Facelift (Rhytidectomy) is a restorative surgical procedure that aims to eliminate the signs of ageing on the face and neck. A facelift improves the sagging skin in the mid-face, the deep lines and wrinkles below the lower eyelids, along the nose towards the corner of the mouth, brings back the volume on the face by bringing back the fat that has disappeared and fallen, enhances the skin tone in the lower face, tightens the loose skin and eradicates the fatty deposits under the jaw and chin.
Your surgeon will recommend which procedure is necessary. These procedures may include: wrinkle reduction, soft tissue augmentation, facial implants or resurfacing techniques. The degree of change will also be considered. Therefore depending on circumstance your surgeon may perform either a traditional facelift, incision facelift or a neck lift.
A general anaesthesia or intravenous sedation is first applied before the procedure. After which, an incision will be created.
For the traditional facelift, an incision is created first at the temple in the hairline and continued around the ear up to the lower scalp. After that, the fat will be allocated on the face, jowl and neck. The underlying tissue is also repositioned and the muscles and deeper layers of the face will be lifted before the skin is re-draped above the uplifted curves. Finally, the excess skin is removed.
After the first incision is completed, a second incision will be created under the chin in order to improve the ageing neck. And to complete the traditional facelift, the incision is closed using skin adhesive or sutures.
For the Limited Incision, a short incision is made at the temples to the ears and on the lower eyelids or below the upper lip.
For the Neck Lift, the loose neck skin, sagging jowls and the fat under the chin will be corrected by utilizing a neck lift. An incision starts in front of the ear lobe which wraps around at the back of the ear, and finally ends in the lower scalp.
To complete the whole procedure, the incisions will then be closed where the cuts will be hidden within the hairline and in the natural curves of the ear and face.
Risks and Complications:
unsatisfactory results in the asymmetry
unsatisfactory surgical location
visible distortion at the end of the incisions
weakness of the nerves on the face
poor healing of the wound
facial nerve weakness and injury
loss of sensation on the treated area
discolouration of the skin
irritation due to the sutures that may suddenly resurface through the skin which will become visible
deep vein thrombosis
pulmonary and cardiac complications
Frequently Asked Questions:
1. How long does the facelift surgery take?
It will take about 2 to 6 hours depending on how much work should be done and how experienced the surgeon is.
2. When can I see the final results?
It may take about 1 to 6 months to see the final results.
3. When can I go back to work?
Recovery should be at least 2 weeks before going back to a moderate work. For strenuous work, it should be longer than 2 weeks.