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Greek Medical Clinic » For Your Face » Surgical » Facelift »
Facelift
As people age, the effects of gravity, exposure to the sun and the stresses of daily life begin to take their toll on the face. Deep creases form between the nose and mouth; the jawline grows slack and jowly; folds, loose skin and fat deposits appear around the neck.
A face-lift is a surgical procedure performed to improve the most visible signs of the ageing process, by eliminating excess fat, tightening the muscles beneath the skin of the face and neck, and remove any sagging skin. Many times this procedure is performed in conjunction with eyelid, forehead or other surgery.
A well-performed face lift should revitalise the face without distorting or changing ones facial features. A facelift can make you look younger and fresher, and it may enhance your self-confidence in the process. However it can't, and shouldn’t, give you a totally different look, nor can it restore the health and vitality of your youth. Before you decide to have surgery, think carefully about your expectations and discuss them at your consultation.
The SMAS type of lift is that favoured by many competent surgeons although there are now many variations such as the, extended SMAS lift, Composite Lift and Sub-periosteal Lift. Each of the above modifications can be tailor made to suit individual needs. It is equally important to remember that different methods do not indicate a departure from any formally established standard, as there is no- one standard. Many times liposuction is carried out during a face-lift so as to ensure that the neck and jawline is clearly defined.
More recently there have been newer “mini” techniques that have been popularised such as the MACS lift, S-lift and thread lifts. These have been devised with the aim of minimising scars, extent of surgery and to generally shorten recovery times. While these techniques may have some place in patients with very early ageing signs, most have limited spectrum of facial improvement and probably don’t last as long. Of course, it's a great deal for the surgeon - lots of repeat business - but not such a great deal for the patient. Because if you keep pulling on the skin, before long your face looks over stretched, giving you that "facelift look."
In broad terms the incision used for both men and women is the same, although there is a slight difference, as result of the hair bearing nature of the male facial skin. Generally speaking the incision starts high in the temple area (hidden within the hair at this point) then
courses down in front of the ear, round the earlobe and up behind the ear before curving gently back into the hairline of the neck. It may on occasion, be necessary to add an incision in under the chin
Using the above incisions the skin is lifted forwards onto the cheeks and down as far as the jawline and into the neck. Importantly, the underlying muscles are then lifted accordingly so as to ensure a longer lasting effect. Having repositioned the deep tissues, leaking blood vessels are then sealed with the use of a cautery. Following this, the loose expanded skin is elevated upwards and any overlapping or excess skin is trimmed. The wound is then closed entirely with dissolving sutures.
Risks such as leg and lung blood clots are rare. Early mobilisation by moving around as soon after the surgery as possible reduces this considerably.
A face-lift is a surgical procedure performed to improve the most visible signs of the ageing process, by eliminating excess fat, tightening the muscles beneath the skin of the face and neck, and remove any sagging skin. Many times this procedure is performed in conjunction with eyelid, forehead or other surgery.
A well-performed face lift should revitalise the face without distorting or changing ones facial features. A facelift can make you look younger and fresher, and it may enhance your self-confidence in the process. However it can't, and shouldn’t, give you a totally different look, nor can it restore the health and vitality of your youth. Before you decide to have surgery, think carefully about your expectations and discuss them at your consultation.
The surgery
Over the years the classical (skin only) operation has undergone a number of modifications to improve the overall results. These modifications were aimed at lifting not only the skin but also the underlying structures (i.e. muscles or SMAS), which were equally subjected to the effects of the ageing process. By addressing these structures, the face could be lifted to enjoy a longer lasting effect.The SMAS type of lift is that favoured by many competent surgeons although there are now many variations such as the, extended SMAS lift, Composite Lift and Sub-periosteal Lift. Each of the above modifications can be tailor made to suit individual needs. It is equally important to remember that different methods do not indicate a departure from any formally established standard, as there is no- one standard. Many times liposuction is carried out during a face-lift so as to ensure that the neck and jawline is clearly defined.
More recently there have been newer “mini” techniques that have been popularised such as the MACS lift, S-lift and thread lifts. These have been devised with the aim of minimising scars, extent of surgery and to generally shorten recovery times. While these techniques may have some place in patients with very early ageing signs, most have limited spectrum of facial improvement and probably don’t last as long. Of course, it's a great deal for the surgeon - lots of repeat business - but not such a great deal for the patient. Because if you keep pulling on the skin, before long your face looks over stretched, giving you that "facelift look."
In broad terms the incision used for both men and women is the same, although there is a slight difference, as result of the hair bearing nature of the male facial skin. Generally speaking the incision starts high in the temple area (hidden within the hair at this point) then
courses down in front of the ear, round the earlobe and up behind the ear before curving gently back into the hairline of the neck. It may on occasion, be necessary to add an incision in under the chin
Using the above incisions the skin is lifted forwards onto the cheeks and down as far as the jawline and into the neck. Importantly, the underlying muscles are then lifted accordingly so as to ensure a longer lasting effect. Having repositioned the deep tissues, leaking blood vessels are then sealed with the use of a cautery. Following this, the loose expanded skin is elevated upwards and any overlapping or excess skin is trimmed. The wound is then closed entirely with dissolving sutures.
Risks
Complications that can occur with a facelift include a haematoma (a collection of blood under the skin that must be drained by the surgeon), injury to the nerves that control facial muscles (usually temporary and less than 1% chance), infection(less than 1%), delayed wound healing, skin lumpiness, necrosis(skin loss), occasional hair loss in the temple region along the scar or distortion (usually temporary).Risks such as leg and lung blood clots are rare. Early mobilisation by moving around as soon after the surgery as possible reduces this considerably.
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