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The technical term for a facelift is rhytidectomy, derived from rhytid, the Greek word for wrinkle, and the suffix -ectomy, which means "the removal of." The term "facelift" is often incorrectly used to describe total facial rejuvenation, which is achieved by eyelid surgery, brow lift, facelift and often, laser or chemical peel. The facelift is divided into three parts: cheek, temporal and forehead components. Some patients require a full forehead lift during a facelift, while others do not. The extent of the procedure is decided at the time of consultation.
Candidates
The improvements achieved through surgery
are everlasting, however, the aging process persists. If the procedure
is performed early in the aging process, the patient can expect a more
refreshed appearance. If the aging process is further along, more dramatic
rejuvenation of sagging and wrinkling is expected. However, in this case,
more skin rebound often occurs.
After an initial facelift on a patient with excessive skin laxity (sagging and "looseness"), a moderate degree of skin rebound should be expected. When aging or skin rebound causes the sagging to reappear, a secondary facelift, or tuck-up, may be performed. In some patients, this may be performed as soon as six to twelve months after the initial facelift. Often, the secondary facelift best achieves the desired lasting effect.
Although the plastic surgeon attempts to "turn back the clock" with a facelift, the aging process relentlessly persists. An individual's first facelift results in the most dramatic improvement, however, it is limited by the amount of tension and skin stretching safely achievable. Because of these limitations, a highly effective second minilift may be recommended when the signs of aging begin to reappear. This secondary tuck-up produces exceptional results and is longer lasting. In addition, this secondary surgical procedure is significantly "less extensive and less expensive." The old incisions and scars are reused and generally heal quite well. Patients who undergo a facelift at a young
age may choose to continue on a maintenance program of tuck-up procedures.
This allows him or her to remain as young-looking as possible for the remainder
of their life. You should understand that undergoing a facelift does not
necessitate undergoing subsequent surgery - the effects of just one procedure
are everlasting, with subsequent surgery being optional in most cases.
Prior to arriving at the surgical location, patients are often prescribed special medications and instructions to follow. Twilight anesthesia is most commonly used during the procedure. No hair is shaved in preparation for facelift
surgery. Incisions are made in front of and behind the ear and are hidden
in the hair. The tiny resulting scars blend into the natural creases and
are camouflaged in the scalp. Occasionally, there may be temporary hair
thinning along the incision lines. This usually resolves itself within
six months. If a brow or forehead lift is necessary, the hairline may be
pulled slightly upward. If the patient already has a high forehead, the
incision can be made along the frontal hairline and may actually lower
the existing hairline.
A facelift is not painful. After the operation, a facial wrap is applied to help prevent swelling and bruis- ing. This is removed the morning following the procedure and usually replaced by a lighter dressing. Minimal swelling and bruising may appear around the ears and sometimes in the neck. Swelling and bruising peaks two to three days following the surgery and typically subsides in one to two weeks. It is recommended that patients be out of bed after twenty four hours and maintain the head of the bed elevated for the first week or two. Most patients are able to shower the day after surgery, and resume other activities the following day. Clips in the hairline or sutures around the ear are removed one week after surgery. Makeup usually may then be applied; driving may be safely resumed after two weeks. At this time, patients may return to work.
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