How is a facelift performed?


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The Assessment

Preparation for a facelift begins long before surgery is even planned. The surgeon will discuss expectations, risks and realistic outcomes with a potential facelift candidate. A list of foods, medications and cosmetics that should be avoided before the operation is given to a patient several weeks before surgery. An in-depth medical exam takes place during the consultation and also before surgery. It is also required that the individual stop smoking at least a week or two before the operation.

The assessment will include examination of the brows, eyes, mid and lower face and the neck area. The requirements of the patients are discussed and the changes being sought are seen in the mirror. Repositioning of the structures are done manually thus providing the patient with the realistic outcome of the procedure.

The Procedure

hospital or clinic setting. Depending on how much lifting is to be done, the surgeon makes incisions from the temple to below the ears and may extend to the back of the ears, at the hairline. After the incision, the skin is gently pulled away from the fat and muscle, and excess fat is trimmed or suctioned away from the neck and chin. If the patient has jowls he/she wants fixed, fibrous tissue and muscle under the skin may be tightened to fix them. The SMAS layer which is the layer below the skin is then dissected and is tightened based on the vectors drawn prior to surgery. After this stage, the skin is pulled tight and any excess skin is trimmed away.

Finishing Touches

Once the skin is taut and trimmed, the incisions are closed with a combination of fine sutures and staples, depending on what's appropriate to the patient. In a select few cases, a drainage tube is left in the patient's skin, protruding from behind the ear. This tube is meant to allow any excess fat or blood to be siphoned out of the patient's face. The patient's face is wrapped in gauze and elastic bandages, which may be removed in one to two days. The drainage tube, if left inserted, is also removed within two days of the surgery's completion.

Partial Lifts

For individuals who want a lift on a particular area of the face, a partial or mini facelift may be performed. Partial lifts are often done on the forehead, neck and jaw. Some partial facelifts may be done on an outpatient basis and usually involve smaller incisions and a speedier recovery time.

Face lift procedure or Rhytidectomy, typically is performed to remove excess or loose sagging skin from the face and neck. Partial or mini facelift procedure can also be done for any part of face. In India, Dr. Mohan Thomas will help you to understand how facelift performed and what are Pre and Post surgery care?