As we get older our facial skin loses its elasticity and the cheeks, begin to lose volume. Generally speaking patients do start considering undergoing facelift surgery between the age of 45 and 65 years. The goal of the Face-lifting is to tighten the excess skin of the neck and reduce the laxity of tissues in the cheeks areas. A successful facelift operation is one who has simply been able to treat the aging signs.
Are there different types of facelifts?
The answer is yes but the truth is that no surgeon would perform them all. Some of the facelifts are no surgical like the liquid facelift where fillers are used to pump up and replace the lost volume due to the aging process.
Others are slightly more invasive like thread and puppet lift where the small pieces of string are passed through the skin to lift the skin of the lower face. All these are usually performed in clinic without general anaesthesia.
So what is really a full facelift?
During a facelift procedure, an incision is always performed in front of the ear extending up and around or into the hairline. Then, the incision turns around the earlobe and then behind it to ends just at the limit of the hairline behind the ear. The skin is elevated and separated from the deeper tissues with a scissors this is called undermining of the skin flap. At this stage the SMAS or the so-called the fascial suspension system of the face can be tightened with dissolvable sutures. The excess skin can be then removed and the skin flap will be closed with sutures. The sutures are removed about one week later.
Is there a contra-indication for the facelift surgery?
Patient with combined health issues (Diabetes, Heart condition, skin condition) are not really suitable for facial rejuvenation surgery. Skin healing problem or the risk of necrosis (skin death) is increased smokers, patients with HBP and especially diabetes. Dr Mounir will always to stop taking aspirin or other blood thinners for at least one week prior to surgery.
Is the surgery Painful?
If you do experience some pain or discomfort after the surgery this can be reduced with painkillers. However, intense or persistent pain or a sudden swelling of your face could be a sign of haematoma and should be reported immediately. You may experience some numbness of the skin but this will disappear in few months.
Can a Facelift be combined with eyelid surgery?
Facelifts are often combined with eyelid surgery (blepharoplasty) and even with other facial procedures. These combined procedures are performed usually under general anaesthesia.
What are the complications that could happen?
The most common complication is the bleeding after the surgery that needs urgent surgical treatment.
However there are three less common complications, but very serious: Damage to the facial nerves, Necrosis of the skin flaps and Infection.
When can I get back to normal?
Dr Mounir will ask you to take at least 12 days off of work. You should be able to move around after a day or two. Usually, your drains will be removed after one day. Washing your face and hair should be done very gently because your skin will be numb, and may not respond normally in the first two weeks.
European Society of Aesthetic Surgery
American Academy Of Cosmetic Surgery
Canadian Association for Neuroscience