The face-lift is a surgical intervention in which the facial structures that have been losing elasticity over the years are relocated. Unlike what many believe, it is not about stretching the skin but, in agreement with the patient, improving the facial appearance of the procedure through different techniques.
The face-lift procedure has changed a lot in recent years. Thanks to medical advances in general and in the field of aesthetics in particular, it is currently possible to act with very high precision everywhere in the face thanks to the minimal incisions made today in the operating room. The consequence of this is the elimination of scars, offering much cleaner results that usually allow for faster recovery.
Most of the people who undergo a face-lift are people who are around or have passed the quarantine and who want to recover the tone, firmness, and elasticity of their skin and facial muscles. Face-lift is also called by some professionals rhytidectomy.
Choosing a specialized cosmetic surgeon could improve the results achieved by the surgery and could achieve a more natural result, with more rested lines.
Types of face-lift:
The face-lift is a surgical procedure that treats the deepest structures of the facial and neck tissues, removes the selected areas of fat, and eliminates wrinkles. This surgery can be combined with others such as blepharoplasty or eyelid surgery or chin surgery, among other facial modifications.
However, it is important to point out that there are several types of facelift techniques that can be used, each of them accomplishing specific results. In the following section we will describe some of them:
Mini facelift: Technique that allows one to finish off small wrinkles or with slight sagging areas of the neck through the detachment of the preauricular area of the face.
Cervico-facial facelift: Technique that is responsible for ending wrinkles and flaccid areas of the lower area of the face and neck through small incisions behind the ears from where the skin is stretched. In addition, this also allows the extraction of accumulated fat in the double chin, gives volume to the eyelids and reaffirms the neck and jaw.
Facial Lipofilling: This technique that goes out a bit of the facelift as we understand it allows the face to be shaped by filing certain areas such as the cheekbones with fat. It is a minimally invasive technique.
Mid-facelift: Also known by vertical facelift or cheek lift, this technique allows rejuvenating the area most affected by the passage of time, in addition to giving firmness to the cheekbones and improve the entire area of the ears.
Brow lift: Also known as a forehead lift, this technique by which wrinkles of the forehead and frown lines are eliminated, consists of stretching the wrinkled areas until you get a smooth, soft and rejuvenating forehead, also raises sagging eyebrows.
Endoscopic face-lift: A technique that can provide eyebrow lift while minimizing postoperative scarring and tissue disruption as it is done through small cuts in the scalp. It could often offer more interesting results than the traditional facelift.
Non-surgical lifting treatments
There are different non-invasive aesthetic treatments that complement or replace, at least in part, the face-lift. All of them are intended to rejuvenate the face. Let's see them.
Botox injections: Botox is a neuromodulator that allows you to relax your muscle and eliminate wrinkles. This is usually used on the forehead, eyebrows, other areas of the face and to eliminate crow's feet. The results begin to appreciate at 72 hours and should be repeated at least twice a year.
Temporary dermal fillers: The sagging of the cheekbones or the jowls can be kept at bay thanks to the fillers of hyaluronic acid and collagen, two natural compounds that help to reaffirm the areas where they are applied.
Lipofilling: The patient's excess fat is injected into lips, mouth, cheeks, or clefts of the face to significantly improve the appearance of the face.
Tension threads: Tightening small threads under the skin achieves an effect similar to lifting, but with temporary results.
All these treatments that offer much less remarkable results than those achieved through the operating room require application every few months, otherwise it will revert to the starting point.
Finally, it should also be noted that, although with a more staggered process, without scars and without the complications of surgical intervention, the results of facial treatments without surgery are less durable and usually should be practiced once or twice a year.
The average cost of a face-lift in the U.S is $11,000.
MedicW price in Mexico is $4,900, which represents a 55% savings
Check our prices by country here
Surgery duration: from two to four hours, depending on the complexity
Duration of hospital stay: You might go home the same day as the surgery
Step 1: Anesthesia
The first step in facelift surgery is the administering of anesthesia.
The doctor will recommend the best choice for you
Some surgeons prefer the use of general anesthesia, while others believe that a combination of local anesthetic, mild sedatives, and light intravenous sedation is sufficient for patient comfort
Be sure to discuss your anesthesia options and concerns with your surgeon
Make sure that the surgeon and anesthesiologist have a complete list of all the medications you take, and that they are aware of all your pertinent health information
Step 2: The incision
Depending on the degree of change you'd like to see, your facelift choices include a traditional facelift, limited incision facelift or a neck lift
Most often the incision goes over the edge of the tarsus, the fly of skin and cartilage in front of the ear canal rather than entirely in front of the ear
Frequently a small incision is made on the crease beneath the chin to do liposuction and tighten the muscle bands there
An alternative to a traditional facelift uses shorter incisions at the temples, continuing around the ear. "Mini-lifts" is usually reserved for patients with less skin relaxation, as the results are less rejuvenating than a full facelift
Neck-lift addresses the sagging jowls, loose neck skin, and fat accumulation under the chin. The neck lift incision often begins in front of the ear lobe and wraps around behind the ear, and ends in the posterior hair behind the ear
Step 3: Muscle and connective tissue are repositioned and tightened
The surgeon pulls the skin outward to gain access to the underlying muscle and connective tissue
He or she then repositions and tightens the tissue, securing it in its new position with sutures and/or tissue glue
Some fat may also be removed or repositioned at this point
Step 4: Excess fat is trimmed away
After the tightening of underlying tissues, the excess skin is trimmed away
Care must be taken to cut precisely so as not to ultimately alter the patient's features or facial proportions, or to leave the patient with the dreaded "wind-blown" look
Step 4: Closing the incision (s):
The surgeon will use fine sutures, staples, and possibly more tissue glue to close the incisions and promote healing
If the incision is closed with sutures, they may dissolve or may need to be removed after a few days
Once healed, the incision lines from a facelift are well concealed within the hairline and in the natural contours of the face and ear
The preoperative for a face-lift basically consists of a complete analysis that confirms that the patient is ready to go to the operating room and undergo anesthesia that, in almost all cases, is local.
Some doctors ask that a few days before the operation cease the consumption of alcohol and tobacco. A recommendation that will be extended during the postoperative period.
On the day of the intervention, the patient should fast and the areas agreed upon during the last preoperative visit will be intervened.
The surgery requires the realization of minimal incisions in the facial perimeter that do not leave a scar in most cases. The incision can be done in the area under the chin when the neck needs to be intervened. Once the excess adipose tissue is removed, the skin is stretched and the openings are closed with almost invisible stitches.
To achieve a good result after a face-lift it is essential to follow each and every one of the steps indicated by the surgeon and his medical team. In search of the best results and maximum medical guarantees, it is necessary to put yourself in the hands of specialists in facial aesthetic medicine.
Once the operation is finished, the surgeon wraps the face to help the internal tissues to adhere again. A wrap from which several tubes come out to drain the intervened areas and will be removed two days after the operation. At the time of completing the face-lift procedure, the medical team will perform the first review. These will continue to be carried out until it is proven that the healing has concluded perfectly.
During the first dates after the procedure, the customer will have a swollen face and bruises until they will usually disappear in two or three weeks.
After a month of recovery, there should be no inflammation or bruising. Although it is possible that, depending on the technique used, minimal scars can be seen behind the ears, under the chin or on the hairline, they should disappear before the first semester after the operation ends. During that time it is highly recommended to follow the medication prescribed by the medical team, to make sure that the recovery time is as effective as possible
A month after the surgery you can start to appreciate the new face, it will not be until six months until you see the definitive results
As we mentioned above, the operation concludes with the placement of bandages that help reduce inflammation. These are removed within a few days, having to wait a week for the total withdrawal of all stitches.
After two weeks, you can notice that in swollen areas the inflammation will start to subside. The worst is over and recovery is getting closer.
Although the medical team that treats you will already tell you, during the first month you will not be able to take aspirin or anticoagulants to prevent bleeding. In return, you will be prescribed pain relievers to prevent pain, so you will barely feel discomfort.
During the recovery phase, you will be asked to stop smoking, since tobacco slows the recovery and healing of the intervened areas.
To wash your hair you must wait at least 72 hours. During the first washes, you should take special care not to press the stitches. It is recommended not to use dyes or strain during the first weeks after the operation.
Those first weeks you will be prescribed to sleep with your head up and face up. To do this you can use pillows, as long as they do not rub your face too much.
It is possible that during the first weeks you feel that your face or scalp are numb. However, this feeling, that in any case should be mild, will disappear gradually thanks to the medication.
Beyond the medication, it is recommended to follow a soft diet during the first month to avoid as much as possible continuous chews that may affect the stitches or areas involved. You might also be prescribed a low sodium diet to promote recovery.
It will be from the third day when you can start going out and do some moderate activity, as long as the sun does not shine on your face, which you should avoid for several months by resorting to sunglasses, as well as caps.
All these cares will have been worth it when, six months after, see your new face without a wrinkle, firmer, much less fatty and much more rejuvenated. The effort and time, as patients who undergo a face-lift usually report, is worthwhile.
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