Face Lift

As people age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth; the jaw line grows slack and jowly; folds and fat deposits appear around the neck. A facelift (technically known as rhytidectomy) can’t stop this aging process. What it can do is “set back the clock,” improving the visible signs of aging by removing excess fat, tightening underlying muscles, and redrawing the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping. If your considering a facelift, these pages will give you a basic understanding of the procedure–when it can help, how it is performed, and what results you can expect. It can’t answer all your questions, since a lot depends on the individual patient and the surgeon. Please ask your surgeon about anything you don’t understand.

The best candidates for a facelift

The best candidate for a facelift is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well defined. Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well.

A facelift can make you look younger and fresher, and it may enhance your self-confidence in the process. But it can’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 with your surgeon.

A facelift can improve the deep cheek folds, jowls, and loose, sagging skin around the neck that comes with age.

The surgery
A facelift usually takes several hours–or somewhat longer if you’re having more than one procedure done. For extensive procedures, some surgeons may schedule two separate sessions.

Every surgeon approaches the procedure in his or her own way. Some complete one side of the face at a time, and others move back and forth between sides. The exact placement of incisions and the sequence of events depends on your facial structure and your surgeon’s technique.

Incisions usually begin above the hairlineat the temples, extend in a natural line in front of the ear (or just inside the cartilage at the front of the ear), and continue behind the ear lobe to the lower scalp. If the neck needs work, a small incision may also be made under the chin.
In general, the surgeon separate the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. The surgeon then tightens the underlying muscle and membrane, pulls the skin back, and removes the excess. Stitches secure the layers of tissue and close the incisions; metal clips may be used on the scalp.
Following surgery, a small, thin tube may be temporarily placed under the skin behind your ear to drain any blood that might collect there. The surgeon may also wrap your head loosely in bandages to minimize bruising and swelling.

Facial, neck tissue and muscle may be separated; fat may be trimmed or suctioned and underlying muscle may be tightened.
Incisions usually above the hairline at the temples, follow the natural line in front of the ear, curve behind the earlobe into the crease behind the ear, and into or along the lower scalp.
Most of the scars will be hidden within your hair and in the normal creases of your skin.
After deep tissues are tightened, the excess skin is pulled up and back, trimmed and sutured into place.
After surgery, you’ll present a fresher, more youthful face to the world.

 

All of this information and pictures have been provided by the American Society of Plastic Surgeons.