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Facelifts at the About Face Cosmetic Surgery Clinic
The relentless pull of gravity produces sagging and drooping of the skin and the underlying fat. Facial aging is also genetically determined and influenced by other factors such as sun exposure, smoking, weight gain and the stresses of daily life.
By: Mr Kambiz Golchin - About Face Cosmetic Surgery
Facelifts can be divided into suture only lifts, and dissection facelifts. The suture only lifts are a newer concept. They provide a shorter-term option for more minor pathology. Suture facelifts do not provide true dissection movement of one tissue plane over another. Consequently they cannot be expected to produce a broad and true lift, to the same level as a dissection facelift. Suture only lifts however require less surgery, less risk of any injury and less downtime. These benefits are balanced against actual potential result and the desired longevity.
The main strength of the dissection facelift operation is the surgery, which modifies the deeper layers under the skin providing a more significant and longer-term improvement.
The workhorse of all dissection facelift surgery is the “SMAS lift” operation. The SMAS is the band of connective tissues that connect the deeper tissues to the skin. This involves using some kind of re-tensioning of the deeper layer (SMAS) to hold the face in position. Once the SMAS is pulled up, trimming of excess skin is usually required to avoid bunching.
The standard facelift operation involves incisions, which usually begins above the hairline at the temples, extend in a natural line in front of the ear (or just inside the cartilage at the front of the ear), and continue behind the earlobe to the lower scalp. If the neck needs work, a small incision may also be made under the chin. Tiny incisions may be required to place fat grafts into the cheeks, which heal rapidly and are not conspicuous.
The direction of the lift is usually more of a vertical lift of the jowl and mid face, whereas the neck tissues are generally pulled back.
Another type of dissection lift is the “deep plane facelift” takes the dissection plane under the SMAS layer and runs forward over the facial nerve. It has gained particular popularity in America. It is said to have a lower incidence of haematoma (bleeding leading to a large blood clot) and has benefits to help the midface.
Some surgeons avoid the deep plane facelift to reduce the risk of injuring the facial nerve. This nerve moves the muscles of the face for smiling and other facial expressions. The risk of injury in expert hands is very low, but if complication should it occur is generally very serious. Some surgeons feel that this operation provides more of a backward vector, rather than pulling up. This can produce windswept look, whereas an upward pull of the lateral SMAS lift is more natural.
Whichever technique of full facelift that is done, it will result in a significant dissection and separation of layers. This provides a true repositioning of layers on a broad and even front. Tissues will therefore be expected to heal in a new location.
Your surgeon will need to carry out a full examination to determine which lift is right for you.
Liposuction is often an accompaniment of facelift and neck lift. Fatty tissue can be removed from under the neck or around the jowl region to help provide refinement and sculpting where necessary. It is often done by itself or in conjunction with these procedures. A small cannula with a hole and suction is used to pull away the fatty tissue. once removed they are gone forever as fat cells cannot multiply. i.e. Once fat is removed it cannot come back but if someone gains weight fat will develop in other areas where the fat cells are more prevalent. The liposuction incisions are 3 mm in length and become virtually invisible over time. All wounds are closed meticulously and the patient is bandaged to provide support to the tissues.
In expert hands facelift complications are very uncommon. The recovery time can be frustrating with swelling and waiting for incisions to heal. Some people are able to face the public after a week whereas more extensive operations may require 10 days, 2 weeks and rarely, even 3 weeks for those who are very “private” people.
There may be some bruising and there will be some discomfort and feelings of tightness. Change of sensation, however, is not uncommon. Many people find they are numb around the jaw under the ear and this can be present for some months. In the long term this generally has not been a major problem and most patients find they obtain normal sensation back within a few months.
The most feared facelift complications would be injury to nerves of movement of the facial muscles. Mr Golchin has not had this problem. In general, techniques that Mr Golchin uses provide a balance of power and safety so that nerve injuries would be very unlikely indeed. for more details visit http://www.aboutface.ie/
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About Face Clinic offers a full range of facial plastic surgery procedures and related cosmetic surgery procedures and treatments for private clients in Ireland. All cosmetic surgery is carried out at the Beacon Hospital by Mr Kambiz Golchin
Page Updated Last on: Jul 15, 2009