Facelift / face lift - plastic surgery for face

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The face lift is used to reinstate certain problems in the face, which show up through time. These problems are the sagging of the neck, the fall of the cheeks, the climax of the lip-cheek lines, the fall of the forehead skin area and the bags of the bottom eyelids. Thus, there is no specific age, that when it is passed the patient needs to be operated. The elderly do not often need to be operated. People of middle age, however, may experience intensively the characteristics of the relaxation and are in the need of a face lift.

Occasionally the plastic surgeon examines patients 40 – 45 years old that bear a tired skin with thin wrinkles mainly around the mouth and the eyes, without bags, and perhaps a small fall of the forehead’s skin and / or intense expression wrinkles. A wide range of invasive or non-invasive procedures are applied in order to provide solutions to small or greater problems of aging.

Facelift / face lift - plastic surgery for faceView Gallery

The recent method of paralyzing certain mimic muscles with Botulinum Toxin Type A (Botox), the various injectable ingredients for filling wrinkles (Fillers), the peeling of the skin with chemicals or Laser and treatments with radiofrequencies have definitely earned their place dealing with the setbacks of aging. A peeling with hydroxy acid is usually enough to treat a tired and sun-burnt skin. The plastic surgeon advises the patient for the suitable treatment and he is the most suitable to perform it more accurately and effectively.

The surgeon is to decide whether the patient should be operated.

The surgical technique as described in the books of Plastic Surgery is comprised of reconstruction of the fascia of the face muscles and the relaxation of the skin at the neck and cheeks. Moreover, the total treatment should include blepharoplasty and usually the rectification of the temple. The last two procedures may be separate according to the patient’s needs.

These techniques do not alter the patient’s characteristics. The careful preparation of the face muscle fascia and their compilation to the right position offers a healthy and vividly expressed face. The duration of the results cannot be calculated. The relaxation procedure is still perpetuating, yet commencing from a “younger” age.

The facial plastic surgery presents incisions around the ears, which continue in the scalp. Rarely are they visible after a year’s time. The eyelid incisions disappear and can barely be discernible after a month. The surgery takes 2.5 to 4 hours. The patient, as in all operations, must come to the hospital foodless and he should not have drunk water for the past 6 hours. He should have the pre-surgical check-up with him and be prepared to face an easy operation with a painless postoperative course of 10-15 days. Painkillers are almost never needed. Two – three hours after the operation and when the patient comes round from the dizziness of the anaesthesia, he can return home. Right after the operation the swelling is intense and there are bruises on the eyelids and on the face. The eyelids may be half-open, especially if the patient had a temple lift simultaneously. The second post-operation day, the patient can close his eyelids, the swelling goes down and the bruises start fading. Collyriums and cold compresses are applied to the cheeks for 5 days. The stitches in the eyelids are removed on the 4th day and the rest of the stitches on the 10th day. The patient can go out of his house on the 10th day. If the patient is a smoker the incisions round the ears may take more time to heal. A small numb round the ear is possible, but never leaves problems after the delayed healing. Rarely, a month after the operation, nodules may appear, that could discomfort the patient, but they come off without operation. A minor unnoticed swelling usually remains for approximately 4 months.

The endoscopic or subperiosteal Lift in techniques that have a place in the facial plastic surgery. The temple lift worths to be operated endoscopically since it leaves no scars or hematomas in the area. The subperiosteal lift can be operated as a continuation of the endoscopic lift or the blefaroplasty, it stabilizes the result of a classic face lift but cannot replace it. Anyway, a charismatic plastic surgeon will choose the appropriate technique or a combination of them, so as to give the best aesthetic result.

There are some other techniques like APTOS or HAPPY LIFT etc. Those are techniques with special stitches and can be applied alone or as a complementary technique to the face lift. There are however strong oppositions to those techniques and for the time being there are no consistent and continual scientific results.