How is Face Lift Surgery Performed?
The face is divided into 3 parts for surgical diagnosis: forehead, temporal region and cheeks, and neck. If you are having a full facelift, incisions are made in the hairline and in the creases in front of the earlobe and at the back of the ear. Incisions will also be placed inside the ear if possible, and in all ways work to minimize visible scarring.
The surgery, using local or general anesthesia, can take 2-5 hours to perform depending on the extent of the work involved.
Is it right for me?
When you are dissatisfied about your facial appearance and structure, you may wan to to tighten the skin around your face then a face lift surgery could be for you. This may be a full facelift, a partial facelift, or other surgery that will correct your nose, your drooping or baggy eyelids, or a too-weak or too-strong jaw.
There are 4 main areas of the face where the sagging effects of aging are most apparent, in the forehead, in the temporal and cheek area, in the lower jaw, and in the neck. With aging, facial fat either descends or goes away, or a combination of both, and muscle tissue may lose mass and laxity.
Depending on the extent of this movement or reduction of fat and tissue and the sagging of your skin, Our surgeon Dr. Chartchai will consider what will give you the best and most natural looking outcome. He will determine during the consultation whether a full facelift is best, or whether the results you want can be achieved by doing a partial facelift.
- Mid-face lift
Also called a temporal lift or cheek lift
In the temple region, droopy skin particularly of the upper eyelids can be so significant it can interfere with a person’s vision. Most people accept the crow’s feet that appear when they smile as long as they are minimal. A mid-face lift will elevate some of this descended temple fat as well as smooth out your wrinkles. Wrinkles that appear with smiling will not be eliminated but will be less severe. A combination of forehead lift and/or lower blepharoplasty may be necessary to treat significant crow’s feet. In the cheeks, as facial fat and muscle tissue disappears or decreases, it bunches up just above the nasal-labial crease giving the typical appearance of a fallen face. During a facelift, or the mid-face lift, Dr. Chartchai will choose the best of several techniques to reposition the underlying tissue upward.
- Lower face lift
A fleshy, sagging neckline may be due to jowling and fatty deposits below the chin or excess drooping of skin. Dr. Chartchai may determine that simply removing the excess, or a bit of liposuction may be all that’s necessary. Or he may advise that a neck lift is the procedure best able to fix your problems. In order to tighten prominent bands or cords in the neck and restore a younger, chiseled look to your neck and chin line, surgery will be required.
Recovery and Post Operative Care
To minimize swelling, you will be given cold packs for the first day while you keep your head elevated. Drains may be used to take away excess fluids and to promote healing.
Swelling will subside in 2-3 weeks to nearly normal and in 3-6 months it should be gone. Total healing takes about a year. You will need about 2 weeks away from work for this procedure. About 3 weeks after surgery, you may resume normal activities. Avoid sun exposure for several months post surgery.
There may be some bleeding in the first 24 hours which may take a few weeks to dissipate. Minimal bruising, a common complication, will take many weeks to finally dissipate. For most of this time, concealing makeup will be sufficient to cover all evidence of bruising.
During surgery, one or more of the nerves that control facial muscles may be injured; if they are bruised, the symptoms should subside in 3-12 months. Sensory nerves in the area of the ear may be cut and some numbness may occur there.
Some collected bleeding may occur in the first 24 hours. During surgery, the motor facial nerves may be injured, but this should be extremely minimal in an experienced professional hand.
After a combination of facelift and neck lift, it takes up to 3 weeks to look near normal, 3-6 months for all swelling to subside, and a year until the face and neck are completely healed. Vigorous activity and work should be avoided for the first 2 weeks. Exposure to the sun should be limited for the first few months.
Facelift results will be long lasting. Life-long sun protection will help to maintain your rejuvenated appearance by minimizing photo-aging or sun damage.