Artistry and Caring for a Masterpiece Called You
FaceliftAs we age, characteristic changes occur in the face. The three fat pads which run along the nasolabial fold, the corner of the mouth and the jowl maintain their volume but the four fat pads in the midface, cheekbone and below lose their volume. The skin which has lost its elasticity does not tighten as the volume is lost. This is why the face appears to fall forward and down. It is the areas of volume loss adjacent to areas of fullness which creates the typical appearance of the aging face. Fillers can help in the initial stages but once there a break in the jawline and lax skin in the neck ,it’s time for facial rejuvenation.
Facelift surgeryThe facelift is designed to restore the facial structures to their original position and remove the excess skin which has lost its elasticity with age. Many patients look and feel 10 years younger with a SMAS facelift. The natural unbroken curves of youth are restored. In some individuals repositioning the facial structures is not the entire solution to rejuvenation, they may require addition of volume in the form of fat grafting which can be done at the time of the facelift. Concerns about facial movement after the surgery are always discussed but these are rare. Maintaining the patient’s unique appearance is where the art of facial rejuvenation comes in. Too many alterations and the facelift will not look natural. A skilled surgeon with an aesthetic eye and gentle hand will be able to achieve the desired youthful appearance.
Facelift can be combined with a number of other cosmetic procedures to enhance the results. Areas of the face that have lost volume can be contoured with fat transfer by taking fat cells from another location of the patient’s body, such as the abdomen, thighs, or knees. A browlift or blepharoplasty (eyelid surgery) is also commonly combined with a facelift to rejuvenate the upper region of the face.
Incisions for the facelift are inconspicuously made starting at the temples and extending in front of and behind the ear camouflaged within the natural folds. They may also continue hidden in the hairline. The scars remain difficult to notice after surgery and fade over time. Additional incisions may be made in other locations, if other procedures are being done such as within the lower eyelid. After tissue has been repositioned and skin has been re-draped and trimmed, the incisions are closed with sutures.
Post-surgery recoveryIf a drainage tube is inserted during surgery, it may be removed after 1 to 2 days. Sutures may be removed within 5 to 10 days. Medication will be prescribed for pain management, though the discomfort following a facelift is typically minimal. Swelling and bruising should be expected. Keeping the head elevated can help to limit the swelling that will occur. Many patients resume work and most normal activity within 10 to 14 days, though some degree of swelling may still be present in some cases closer to three weeks.
A facelift is long lasting, but not permanent. Many patients elect to undergo a second facelift after approximately 10 years to maintain their youthful look into the later years of life.
+^02 How is a Facelift performed?
Dr. Kessler will begin the Facelift procedure by making a thin incision at the hairline, immediately above the temples. This will extend within the contour of the ear ending in the hairline behind the ears. From here, Dr. Kessler will lift and reshape the tissues of the face, providing a more youthful appearance.
+^05 What type of anesthesia is used during a Facelift?
The Facelift procedure is performed under general anesthesia.
+^07 What can I expect from the Facelift recovery?
Patients should expect the recovery after a Facelift to take about two weeks. Initially, swelling and bruising will occur, although most of this will diminish over one to two weeks. Temporary numbness may be noticeable, as well. Minor discomfort may be experienced at first, but Dr. Kessler will prescribe appropriate pain medications to keep patients resting comfortably at home. If drain tubes are used, these will be removed after the first few days. On the fifth to tenth day after a Facelift, Dr. Kessler will remove a patient’s stitches. At this visit, he will also evaluate the healing process.
+^09 Will there be scarring after my Facelift procedure?
The Facelift procedure does result in visible scarring. These will be well concealed within the natural hairline, though, thus making the scars almost unnoticeable.
+^10 What are the risks associated with a Facelift?
Modern Facelift techniques used at Kessler Cosmetic Surgery make the procedure safe and efficient. Since it is a surgical procedure, there are still risks involved. These can include excessive bleeding, infection, delayed wound healing, and nerve injury.