William Callaghan. MD (face-lift Surgery)
Facelift (rhytidectomy) is a cosmetic surgery procedure designed to help men and women achieve a more rejuvenated facial appearance. As we age, our skin loses its elasticity and begins to sag. This process can leave your face looking tired and worn, with deep wrinkles, hollow cheeks, jowls and loose skin in the lower face and neck. Facelift can address all of these issues and help you look appear younger and more rejuvenated.
Variations of facelifts are available that differ in their degree of invasiveness. The most commonly preformed lifts include the superficial musculoaponeurotic system (SMAS) lift and the deep plane facelift, while less invasive surgeries include the short scar facelift and endoscopic facelift.
Despite their variations, most facelift procedures share certain elements. The procedure can be performed under general anesthesia, local anesthesia or conscious sedation, in which you are numb but partially awake.
Incisions are made along your hairline and around your ears, possibly extending into your scalp. Your surgeon then will lift your skin away from your face, rearrange the underlying tissue in a higher position and remove excess skin. He or she may also remove/or add fat. Lastly, your surgeon will re-drape your skin over your face and close the incisions with sutures.
A facelift can produce remarkable results. However, the procedure only targets certain parts of the face — namely, the mid-face, lower face and jawline. You may find that other areas of your face require attention in addition to or instead of those areas that can be addressed with facelift. In this case, your surgeon may recommend additional or alternative procedures.
- • Neck lifts are often combined with facelifts. These procedures are used to remove fat and excess skin to eliminate wrinkles and bands and create a smoother, tighter neck appearance.
- • Eyelid surgery is performed to address droopy upper eyelids and puffy lower eyelids, which can cause you to appear older and more tired than you feel.
- • Brow lift (forehead lift) can reduce the appearance of droopy eyebrows and deep furrows and creases on the forehead.
- • Facial implants are made of silicone and can be placed in your chin, cheek or jaw to improve your overall facial symmetry and proportion.
- • Chin surgery may involve reducing the size of the chin by removing bone or enlarging the chin with implants.
- • Rhinoplasty (nose reshaping surgery) can help bring your nose into better proportion with your face by making it larger or smaller. Your surgeon can also remove a hump from your nose or a dip from the bridge of your nose, or otherwise improve your nasal profile.
- • Otoplasty (ear surgery) is performed to reduce the appearance of excessively protrusive ears. This is one of the few plastic surgery procedures most often performed on young children.
Superficial skin care treatments like laser skin resurfacing, microdermabrasion and laser hair removal can also address many of the visible signs of aging in the face, such as fine lines, acne scars and discoloration. But like injectables and fillers, they cannot treat major sagging and provide only temporary results.
During your consultation, your surgeon will discuss your general health, examine your facial skin, tissue and bone structure, and inquire about your goals for surgery. Be as prepared as possible to clearly describe your concerns and the look you desire. Before and after photos of patients are typically shown to patients, as well as computer simulation and 3D imaging. Prior to booking your surgery, be sure to discuss all aspects of surgery with your surgeon, including your facelift risk profile and what to expect during your facelift recovery.