Surgical Treatments


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Rhytidectomy (FaceLift) Surgery

When the ageing process has affected the face and neck to a great extent, a full face and neck lift is required. The entire face and neck can be rejuvenated in a lasting and powerful manner. The changes include prominent lines by the side of the nose and angle of mouths, jowl formation and loss of volume in the cheeks.The incisions are placed in such a manner that once healing is complete, they are barely visible. Neck bands, jowls, and turkey gobbler deformity can be corrected only with a full face and neck lift.

There are various techniques/ approaches in facial rejuvenation surgery. The choice of approach will depend on the severity of ageing changes seen at presentation.

The approaches include-

Full face and neck lift

Mini face lift

MACS - Minimal access cranial suspension

Mid face lift

Face lift and fat injection

Dramatic as the end results are, this is not a simple procedure. It requires a week to 10 days of recovery.

A facelift is frequently performed in conjunction with blepharoplasty (Eyelid Surgery), forehead lift, chin augmentation, and / or liposuction, to create an overall rejuvenation of the face. The procedure can be repeated as gravity continues its effects after the first surgery.

Facelifts are performed in inpatient surgical centers. General anesthesia is generally not required but can be used if desired for long procedures to help you relax and get a better result. Incisions are made inside the hairline at the temple, in front of the ear, then around the earlobe and behind the ear depending on the extent of lift required. Excess skin is removed and sagging muscles and connective tissues are tightened. In some cases, fatty deposits are removed from beneath the chin and neck. Incisions are closed with small sutures.

The procedure may take up to 4-5 hours depending on whether any other procedures are performed at the same time. Initially you will have a large dressing wrapped around your head. To minimize scarring, the doctor may remove the sutures in stages. Scarring fades quickly. Swelling and discoloration decrease within two weeks. Tightness in your face will be present for several weeks.

We recommend that you avoid the sun for several weeks after surgery.

Complications following facelift are rare. These include bleeding, infection, facial nerve injury, discoloration of the skin, numbness, asymmetry and scarring. Infection is rare due to the large blood supply to the face. As mentioned, the risk of bleeding is greater if you take aspirin or blood thinners within 2 weeks of the surgery. The risk of wound complications increases in diabetics, persons with a history of radiation, autoimmune and collagen disease as well as in smokers. By following pre- and post-operative instructions, you will minimize potential problems.

In the weeks following surgery, the facial skin and area around the ear may be numb. Occasionally, the facial nerve is bruised during surgery, resulting in temporary loss of function or sensation. The healing process is gradual, so you will not notice final results for few months. To maintain the results, avoid significant changes in weight and further sun damage. Ideally,medium depth chemical peel should be done every year to maintain skin tone and to get rid of fine wrinkles.

Is there some minimal procedure for the same result?

Modified face lift along with endoscopic surgery of the brows and minimal surgery in the chin / neck area can give a younger look which may not be as powerful as a full face neck lift. The recovery time for such a procedure is just a week and is a day care procedure with people going back home in the evening.

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Rhytidectomy surgery is a conjunction with Face lift, brow lift, eyelid and neck lift surgery is used to removing excess facial skin from the face, neck and cheeks. Dr. Thomas is best cosmetic surgeon at Face Institute in Mumbai, India offers you various facial surgeries like Rhytidectomy, Rinoplasty, scar removal, facelift surgery, chin and cheek augmentation etc.