Facelift

Aging skin process cosists in a lower elasticity, and a modified structure structure. Facelift surgery is the procedure that stretch the skin on the face and neck, without being able to completely suppress deep wrinkles around the nose or cheeks, and no crease upper lip area.

Surgery takes place under local anesthesia or intravenous potentiated general anesthesia, and begins by making a incision that starts from the hairy skin of the head in the temple region and continue through to ear and then behind the ear. It takes off the face and neck skin subcutaneous tissue and muscle beneath, then remove excess skin remaining. The edges are then sutured incision with very fine wires to generate as little visible scar.

Sometimes it can associate a chin liposuction to remove the fatty deposits ("crop"), or other procedures may be followed by adjuvant to improve the final result.

Among these are:

• Achieve a chemical peel;
• Fill deep wrinkles with hyaluronic acid-like substance or fat;
• Increase lip contour;
• Eyelid correction

Plastic surgery of the face and neck

A facelift can rejuvenate the face and neck by removing the most visible signs of aging like wrinkles and skin ptosis. It eliminates excess fat and skin , while subdermal tissue and muscles are stretched. During surgery, excess skin is removed from the neck and cheeks and smooth wrinkles.

Facelift can be combined with liposuction to correct double chin.

Double chin liposuction

This procedure gives a better contour of the jaw, chin and narrow neck worse, making him look younger . If assisted liposuction or ultrasonic fat is destroyed by sonic or mechanical frequencies. The final product is balanced and firm chin, and skin irregularities are toned.

Preoperative preparation

It is recommended to stop taking medications containing aspirin to 3 weeks before surgery. The day before surgery the patient will eat light food and will stop eating and drinking 6 hours before operation.

Postoperative prepartions

At the time of discharge, the patient may mask any bruising by wearing sunglasses and a scarf.

The first two days after surgery is recommended back sleeping to prevent the formation of a single swelling or postoperative large bruises. Sutures are removed usually at 12-14 days postoperatively. Swelling and bruising is reabsorbed after about 14 days. Postoperatively there may be areas of low sensitivity in the face and external ear,that will pass in a weeks or even months. In combination with liposuction surgery (like the double chin), the surgery will apply a special patch designed to help the skin reaplication.This bandage, with specially adapted design of this operation, can be purchased from the clinic.

Upper face lift

This procedure produces superior frontal region rejuvenation, corrects drooping brows and improves horizontal front wrinkles and wrinkles that can appear between the eyebrows (which give the image of a person sad, tired or angry).

The principle is to strengthen the front lifting muscles and other tissues responsible for the formation of wrinkles and drooping eyebrows

Ideal candidate for upper facelift

Ideal candidate for front lift is a 40-60 years old women unhappy with appearance of the frontal region.The procedure is also indicated those persons who have wrinkles / pronounced grooves caused by excessive stress or muscle hyperactivity. Impairment of congenital defects consisting brow ptosis, deep ditches at the root of the nose can also benefit from this procedure.
The front lift can be associated with classic (and neck) facelift to get a younger look. Blepharoplasty is another technique that can run in conjunction with front lift, especially in patients with marked ptosis
Warning: front lift operated region and thus improve appearance may increase patient confidence, but can not radically change your look, and can not determine his entourage with behave differently .

Operating plan

The anamnesis must include other health problems (hypertension, clotting disorders, vicious tendency to scar formation). Also included the followind issues:

• If the patient has undergone surgery on the face in history.
• If a smoker.
• If he/she uses drugs (eg aspirin and other substances that alter blood clotting ability).
• If the patient decides to undergo a front facelift, then we will explain in detail: surgical procedure, type of anesthesia used and possible risks and complications

Patient / patient will be informed / to restrictions on food, fluid, and the necessity of smoking and drugs interruption.
People with short hair will sometimes prefer to wait for it to grow to a length that allows hiding areas operated, so postoperative recovery and social reintegration to proceed in the best conditions.
Patients are indicated to be taken by caregivers at discharge (which lead them home), it / they are not allowed to drive around immediately after surgery. Of course in the first 1-2 days would be recommended that patients be helped home by someone from his company.

Surgery

Surgery can be performed with the patient hospitalized or outpatient, depending on anesthesia recommended by the difficulty of the procedure, the need for blepharoplasty association / lifting cervico-facial classic. The choice of approach depends on the characteristics of frontal region, the method of implantation of the marginal line of hair, skin qualities.

Classic Front Lift

Preoperatively, a hair is caught on both sides of incisional line with elastic bands (not shave hair but the hairs that grow directly on the incision line is clipped to allow access to the area). In most cases the coronal incision is used, starting above the ear, vertically up to the vertex, then down the other ear. Because the incision is made posterior to the line than the marginal loss, the scars are well hidden. In patients with hairline placed too posterior incision is performed even at this level, avoiding widening forehead. People with alopecia (loss of hair on certain areas) will benefit from the incision through the scalp following anatomical trajectory of cranial bone edges. Postoperatively, these cases are recommended to wear a strand of hair (like a Mesa) from the side, thereby masking passed over scalp scar. The surgery involves dissection and frontal  skin / muscle remodeling. Eyebrows are so high and excess skin from the incisions is then removed. It creates a younger look. The incisions are sutured or simply by applying staples. The front is cleaned, hair bands will be removed and will place a dressing on frontal region to minimize postoperative edema.

Postoperative recommendations

Postoperatively, patients may experience discomfort in the wound hypoesthesia (phenomena controlled by specific medication ).

• Those who are prone to headaches (headaches) will receive this medication adjacent to cropping.
• Reduction of swelling is achieved by maintaining the head in position and elevated 1-2 days after surgery. Normal postoperative swelling may spread to the eyes and cheeks and, but fails in one week.
• As the structures to heal, hypoaesthesia is replaced by itching ("itch''), which can hold up to 6 months.
• The first dressing change at 1-2 days after surgery.
• Suture / clips to suppress in about 14 days (usually in two stages).
• The hairs around the incisions can fall or become thinner, but hair will grow normally in a few weeks / months. Permanent loss of hair on the incisions is an extremely rare complication

Socio-professional reinsertion

The patient is fit to mobilize at 1-2 days after surgery, but avoid exercise a week. The shower and shampooing hair is allowed after 5-7 days or as soon as you quit dressing. Most patients resume their professional activity after 7-10 days. For 6 weeks should be avoided: sports, jogging, or any excessive effort. In four weeks, most visible signs of bruising are reduced and gone. Edema can hide with makeup.

Article written by Silviu Marinescu M.D. PhD