Face Lift

Face Lift

With the advancement of age, the skin also grows old. The first phase of oldness can be first noticed in the face. Wrinkles appear in different areas of the face. The vigor, tranquility and the serenity of the face looses its luster with the advancement of age. The patient's face should be elevated to determine which areas are most wrinkled, sagging and unattractive. The procedure may then include a forehead lift, cheek lift or neck lift. Any excess fat in the neck can be removed at the same time, by either suction or scissors. The level of dissection may be as deep as the facial bones. The surgeon must have a complete knowledge of the branches of the facial nerves because inadvertent section would result in paralysis of the part supplied by this nerve.While the surgery can be accomplished under local anesthesia with adequate preoperative sedation, some surgeons prefer to use supplemental intravenous or inhalation anesthesia as well. If that is the case, there should be an anesthesiologist or certified nurse anesthetist in charge of the patient.

If the forehead lift is to be included, the incision extends across the top of the head from ear to ear in the shape of a crown; hence, the procedure's other name, coronal lift. Some surgeons prefer to make the incision just below the hairline, especially in a very high forehead, because this part of the forehead is raised during the operation. Many people have deep frown lines between the eyebrows. For this reason, the muscles between the eyebrows are cut and a portion removed. The coronal lift is designed to accomplish four things: elevation of the eyebrows, removal of deep wrinkle lines across the forehead, improvement of crow's feet and removal of deep creases between the eyebrows. The incisions vary according to each surgeon's preference. Some think that they get a better or longer lasting correction of the sag if the tissue overlying the parotid (mumps gland) and adjacent muscles is elevated and firmly sutured there, the excess being cut away or sutured behind the ear. On completion of the surgery, some surgeons insert drains under the skin, which are attached to a gentle suction reservoir. Blood and serum are removed, leaving less bruising and less postoperative swelling...Read MOre Information