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Aging of the face is inevitable. As the years go by, the skin begins to
loosen on the face and neck. Crow's feet appear at the corners of the
eyes. Fine forehead lines become creases and then, gradually, deeper folds.
The jawline softens into jowls, and beneath the chin, another chin or
vertical folds appear at the front of the neck. Heredity, personal habits,
the pull of gravity, and sun exposure contribute to the aging of the face.
As the aging population grows, it is obvious why rhytidectomy has become
the third most desired facial plastic surgical procedure.
If you ever wondered
how a rhytidectomy, or facelift, as it is commonly called, could improve
your looks or self-confidence, you need to know how a facelift is performed
and what you can expect from this procedure. This pamphlet can address
many of your concerns and provide you the information you need to begin
considering facelift surgery.
Successful facial
plastic surgery is a result of good rapport between patient and surgeon.
Trust, based on realistic expectations and exacting medical expertise,
develops in the consulting stages before surgery is performed. Your surgeon
can answer specific questions about your specific needs.

As with all facial plastic surgery, good health and realistic expectations
are prerequisites. Understanding the limitations of rhytidectomy is crucial
and psychological stability is vital. There is no ideal in a facelift.
Rather, the goal is to improve the overall facial appearance. Skin type,
ethnic background, degree of skin elasticity, individual healing, basic
bone structure, as well as a realistic attitude are factors that should
be discussed prior to surgery. This procedure is sometimes performed on
patients in their thirties, and successful surgery has been performed
on patients in their eighties. A facelift cannot stop aging, nor can it
turn back the clock. What it can do is help your face look its best and
give you a look of health and a more youthful appearance. A side benefit
is that many patients experience increased self-confidence.
Before deciding on
a facelift, you should discuss with your facial plastic surgeon whether
the overall effect will be more successful if additional changes are made
in the chin and neck areas through other facial surgery. Many patients
decide to have facial liposuction to remove excess fatty deposits in conjunction
with a facelift. If several flaws need correction, more than one procedure
may be necessary for the best overall result.

Your choice of a qualified facial plastic surgeon is of paramount importance.
During the preliminary consultation, the surgeon will examine the structure
of your face, skin texture, color, and elasticity. Photographs will be
taken so the surgeon can study your face. Individual risks will also be
examined, especially those related to medical situations such as high
blood pressure, a tendency to scar, smoking, and any deficiency in blood
clotting. The surgeon will take a thorough medical history, as well as
assess the patient's mental and emotional attitudes toward the surgery.
Because a realistic attitude is crucial to the success of the surgery,
the surgical procedure and realistic expectations will be discussed.
After the decision
to proceed with a rhytidectomy is made jointly by you and your surgeon,
the surgeon will describe the technique indicated, the type of anesthesia,
the surgical facility, any additional surgery, the pros and cons to include
possible complications, and costs of the procedure.

The surgeon begins the incision in the area of the temple hair, just above
and in front of the ear, and then continues around the lobe, circling
the ear before returning to the point of origin in the scalp. The skin
is raised outward before the surgeon repositions and tightens the underlying
muscle and connective tissue. Some fat may be removed, as well as excess
skin. For men, the incision is aligned to accommodate the natural beard
lines. In all cases, the incision is placed where it will fall in a natural
crease of the skin for camouflage.
After trimming the
excess skin, the surgeon closes the incisions with fine sutures and/or
metal clips, which permit surgery without shaving hair from the incision
site. Depending on the extent of the surgery, the process can take from
two to four hours. When the procedure is performed with a combination
of mild sedatives, local anesthesia, and a mild intravenous anesthesia,
the patient will experience little discomfort. Some surgeons prefer to
use general anesthesia for facelifts. Following the surgery, the surgeon
will apply a dressing to protect the entire area where the incisions have
been made.

Even though most patients experience very little pain after surgery, the
surgeon will still prescribe medication. Some degree of swelling and bruising
is unavoidable, and your surgeon may instruct you to use cold compresses
to keep swelling to a minimum. If a dressing has been applied, it will
be removed within one to two days. The surgeon will also instruct you
to keep your head elevated when lying down, to avoid as much activity
as possible, and to report any undue discomfort. Though there are few
risks in facelift surgery and thousands are performed every year, some
risk exists in any surgery.
In some cases, a
drainage tube may have been inserted during surgery. This will be removed
on the first or second day after surgery. All sutures and staples are
usually removed within five to 10 days following surgery. Surgeons generally
recommend that patients avoid vigorous activity. Patients should prearrange
for post-surgery support from family and friends.
Recovery usually
takes two to three weeks, though many patients go back to work in two
weeks. Scars are usually not noticeable after enough time has passed for
them to mature. In any case, they are easily disguised in natural skin
creases, by the hair, or, in persistent cases, by makeup until total healing
has occurred. Bear in mind that the aging process continues after surgery
and that some relaxation of tissues will occur over the first few weeks.
Facial plastic surgery
makes it possible to correct many facial flaws and signs of premature
aging that can undermine self-confidence. By changing how you look, cosmetic
surgery can help change how you feel about yourself.
Insurance does not
generally cover surgery that is done purely for cosmetic reasons. Surgery
to correct or improve genetic deformity or traumatic injury may be reimbursable
in whole or in part. It is the patient's responsibility to check with
the insurance carrier for information on the degree of coverage.
This section © Copyright 2000 American
Academy of Facial and Reconstructive Plastic Surgery
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