In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces and necks. Deep creases appear beside the mouth, the jaw line slackens and becomes jowly, and the neck develops loose folds and fat deposits. Facelifts counteract these signs of aging by tightening muscle, removing fat, and trimming excess skin, giving your face a fresher, youthful look. After surgery, some patients look 10-15 years younger.
Face lifts, technically known as rhytidectomies (literally, "removal of wrinkles"), rejuvenate the mid- to lower face and neck. Face lifts are most effective for patients who want to correct:
- Midface sagging
- Deep creases under the eyes
- Deep creases between the nose and mouth
Face lifts can produce a dramatic improvement in appearance for patients with the problems mentioned above. However, face lifts do not stop the aging process; in time, signs of aging will gradually appear once again.
Further, face lifts will not rejuvenate the brow, eyelids, nose, and some of the mid-face. Patients who want to improve these areas may consider combining a face lift with a brow lift or eyelid surgery (blepharoplasty).
Inject-able soft-tissue fillers, facial implants and skin resurfacing can also enhance the effects of a face lift.
Candidates for Facelift
The best candidates for rhytidectomy:
- Wish to improve one or more of the signs of aging indicated above
- Are men or women whose faces have begun to sag, but whose skin still has some elasticity
- Are generally healthy
- Do not smoke
- Have realistic expectations
- Are considering a facelift for personal reasons, not because someone else is pressuring them to do so
During your consultation, your doctor will discuss whether a facelift is right for you.
Face lift Procedure - Techniques
Face lifts are typically outpatient procedures and may be performed in an office-based facility, surgery center or hospital. Patients may have a choice of IV sedation or general anesthesia. The procedure takes about two hours.
The way a face lift is performed varies depending on the surgeon, the patient's facial structure, and the extent of correction desired. The three most common incision techniques are:
Traditional face lift: The "full" face lift for rejuvenating the face, jowls and neck, including fat sculpting, lifting and repositioning of muscle and deeper tissues, and skin trimming and redraping. The incision begins at the temples and travels down to the front of the ear, around the earlobe, and behind the ear to the lower scalp at the hairline. Sometimes, another incision is made under the chin.
Limited-incision face lift: For limited rejuvenation around the eyes and mouth, including nasolabial folds and other deep creases. Short incisions are made at the temples and around the ear, and possibly in the lower eyelids and/or under the upper lip as well.
Neck lift: A neck lift concentrates on jowls, loose skin on the neck, and fat under the chin. The incision is made around the ear lobe and behind the ear to the lower scalp.
In all three methods, incisions are closed with stitches or tissue glue. Scars are hidden in the hairline and natural contours of the face.
Recovery from Face Lift
After your rhytidectomy, your doctor will wrap the incisions in bandages and may place drainage tubes in the area. The tubes will be taken out the next day, when your hair will be carefully washed. If surgical clips are used to hold the incisions closed, they will be removed one week after the face lift along with your stitches.
At first, you may experience swelling, numbness, bruising, and a feeling of tightness or tension in the face and neck. Your face may look uneven or distorted, and your facial muscles may feel stiff. Most of these usually resolve within 3-6 weeks, and sensation typically returns to normal within a few months. Scars become less red, raised, lumpy or itchy in time.
Many patients return to work by the third week. Camouflage cosmetics can be used to minimize the appearance of bruising.
You should be gentle with your skin and hair as you recover. Men may need to shave behind the neck and ears where areas of beard-growing skin have moved.
Results of Face Lift
Results of a face lift do not last forever. You may want to have another procedure in five or ten years. But in another sense, the effects are permanent; years later, your face will continue to look better than if you had never had a face lift.