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Homepage > Plastic surgery > Cosmetic and plastic surgery treatment > Face lift (Rhytidectomy), Minilift (MACS LIFT)

Face-lifting

As we age our cheeks begin to sag, accentuating the natural facial lines and leading to creasing around the mouth, chin and on the neck. The cause of this situation is reduction in the elasticity of the skin, loosening of the suspensory apparatus of the skin and, under the effect of gravity, a drop in the fat pads in the face.

As we age our cheeks begin to sag, accentuating the natural facial lines and leading to creasing around the mouth, chin and on the neck.

The cause of this situation is reduction in the elasticity of the skin, loosening of the suspensory apparatus of the skin and, under the effect of gravity, a drop in the fat pads in the face.

Small skin creasing (particularly around the mouth and eyes) can be eliminated by either peeling (burning of the surface layer of skin) or laser. Significant sagging of the skin and subcutaneous structure can only be eliminated by a surgical operation.

The type of operational method should be adapted to the character of the face and predominant manifestations of aging.

We use one technique for a bony face with a minimum layer of subcutaneous fat and another technique for a face with significant sagging of heavier facial fat pads or loosening of the flat subcutaneous neck muscle.

The most suitable operation that the surgeon chooses for you will depend on his experience. The scope of the operation can be adapted somewhat to suit your ideas and requirements.

At the first consultation we will go through everything with you and answer your questions.

Operations are predominantly done under total anaesthesia. Only minor operations can be carried out under local anaesthesia.

The operational incision is practically the same or similar for the various methods of operating. With some methods the incision behind the auricle is not necessary (MACS lift – minilift).

Face-lifting reduces the signs of aging in the lower half of the face and the neck simultaneously.

The principles of the operation can be summarised into these points:

1) Gentle stretching of the skin cover with removal of excess skin.

2) According to the type of operational technique, raising of the sagging fat pads to their original position and, while in this position, fixing or releasing of the subcutaneous layer, which consists of flat subcutaneous neck muscle and its broad fibrous insertion (known in literature as SMAS).

The operation lasts 2-4 hours, according to its scope.

During the operation drains are inserted, which are removed the following day.

Hospitalisation after the operation usually lasts 1-3 days.

Stitches are removed 10-14 days later.

Wounds are covered with bandages for 1 week at most. Hair can be washed after their removal.

Following the operation the cheeks swell, largest usually from the 3rd  postoperative day and lasting 1-2 weeks. Swelling can be mitigated by bandaging and some medicaments.

A facelift is quite an extensive and delicate operation, which is carried out close to important facial nerves, vessels and salivary glands. As with any surgical operation there may be complications with face-lifting operations, even though the operation is carried out by experience surgeon.

Possible complications are:

1) Increased haemorrhaging, which can occur immediately or some days after the operation. Usually a further operation is required to stop haemorrhaging.

2) For especially susceptible individuals postoperative swelling can last for a longer time (even over 1 month). It will gradually disappear by itself.

3) Breach or compression of a branch of a facial nerve can cause plegia of a mimic muscle. This is manifested as an asymmetry of the face, particularly with mimic movements. This condition is usually only transitory, but a return to normality can sometimes take several months.

4) Infection complication or necrosis of a small area of the skin is very rare and more predominant in smokers. Treatment of this complication prolongs the usual healing time.

5) A feeling of tension and lowering of the surface sensitivity in the area where the skin was pulled back during the operation, which is normal and disappears in time.

6) Rarely, hair in the area of scars in hairy parts of the head can fall out. This can be corrected by a subsequent operational procedure.

7) Raised and unsightly scars are a rarity and can appear particularly where the patient has a born disposition.

 

In conclusion, it should be stated that face-lifting is not an operation which should change the characteristic features of the face (like a corrective operation of the nose). It should make the face younger – sometimes by several years, or simply remove a tired appearance. It shouldn't cause a reaction from others like: "You've had a facelift!", but more "You look somehow better today, fresher!".

 

 

 
> Before/After photos - Face lift (Rhytidectomy), Minilift (MACS LIFT)
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