Facelift, or rhytidectomy


: Facelift is a surgical procedure that improves visible signs of aging in the face and neck, such as

Sagging in the middle of your face

Deep creases below the lower eyelids

Deep creases along the nose extending to the corner of the mouth

Fat that has fallen or has disappeared

Loss of skin tone in the lower face that creates jowls

Loose skin and excess fatty deposits under the chin and jaw can give even a person of normal weight the appearance of a double chin The loss of youthful contours in the face can be due to a variety of factors, including heredity, gravity, environmental conditions, and stress. Rejuvenation procedures typically performed in conjunction with a facelift are brow lift, to correct a sagging or deeply furrowed brow, and eyelid surgery to rejuvenate aging eyes. Brow lift is usually done by aid of endoscope through small incisions inside the hair but mid and lower face lift is done by incisions around the ear which are hardly visible after a few weeks. Facelift is almost a major procedure and is sometimes accompanied by neck lift, submental and facial liposuction and/or fat transfer, blepharoplasty and chin prosthesis. It usually takes 3 to 4 hours with IV sedation anesthesia. Because it is a procedure of middle and old ages, the patient is thoroughly screened for any medical problem. Usually you have to stay one night under observation. Thaere is some drains in site of incisions to remove any excess accumulated blood which is removed in the next morning. You are discharged with a relatively tight bandage on face. The bandage and stiches will be removed after a week. Eccymosis, swelling and some pain in face, neck and around the eye is usual. Pain is controlled by pain killers. The bruising gets better by cold compress in first 24 hours. To lessen the swelling, in addition to bandage, sleeping with head elevated will help. We expect fading eccymosis after two weeks and major swelling after three weeks. However swelling mostly takes 6-8 weeks to resolve completely. You can go to work after removing bandage but should have light activities. Light exercise like walking can be started after a week, but others should be started after 4 weeks gradually. The major complications of facelift are injury to motor and sensory nerves and skin necrosis, which are fortunately rare.