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Facelift surgery, or a rhytidectomy, is designed
to restore a more youthful appearance by
removing major wrinkles and sagging skin. It
involves tightening of the facial and neck
muscles as well as the removal of any excess
skin. The skin begins to wrinkle and sag as a
result of age, sun exposure and genetics.
Children and young adults have smooth, round
faces due to evenly distributed fatty tissues in
facial contours. Over time, the skin sags and
folds in the chin, jawline and neck become
prominent. Not only does a facelift improve
facial appearance but also has a dramatic effect
on the neck, enhancing its contour and profile.
A facelift is frequently performed in
conjunction with blepharoplasty (eyelid
surgery), forehead lift, chin augmentation,
and/or liposuction to create an overall
rejuvenation of the face. The procedure can be
repeated as gravity continues its effects after
the first surgery.
Facelifts are performed in outpatient surgical
centers or in an accredited physicianâs office.
Local anesthesia with intravenous sedation is
most commonly used, with pre-medication to help
you relax. General anesthesia is generally not
required but can be used if desired.
The surgeon will make incisions inside the
hairline at the temple, in front of the ear,
then around the earlobe and behind the ear,
ending at the scalp area. Excess skin is removed
and sagging muscles and connective tissues are
tightened. In some cases, fatty deposits are
removed from beneath the chin and neck.
Incisions are closed with small sutures.
The procedure may take up to 5 hours depending
on whether any procedures are performed at the
same time.
In the weeks following the surgery, the facial
skin and area around the ear may be numb. There
may also be some temporary discoloration as
healing begins, which may take a few months to
disappear. Occasionally, the facial nerve is
bruised during surgery, resulting in temporary
loss of function or sensation. However, actual
permanent damage to the facial nerve is rare.
The healing process is gradual, so you will not
notice final results for up to 6 months. A
single procedure often achieves the desired
results. Most patients who have had facelifts
are pleased with their new, more youthful
appearance. |
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