Facelift

  • Facelift
  • FAQ
  • Fast Guide

SUMMARY

A facelift is a surgical method that removes excess facial skin to make the face appear younger. During a face-lift, facial soft tissues are lifted, excess skin is removed and skin is draped back over the newly repositioned contours.

Cosmeticium is one of the main clinics who offer facelift surgery in İstanbul, Turkey.

SURGICAL TECHNIQUE

There are various techniques used today to perform a facelift. Facial anatomy, skin laxity and the overall aesthetic goal of the patient will determine the best approach. Each procedure will be unique to the patient and will vary based on the type and location of the incision, the number of tissue layers affected, the plane of elevation and the level of invasiveness.

SKIN ONLY FACELIFT

The skin only facelift has been in practice since the early 1900s. Known as a cutaneous facelift, this technique is less invasive because it addresses the skin only. The result of this surgery is a bit subtler than some of the newer muscle tightening procedures. However, it also offers a lower risk and recovery period for the patient.

TRADITIONAL FACELIFT (SMAS)

This SMAS facelift is considered the gold standard. This surgery, while more complicated, produces results that are more dramatic and longer lasting. The technique involves manipulating a group of muscles beneath the skin known as the superficial musculo-aponeurotic system (SMAS). This section of muscle controls facial expression. An incision is made along the hairline from the temple to just behind the earlobe. The skin is then separated and lifted. The underlying muscles and tissue are tightened and secured so they maintain their new position.

DEEP PLANE LIFT

The deep plane lift goes a step further than the traditional approach. It is better suited for those with severe sagging and drooping — usually reserved for older patients. In addition to the SMAS layer being adjusted, a deeper section, known as the deep plane, is also treated. While this procedure offers certain advantages over a traditional facelift, surgeons must be skilled and act with caution so facial nerves are not damaged during the surgical process.

MINI FACELIFT

A mini facelift is geared towards patients who want some of the benefits of a facelift, while at the same time minimizing the cost and invasive nature of the surgery.  Some procedures that are considered “mini” include the “Quicklift” or “Lifestyle Lift”. Patients who wish to maximize the outcome of their surgery, resulting in the most dramatic results, will most likely need to turn to having a full facelift in order to meet these aesthetic goals.

Before Facelift Surgery

During your first consultation, your doctor will ask you about:

  • Your expectations
  • Your general health
  • Any specific conditions that might interfere with surgery

The doctor will also examine your facial structure, including skin texture, color and elasticity and the underlying bone, discuss how your face can be changed, explain the details of the procedure, and develop a plan for surgery and healing with you. You may not take aspirin or any non-steroidal, anti-inflammatory medicine (such as Advil or Motrin; Tylenol is acceptable) for about two weeks before and after the surgery.

You must stop smoking for several weeks before and after the surgery because smoking can interfere with healing.

THE PROCEDURE

A traditional facelift procedure is performed through an incision starting in the hair or hairline above and in front of the ear (the temporal region). The incision is extended downward in front of the ear, comes under the ear and then upward behind the ear ending in the hair or hairline behind the ear. The skin and fatty tissues are then lifted off the underlying muscle and fascia (connective tissue) as far forward as is necessary to correct the loose skin problem. The underlying muscle and fascia can be tightened with sutures if the surgeon feels it is necessary. The skin is pulled back and upward and the excess skin removed. The wound is then closed with sutures and skin staples. Some surgeons leave a drain in the wounds to remove excess blood. Bandages are then applied. There are surgical techniques which go into deeper tissues rather than under the skin and fat.

RECOVERY PERIOD

It is normal to have some bruising and swelling after the surgery. The majority of your bruising and puffiness should be gone after 2 to 3 weeks. Bear in mind that people heal at different rates.

Stitches are typically removed within 5 days, and patients can often return to work after about 2 weeks. Swelling and bruising may persist for several weeks, but should be less noticeable as time passes. Recovery after a facelift can be a slow process and cannot be rushed.

RESULTS

Residual swelling will fade slowly over time, and final results should be apparent at about 6 months following surgery. While the aging process will always take it’s course, patients who are 5 to 10 years out for their facelift still can have outstanding results. And even for decades afterwards they can be much improved in their appearance.


What is a Facelift?

Facelift, or rhytidectomy, is a surgical procedure to improve visible signs of aging on the face and neck. As individuals age, the skin and muscles of the face region begin to lose tone. The facelift cannot stop the process of aging. It can improve the most visible signs of aging by tightening deeper structures, redraping the skin of face and neck, and removing selected areas of fat. A facelift can be performed alone, or in conjunction with other procedures, such as a brow lift, liposuction, eyelid surgery, or nasal surgery.


What type of anesthesia will I receive for my Facelift?

Facelifts are usually performed with general anesthesia.


How are Facelifts performed?

For a traditional facelift, an incision is made behind and slightly in front of ears and the skin of the face is lifted from the underlying tissues and muscle. The facial skin is then tightened and the excess removed before the incisions are closed. A bandage will be applied to the face at the completion of surgery.


How long is the surgery for a Facelift?

Surgery is usually preformed as an outpatient or overnight stay and usually takes about two to three hours.


How much pain can I expect after my Facelift?

You may experience some temporary discomfort, particularly around the incisions, but this can be relieved with prescription medication.


What should I expect of the recovery after my Facelift?

You can expect some bruising and swelling after your facelift. Most of the swelling should fade within about a week, while the bruising may take two to three weeks to clear up. You may experience some headaches and numbness, itching and hair loss at the incision. Bandages applied after surgery are usually removed within a couple of days, and stitches may be removed within one to two weeks.


How long before I can return to normal activity?

Most patients can return to work in about two to three weeks after a facelift procedure is done and one to two weeks after a mini facelift. Regular activity depends on the activity itself and the patient. Physical exercise or any other activity that will raise the blood pressure should be avoided for about three weeks.


How much time should I plan to take off from work after my Facelift?

Normal activities, including work, can usually be resumed within 2 weeks.


What are the risks and complications involved with having a Facelift?

As with any surgery, there are risks involved. Smokers are required to refrain from smoking, before and after the procedure, for a minimum two months, to reduce the likelihood of complications. Some possible risks are hair loss, nerve damage and delayed wound healing.


How long will my results last?

As with all facelifts and other cosmetic surgeries, the longevity of the benefits is dependent on several factors. The “deep plane” achieves results that you can expect to last up to 12 years, or even longer with a healthy lifestyle and customized skincare regimen. A mini facelift, although is less invasive, typically only lasts a couple of years at most.

Length of procedure: Approximately 3 – 4 hours
Recovery period: 10 – 15 days to go back to work
Exercise: After 3 weeks
Stay: 2 nights in hospital, 6 nights in hotel
Scars: Non-existent after healing
Potential candidate: Patients with sagging skin and wrinkles on their face
Stitches: Removed in last check up by your doctor
Results: Permanent result achieved after swelling goes down
Combination of surgeries: Mostly eyelid surgery, eyebrow lift, forehead lift, botox and fillers