Face Lift: The New Appearance
The changes after a face lift can be fantastic, especially if you have the patience to get through the first few moments of the post-operative period.
The effects of skin aging, the stress of everyday life, long exposure to the sun are reflected on the face. Thus, deep wrinkles, folds and relaxation of the tissues of the face and neck appear. The surgery that remedies this aging situation is a face lift or rhytidectomy.
Rhythidectomy, like all other cosmetic surgery procedures, does not stop time but only moves the clock back, improving the most visible signs of aging.
The best candidates for face lifting surgery are patients who have clear signs of aging with good skin elasticity and well-defined bone structures. Most of the patients who undergo facelifts are women and men between the ages of 40 and 60, although operations are successfully performed on patients over 70 years of age.
If the facelift is performed by an experienced plastic surgeon, complications are rare and usually minor. In addition to the general complications valid for all surgical interventions (hematoma, seroma, infection), the possibility of a stupor of the Facial nerve (usually temporary) and a slower and more difficult healing for smokers, for whom it would even be contraindicated, should be remembered. surgery.
However, it must be emphasized that each individual has a personal response that is difficult to predict in terms of healing.
Preparation For The Intervention
Do not take acetylsalicylic acid (aspirin and the like) from the week before the surgery.
Do not smoke or otherwise drastically reduce smoking in the two weeks before and in the two weeks following the surgery.
Postpone surgery to another date if you are recovering from an infection or other disease.
The Surgical Intervention
The surgery takes a few hours. The location and extent of the incisions varies depending on the individual clinical case; they generally start behind the hairline at the temple, extend down the front of the ear along the natural folds, go around the ear lobe, go up behind the ear and end inside the hair at the nape of the neck . If the neck also needs surgery, a small additional incision is made under the chin.
The skin and subcutaneous tissue are separated from the musculo-fascial plane, the muscles are pulled and anchored with non-absorbable points, the skin is stretched and the excess portion removed. Small drainage tubes are placed for 2-3 days.
The skin incisions are finally sutured with non-absorbable threads.
Most rhytidectomy operations are performed under general anesthesia but can also be performed under local anesthesia with sedation according to the patient’s wishes.
The operation can be performed in a day hospital or preferably with one day of hospitalization.
Pain is modest and well controlled with pain medication. The discomfort, on the other hand, can be significant and is linked to tissue edema which is very important in the first 48 hours. The swelling is important on the first day, the second even more massive, then it begins to decrease and disappear over the following weeks. It is possible that on the skin there are small areas of lesser sensitivity; they usually resolve spontaneously within a few weeks. The bandage is removed on the third-fourth day together with the drainage tubes. The sutures are removed between the fifth-sixth and the fifteenth day. It is normal for there to be widespread bruises all over the face, of various shapes and sizes, bruises that resolve spontaneously within 10-15 days.
Resumption Of Activity
The patient is generally discharged after one, maximum two days of hospitalization. In the first 2-3 weeks the swelling, bruising, the slightly distorted appearance of the face, the difficulty of movement and the thought of scars can lead to disappointment and discomfort, but after the third week with the improvement of the appearance the situation psychological will tend to re-stabilize. However, it takes no less than 4 weeks to be able to hide the signs of surgery well. Throughout this period, any sporting activity must be absolutely stopped.
The New Appearance
The changes after a face lift can be fantastic, especially if you have the patience to get through the first few moments of the post-operative period. The scars are quite long but all well camouflaged and hidden. We must also remember that the facelift does not stop time and therefore skin aging, so it is possible that after a few years the need for a second surgery may reappear.
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