Facelift restores youth to the face. Because our face is very exposed, it is even more susceptible to aging than our body. Wrinkles, loss of facial soft tissue volume, decreased muscle tone, withered skin on the face, especially in the middle and lower part of the face and neck, are the consequences of aging, gravity, as well as possible skin damage due to the sun. Such a face looks tired and exhausted, without energy and vitality.
If we want a facelift to be lasting and effective, we need to reshape the deeper layers of the face, which are formed by the connective tissue and facial muscles. Only by moving, lifting and securing them in the right place can we remove deep wrinkles, improve the contour of the lower jaw and the neck line. The general rule with a facelift is therefore: the more extensive and deeper the procedure, the more visible and lasting the result will be. Of course, this also requires a longer recovery period, including more extensive swelling and bruising, which may be present even longer after surgery.
For an even better effect, facelifts are often combined with other procedures. For example, the chin or parts of the face where there is too much fat are reduced by liposuction, and the removed fat is used to fill the cheeks and / or lips. If necessary, we can also emphasize the chin or cheeks with small implants. The goal of all procedures is to erase the results of aging by removing deep wrinkles and excess skin from the face and neck. By redistributing soft tissues, we restore the youthful shape of the face with a refreshed but natural look.
The beginnings of the traditional facelift date back to the early 20th century. It is a surgical procedure where the skin of the face is lifted from deeper structures, reshaped and properly tightened. This improves the appearance of the face, but does not treat the deeper structures of the face, which are also aging. Superficial facelift is the simplest of facelifts, and recovery after surgery is relatively quick. For those who face aging skin on the face but not problematic deeper tissues, this procedure will be effective enough. It is often chosen by those who cannot afford a long-term recovery. Most traditional facelifts combine subcutaneous lifting techniques and t. i. SMAS lifting.
The SMAS facelift has been appearing in cosmetic surgery since 1973, when Swedish plastic surgeon Tord Skoog found that by operating on deeper structures on the face, a better result could be achieved. The layer of tissue under the skin of the face is called SMAS (superficial musculoaponeurotic system), and it contains adipose and / or muscle-connective tissue that forms the deeper soft tissues of the face. By including a layer of SMAS in the procedure, it is possible to raise the deeper soft tissues of the face to the place where they were in their youth, even before they began to descend. With this method we can very well lift the face in the cheek area and reduce the sagging of the lower part of the face and neck.
Volumetric facelift is performed in the cheek area. Scars after the procedure are present as in most other facelifts, and an additional incision is made in the mouth. With its help we get to the soft tissues of the cheeks and lift them.
All deep lifts tense the neck muscle (platysma) and thus improve the appearance of the lower part of the face, especially the line of the lower jaw. In the case of more visible longitudinal skin folds of the neck and chin, in some cases it is necessary to do the so-called platysmoplasty, which achieves a more beautiful angle between the jaw and neck. This requires an additional incision under the chin.
Deep facial wrinkles can be filled without surgery, by injecting dermal fillers or. fillers or botulinum toxin (Botox) in certain parts of the face – most often in the eyebrows, eyes and cheeks. This also gives a relaxed and refreshed look. As it is a non-surgical and non-invasive procedure, recovery is correspondingly very short, lasting a maximum of a few days.
After a simple superficial facelift, you will be quite ready to appear in public after only two weeks. With a more extensive facelift, if it is performed in combination with blepharoplasty and / or platysmoplasty, the swelling will be greater. It will usually disappear within a good two weeks after the procedure, but completely in a significantly longer time. Recovery should take 2 to 4 weeks. With deep lifts, it takes several months to achieve the final result, which means that recovery takes longer and will also be noticeably longer than with a simple face lift.
Faclelift is performed under general anesthesia. The initial incision is made in or in front of the scalp in the shadow area, continue in front of the ear, then around the earlobe, and finish in the scalp behind the ear. If we are also shaping the chin and neck, an additional cut under the chin is sometimes needed. During the procedure, the skin on the face and neck is lifted from the deeper structures. Underlying skin and / or muscle-connective tissue (SMAS) is then redistributed and reshaped. The skin is then laid back and distributed without tension, if there is any excess, it is removed. The wounds in the area of the face are sutured with degradable sutures, and in the area of the scalp the wounds are fastened with special surgical staples, which dr. It removes Santa after about two weeks. Slowly wake up in the wake after surgery. We wrap the face in bandages and, if necessary, receive painkillers. It is recommended that you stay overnight at our clinic. In order to drain fluid from the subcutaneous wound, we insert two small drainage tubes, which are usually removed three days after surgery.
Facelift can be combined with other surgical procedures, usually blepharoplasty, rhinoplasty, skin smoothing, eyebrow raising. The cheekbones can also be highlighted by inserting small implants or by injecting fat that was sucked out of liposuction during the procedure from another part of the face (usually from the chin).
Scars in all types of facelifts are hidden in the scalp and around the ears. They are likely to be thin and therefore invisible. When they mature, they do not affect the shape of your hairstyle. The first results of a facelift appear when the swelling subsides and the bruises disappear, which is usually after a few weeks after the procedure. The final results of the lifting become visible from a few months to a year after the operation, when all the scars also mature. If you expose the scarred parts of the face to the sun as little as possible after the procedure, you will also make an important contribution to reducing the visibility of the scars.
The facelift shifts the hour of aging back and can rejuvenate your face for as long as 10 to 15 years. The process of further aging varies from individual to individual. It also depends on skin care, smoking, sunbathing, and to a large extent on genetic predispositions. It is generally accepted that the deeper the structures we correct, the longer the result will be. As a result, longer recovery is also associated with more extensive surgery.
Which facelift method and technique is most suitable for you will be advised by a cosmetic surgeon at the examination, who will carefully examine your face. Based on your thirst and expectations of how you want to look after the procedure, it will present you with different options as well as their pros and cons. It will also inform you about the risks of the procedure and the recovery process. At the conference, he will present you with various options that will lead to a joint decision on the procedure that will be most suitable for you to achieve the desired result.