Facelift Surgery

The face lift, also known as Rhytidectomy, is a surgical procedure to lift sagging skin, tighten facial muscles, and remove excess pockets of fatty tissue that create an aged appearance.

The natural tendency of the skin of the face is to relax over time. 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 and formation of jowls. Relaxation in the neck area causes vertical folds and extra tissue under the chin.

Though these changes are gradual, wrinkles and other signs of aging can make individuals "feel older" than they really are. A face lift will create an appearance of tighter facial muscles, tauter, youthful skin.

Facelift surgery involves the tightening 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 when signs of aging begin to appear.

If you ever wondered how a Rhytidectomy, or facelift, could improve your looks or self-confidence, you need to know how a facelift is performed and what you can expect from this procedure. The face lift procedure varies quite a bit, depending on the patient's individual goals and needs.

Are you a Candidate for a Facelift?

As is common with all facial plastic procedures, good overall health and understanding the limitations of a facelift are vital. The goal of a Rytidectomy is to improve the overall facial appearance. Skin type, ethnic background, degree of skin elasticity, individual healing, basic bone structure, as well as a realistic attitude are factors that should be discussed prior to surgery. A facelift cannot stop aging, but what it can do is help your face look its best and give you a look of health and a more youthful appearance. A side benefit is that many patients experience increased self-confidence.

Before deciding on a facelift, you should discuss with your facial plastic surgeon whether the overall effect will be more successful if additional changes are made in the chin and neck areas through other facial surgery. Many patients decide to have neck liposuction to remove excess fatty deposits in conjunction with a facelift.

The Surgical Procedure

The surgery begins the incision in the area of the temple hair, just above and in front of the ear, and then continues around the earlobe, circling the back of the ear to the hairline behind the ear. The skin is raised outward before repositioning and tightening of the underlying muscle and connective tissue. Some fat may be removed, as well as excess skin. For men, the incision is aligned to accommodate the natural beard lines. In all cases, the incision is placed where it will fall in a natural crease of the skin for camouflage.

After trimming the excess skin, the incisions are closed with fine sutures, often combined with surgical clips which permit surgery without shaving hair from the incision site. When the procedure is performed with a combination of mild sedatives, local anesthesia, and a mild intravenous anesthesia, the patient will experience little discomfort. Following the surgery, a dressing is placed to protect the face and apply mild pressure overnight.

Post Operative Expectations

Even though most patients experience very little pain after surgery, the surgeon will still prescribe medication. Some degree of swelling and bruising is unavoidable, and your surgeon may instruct you to use cold compresses during the first 12 hours to keep swelling to a minimum. The dressing is removed within one to two days. You will also try to keep your head elevated when lying down, to avoid as much activity as possible, and to report any undue discomfort.

In some cases, a drainage tube may have been inserted during surgery. This will be removed on the first or second day after surgery. All sutures and clip are removed within five to 10 days following surgery. Avoidance of vigorous activity is recommended for three weeks. Patients should prearrange for post-surgery support from family and friends.

Recovery usually takes two to three weeks, though many patients go back to work in two weeks. Scars are usually not noticeable after enough time has passed for them to mature. In any case, they are easily disguised in natural skin creases, by the hair, or, in persistent cases, by makeup until total healing has occurred. Bear in mind that the aging process continues after surgery and that some relaxation of tissues will occur over the first few weeks.

Facial plastic surgery makes it possible to correct many facial signs of premature aging that can undermine self-confidence. By changing how you look, cosmetic surgery can help change how you feel about yourself. With the care of our expert team you can achieve your best possible appearance.



Mini-Facelift Surgery

Early changes in the face and neck can now be treated with a procedure that maximizes results while minimizing recovery. A mini-facelift uses the same principles involved in a full facelift but targets the specific needs of today's active lifestyle.

Are you a candidate for a mini-facelift?

If you have prominent jowls, loss of a refined jaw line, or loose skin in the neck a mini-facelift may be perfect for you. Also, some patients who have had a prior facelift many years ago are candidates for a 'touch-up' facelift using the mini-lift approach.

The surgical procedure

A mini-facelift utilizes a shorter incision that is hidden around the ear, but otherwise provides the same long-lasting results of a full facelift.
The deeper tissues of the face are approached through small incisions, and these layers are tightened. After trimming excess skin the incisions are closed with fine sutures, often combined with surgical clips which permit surgery without shaving hair from the incision site. The procedure is performed with a combination of mild sedatives, local anesthesia, and a mild intravenous anesthesia, and there is little discomfort. Following the surgery, a dressing is placed to protect the face and apply mild pressure overnight.

Post operative expectations

Recovery from a mini-facelift is 3-5 days, with return to full activity by one week. This is a great option to quickly become the new, younger version of you!



Neck Lift

The neck is one of the first structures to be affected by aging in both males and females. As early as the 30's, 40's, or 50's, people may notice looseness and/or sagging of neck skin, fatty deposits in the sub-mental area (double chin) and even vertical muscle bands extending the length of the neck. These changes may become bothersome and embarrassing for some people.

The manifestation of aging on the neck can be treated with a number of surgical techniques. A composite neck lift for example, may be performed in conjunction with a facelift or by itself. Incisions, technical steps and patient recovery are similar to a standard facelift. However, smaller and minimally invasive variations of neck lifts are successfully done for patients with less extensive needs. For example, fatty deposits in the sub mental area (double chin) are usually addressed with simple neck liposuction or direct excision of fat. Fat excision is done through a small incision placed in a naturally occurring line below the chin, making it nearly invisible. This same incision can be used to tighten the muscles that often cause banding in the neck area. Men who are concerned with sagging skin on the neck, but do not want a full facelift, are excellent candidates for this procedure.



Eyelid Lift

Blepharoplasty, more commonly known as eyelid surgery,

is a procedure designed to remove and reposition the fat, muscle, and skin surrounding the eye to create a tighter, more alert and youthful look. In some cases, when sagging of the eyelids is extreme, patients find that their eyesight is improved after Blepharoplasty, due to the removal of the obstruction.
Eyelid surgery is a corrective procedure that can reduce bags under the eyes, remove excess wrinkles, to provide the youthful appearance to the eyes. One of the first things noticed about a person is their eyes. During the aging process, wrinkles, lines, and puffiness contribute to a tired or aged appearance.

Lower Lid Blepharoplasty

The procedure for lower lid Blepharoplasty consists of reshaping the lower eyelid, removing excess fat and skin that make up the 'bags' or the tired, sagging appearance under the eyes. This is done either using a trans-conjunctival or trans-cutaneous method, described below.

Transconjunctival blepharoplasty

is ideal for patients who have large bags under their eyes and little or no wrinkling
In a Transconjunctival Blepharoplasty, the surgeon, working through a small incision inside the lower lash line, repositions fat deposits higher in the eye socket to eliminate bags and excessive puffiness in the area, leaving the patient with a younger, more vital appearance.

Transcutaneous blepharoplasty

is ideal for patients who have loose, sagging skin around the eyelids that requires tightening.
In a Transcutaneous Blepharoplasty, working through a small incision below the lower lash line, the surgeon tightens the lower eyelid and the skin covering it, leaving the patient looking alert and rejuvenated. Excess fat is also removed as needed.

Upper Lid Blepharoplasty

Upper lid Blepharoplasty involves removing excess skin, fat, and muscle in the upper eyelid area in order to create a more youthful and alert appearance, and in some can improve the patient's eyesight by correcting obstructive sagging eyelids..
In upper lid Blepharoplasty, the surgeon smoothes and lifts the upper eyelid skin, creating a more alert, youthful appearance.
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Forehead Lift

A sagging, furrowed brow is often one of the most visible signs of aging. As people get older, they begin to lose elasticity in their skin, and the muscle and fat begins to lose its tone. At the brow line, this can create deep wrinkles that appear as a perpetual scowl, as well as a hooded appearance that makes one look old and tired.

The Browlift procedure is designed to reverse these effects by removing excess skin, and by tightening and raising the tissue in the brow area to restore a vital, youthful look.

There are two primary types of Browlift procedure currently in use, the open Browlift, and the endoscopic Browlift. Which procedure is the best choice depends entirely on the patient's individual goals and needs, and the decision should be made in consultation with an experienced plastic surgeon.

Open Browlift

The traditional open brow lift, also called the coronal brow lift, is preferred by many patients who have extensive drooping in the brow and the upper eyelid.
In a coronal brow lift, the surgeon lifts and smoothes the forehead by an incision in the scalp behind the hairline, eliminating deep furrows, then tightens the skin over the area, pulling it taut to create a tighter, firmer brow line.

Endoscopic Browlift

The endoscopic Browlift, a less invasive alternative to the open Browlift, is a modified procedure that can be ideal for patients who suffer from drooping and wrinkling in the brow area, and who prefer less invasive procedure.

In an endoscopic Browlift, the surgeon accesses the brow area through small scalp incisions with a thin flexible scope. The surgeon then smoothes any deep furrows and tightens the skin along the brow to eliminate wrinkling, to create a calmer and more youthful looking brow line.



Rhinoplasty

Rhinoplasty is what is commonly referred to as a nose job

Simply, it is any surgery procedure designed to reshape the nose, whether for cosmetic or for reconstructive purposes.

Rhinoplasty procedures vary significantly from patient to patient, and any individual cosmetic procedure may consist of one or more of the following:
. Reduce and/or reshape the bridge, nostrils, or tip of the nose
. Better define the nose
. Reshape and straighten the nose
. Change the angle of the nose, either for cosmetic purposes or to resolve breathing problems

Depending on the individual factors involved in any given cosmetic nose surgery, the surgeon may choose either a closed or open procedure for Rhinoplasty.

Closed Rhinoplasty

A closed rhinoplasty is a procedure in which an incision is made on the inside of the nose. This limits the applicability to procedures that can be effectively performed via a small incision with limited access. Benefits of closed rhinoplasty are that it is less invasive, bruising and swelling are minimized, the scars are completely hidden from view, and the recovery times are shorter.

Open Rhinoplasty

An open Rhinoplasty is a procedure in which incisions are made, both on the inside of the nose, as in the closed Rhinoplasty, and on the columella, the small area between the nostrils. Because open Rhinoplasty procedures offer greater access to the nose, it is frequently more applicable for complicated or precise procedures. Because open Rhinoplasty is a more invasive procedure, however, bruising and swelling are greater and the recovery period is a bit longer than with a closed procedure.



Ear Reshaping

Otoplasty, cosmetic surgery to the outer ear

is one of the few procedures commonly performed on children. By about age four, ears are almost fully grown. As such, many parents and children choose an Otoplasty procedure to correct issues with oversized or protruding ears while the child is still young, as the condition will generally not be outgrown or improve with time.

Although Otoplasty procedures are, of course, available for adults and older teens, most procedures are performed on children between four and fourteen years old.

This cosmetic ear procedure is most often done under local anesthetic and sedation, although general anesthesia may be used on younger children so they are able to sleep through the procedure.

While there are a variety of techniques in current use, the most common procedure involves reshaping the cartilage and excising excess skin at the back of the ear.
In most procedures, the surgeon makes a very small incision at the back of the ear through which the cartilage making up the ear is carefully reshaped to achieve the desired shape and size.