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Alternative names Return to top
Rhytidectomy; Cosmetic surgery of the faceDefinition Return to top
A facelift is a surgical procedure to repair sagging, drooping, and wrinkled skin of the face and neck. It is performed to improve visible signs of aging, poor diet, or heredity; it is performed by removing excess fat, tightening underlying muscles, and redraping facial and neck skin.
Description Return to top
Sagging or wrinkled skin occurs naturally with increasing age. Folds and fat deposits appear around the neck, and deep flexion creases form between the nose and mouth. The jawline grows "jowly" and slack. Heredity, poor diet, smoking, or obesity may contribute to early or severe skin problems.
A facelift can help repair some of the visible damage to skin, fat, and muscles and can restore a "younger" look. A facelift can be done alone or with nose reshaping, a forehead lift, or eyelid surgery.
While the patient is sleepy (sedated) and pain-free (local anesthesia) or deep asleep and pain-free (general anesthesia), the plastic surgeon makes incisions above the hairline at the temples, behind the earlobe, to the lower scalp.
The surgeon removes some of the fat tissue and loose skin, then stitches (sutures) the incisions closed. The fat tissue is called the SMAS layer and is the primary lifting portion of the facelift.
Indications Return to top
Dissatisfaction with facial signs of aging and otherwise good health.Risks Return to top
Risks for any anesthesia are:Expectations after surgery Return to top
Most patients are pleased with the results.Convalescence Return to top
The patient should expect swelling, bruising, skin discoloration, tenderness, and numbness for 10 to 14 days. Most of the surgical scars are hidden in the hairline or the natural lines of the face and will fade over months. Sun exposure should be limited.
Update Date: 11/4/2003 Updated by: Hebe Molmenti, M.D., Ph.D., Private Practice specializing in Plastic and Reconstructive Surgery, Baltimore, MD. Review provided by VeriMed Healthcare Network.
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Page last updated: 28 October 2004 |