after the procedure.
Facelift Before and After
The facelift procedure, when done appropriately, has a period of recovery lasting about six weeks. However, after about a week or so the bruising will have much improved, you can start to wear some concealing make up, and you will really see results. I like to focus on making the neck look tighter and younger. These changes will be immediate. Remember however that the period of swelling will take several months to get better. This varies from patient to patient, but improvements will last during the six-month period.
After the procedure, I would say there is at least 7 to 10 days of downtime is necessary, depending on what type of work you do. Six weeks generally before patients can do strenuous work or heavy exercise.
How soon can I return to normal activities?
The first several weeks you can walk as much as possible. Interims of going back to work usually about a week to 10 days, depending on what type of work you do. I do not allow patients to do a lot of manual work, heavy exercise, or strenuous activities for at least six weeks. You need time for your incisions to heal.This includes swimming and going out into the sun. If patients need to absolutely be in the sun they should wear a large hat, sunglasses, and sunscreen with SPF of at least 70. This will protect the scars.
How long will results last?
Patients always ask this question, and a lot of it depends on your individual skin tone and skin quality. While the aging process will always take it’s course, patients who are 5 to 10 years out for their facelift still can have outstanding results. And even for decades afterwards they can be much improved in their appearance.
Can Facelift be combined with another procedure?
Absolutely. When I do facelift, I almost always perform a neck lift which involves tighten the muscles and skin in this region. Very commonly, patients also undergo eyelid procedures, brow lift, and chemical peels. These complement and enhance the facelift.
Is Facelift surgery painful?
During surgery you will be under anesthesia, however patients generally do not have a lot of pain. Because I do address the deeper layers of the face, commonly they do feel some tightness initially. However this slowly improves and get better within the first few weeks.
How long will the surgery take?
A facelift may take generally 5 to 6 hours in the operating room depending on whether other cosmetic procedures are completed at the same time. This includes total anesthesia time. We do not do quick or rushed procedures here and patients are grateful for this. Other procedures may be performed in separate appointments.
The main risks include bruising and swelling. I generally tend to see patients one day after surgery take off the dressing and inspect all of the incision sites. This is to address any urgent issues. This close follow-up is very important in my opinion.
However cost is an important factor to consider is well. Generally, including the surgeons fee, operating room, and anesthesia fee, the price will be around $7500-$8500. This is all inclusive.
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Schedule a consultation
To learn more about the facelift procedure or to schedule a consultation, call The Swamy Clinic at (903) 893-6311 today!