The woman over 40 years old is quite difficult to take as a young girl. The main thing showing the real age of the women is her face, and its color, texture and skin structure in particular. Suddenly you notice purses under the eyes and first wrinkles. The cheeks start to sag and eyelids obtains excessive fat. The flabbiness of the neck skin appears as well as the second chin or vise versa a deep wrinkle worsening the face shape.
Descent eyebrows over the bridge of the nose and the forehead considerable changes your eyes expression.
And still person feels itself young and wants to attract and delight.
There is no doubt that there is a face and neck lifting on the top of the all esthetical surgeries. It also know as Rhytidectomy – the procedure implying the elimination of the descent cheeks, reduction of the nasolabial fold apparency as well as recovery of the normal neck and chin area shape.
Whom the facelift is indicated to?
Males and females between 40 and 50 years old use this procedure mainly; however face lifting may be quite efficient in younger as well as older ages.
The planning of the surgery
Face lift is always an individual procedure. It is quite important to discuss your wants with the surgeon and listen to his opinion attentively.
However you should know that even radically lifting will not get rid the patient from wrinkles in case she has so called rugulose type. The tiny net of the wrinkles is especially quite apparent when located over the upper lip, under the eyes (at the outside eyes’ corners), at the forehead and cheeks.
Other procedures like injection methods of wrinkles elimination, blepharoplastics (eyelid plastics), skin polishing, forehead plastics, and deep pilings may be required to reach these aims. These procedures may be carried along with face and neck lifting.
Surgeon will have to evaluate your face, including skin and skull bones. He will also need to know whether you use any medications or drugs, whether you smoke or not, whether you experience high arterial blood pressure or not.
The surgery preparation
The last two days before the surgery you will need to wash your head with shampoo thoroughly. In case you are smoking then you will need to refrain from it within two weeks before the surgery and for some time after it. Otherwise the healing process will be interrupted as smoking decreases the blood inflow to the skin vessels.
In case you use certain drugs then you will have to discuss the possibility of their use with the surgeon.
The operation is provided on an empty stomach (it is prohibited to eat and drink anything in at least 6 hours before the surgery).
What the surgery implies?
There are two main types of the rhytidectomy – hypodermic and deep one.
In the first case this is standard and quite simple surgery implying the manipulations with the skin only. Its advantages are the low possibility of complications and short recovery period. The disadvantages of this method include inability to provide the whole number of the actions required for reaching the optimal result in certain cases. The relative simplicity of the surgery makes it quite attractive for the patients of any age.
The second type is the deep rhytidectomy – that strictly requires the SMAS recovery (superficial muscular-aponeurothical system) for the provision of the most effective and long-lasting result. Furthermore the risk of the undesirable consequences increases as the recovery period does.
The skin incision begins in the hairy area of the head in the temporal area, rounds the auricle on the front side and ends at the back of the head. The most part of this incision is hidden in the hairy part of the head. The only uncovered area is the fore-ear area (several centimeters). Fortunately, the scar is always soft in this area and becomes almost invisible as the time goes by. The skin of the temples, cheeks and neck flakes from the corresponding tissues and is stretched up and backwards. The excesses of the skin and hypodermal fat are removed.
- The first days after the surgery the patient is under the surgeon’s control wearing special bandage all the time.
- The stitches are being removed gradually in order to reduce the scarring. The stitches in front of the ears are being removed on the second-third day after the surgery, and the others stitches are commonly removed in a week.
- The sensitivity of the cheek skin usually reduces after the operation, though it recovers step by step.
- Certain infiltrations under the skin are quite possible however they will cease as the time goes by.
- Tissue edemas as well as bruises disappear in 2-3 weeks.
- Insignificant pain, the feeling of the slight tension of the tissues as well as decreased cheeks and neck skin sensitivity within first day after the operation is quite normal.
- A thin drain may be inserted beyond the auricle after the operation in order to provide appropriate outflow of the blood excesses. The drain is commonly removed in a day or two.
- You will need to refrain from bending your head within several days.
- The healing goes in gradually. It is not advised to get tan, color your hair, massage face and go in for heavy sports within 3-4 weeks.
- Hair wash and a slight make up are allowed only on the 7th day.
- It is prohibited to take bath within 15 days.
- The face recovers in 10-12 weeks.
- The final result becomes apparent in 1-2 months.
- Postoperative scars are pink within 3-6 months and then become lighter and less apparent.
Postoperative complications are quite seldom and have no serious effect on the final result. The most common complication is hematomas (accumulation of the blood under the operated skin area) that takes place in case the postoperative regimen is not followed properly. This complication doesn’t affect the esthetical result of the operation however it prolongs the recovery period.
Formation of the scars along the lines of the skin incisions is quite seldom complication related to individual body tissues reaction to the postoperative interference that doesn’t depend up to the quality of the surgery made.
How long the result last?
The result of the surgery lasts for many years and this process has several stages. First weeks after the operation the soft face tissues will relax slightly. Naturally the surgery cannot stop the aging process it will only eliminate its visible effects.
Diseases, everyday stresses, endocrine changes of the body surely affect the duration of the postoperative effect negatively.
Sudden loss of the weight after the operation will affect your face and may have negative effect on the operation result.
How many times is it possible to have face lifting?
Once you had face lift doesn’t mean you will need to do it again in the future. Many patients never have the second surgery.
This depends only up to the requirements of the patients he or she has to its appearance. It is possible to have lifting 2-3 times in a life with 5-10 years interval period.
How long the lifting effect lasts?
Potential patients often ask how many years of their age the surgery will remove and how long this result will last.
The general rule is that the younger patients have their surgery effect lasting for a longer period of time. In case you are between 40-50 years then you may experience about 10 years of the effect. In case you are over 60 years old then the surgery result will not last over 5-7 years.
However the surgery provides a certain difference in age when compared to contemporaries that will remain for the rest of the life.