The
modern facelift responds to each individual's unique
aging process and needs. Early facelift operations
were essentially a skin lift. The modern facelift
incorporates not only skin redistribution and
resection, but also repositions tissues beneath the
skin, mainly in the muscle and fascial network. This
is sometimes referred to as the SMAS which is an
acronym for Superficial Muscular Aponeurotic System.
Using the critical steps of removing unwanted fat
and tightening or repositioning the SMAS as well
intelligent skin removal, patients now have a longer
lasting and more natural face lift. The modern
facelift was ushered in during the mid 60's and
popularized in this country in the mid 70's. The
facial operation has undergoing many evolutionary
stages since then, and more recently has reached a
level where each facelift is individualized. The
operation does not depend on a tight pulling of the
skin. Instead the face is rejuvenated from the
inside out.
The
areas of concern to most patients are loose neck
skin, jowls and loss of facial contour (facial
flatness). The modern facelift in correcting these
problems relies on precise incisions which are
hidden when possible. Unwanted fat is removed
intelligently; the SMAS layer is tightened or
redistributed to areas where it is more beneficial.
The cheek fat pad which creates a youthful contour
is repositioned and excess skin is removed. Emphasis
today is on decreased bruising and an early return
to normal activities.
Recent Advances In Facial Aesthetic Surgery
Most full Face Lifts are performed using the
minimal incision face lift approach or L.I.F.T.
(Limited Incision Face Lift Technique)
Procedure. This Technique reduces or eliminates
scars behind the ears and removes all scars in
the upper neck so that the hair can be worn up
with no tell tale signs.
The
use of biological glue or fibrant sealants
represents a major break through in modern
facial surgery. Not only can more natural
results be achieved but there is significantly
less bruising and swelling. In most cases bulky
dressings or the use of drains is not required.
It is our belief that
well-prepared patients enjoy the best surgical
results. Preparation includes the avoidance of
drugs and foods which can cause excessive bleeding
and bruising, and a homeopathic approach skin care
program which is individualized for each patient and
which allows for more successful facial surgery. We
prefer at least two weeks to prepare the skin for
surgery and then maintain the patient on a skin care
regimen following surgery.
Most individuals
undergoing facial surgery today are concerned about
when they can return to a normal life. In most
cases, patients look reasonably well between 10 and
14 days post surgery and can return to their routine
activities such as jobs or their social life within
this time frame. There are, however, changes which
can occur for up to two or three months. We advise
patients who have public commitments of critical
importance to give at least six weeks between the
facial surgery and the event to allow for healing
and resolution of the swelling.
