Facial aging is due to deterioration of the skin, fat, and facial muscles, as a result of sun exposure, daily stress and gravity. This degeneration of tissues leads to a sad and tired look by changing the expression of our face. The facelift cannot stop this process; however, what it can do is improve the most visible signs of aging, tightening the muscles of the face, removing excess skin and redistributing theskin and fat from the face and neck. Thus we rejuvenate our facial aspect without losing our naturalness that is rejuvenating with dignity appearance.
Is the surgery that I want? Is this surgery effective?
The ideal candidates to undergo a facelift are those people whose face and neck begin to notice some sagging in the face and neck and whose skin conserves still some elasticity. The majority of patients have between 40 and 60 years, although it can also have successfully between 60 and 80 years.
Local + Sedation or General anesthesial.
Duration of the procedure:
Minor, controlled with medication
You must wait:
Temporary numbness; Bruise periocular and cervical that they will disappear in 2 weeks
Duration of result:
The good communication between you and the Dr. García-Guilarte is essential. In the first consultation, we will evaluate your face, including the skin and bone structures and surgical possibilities will be discussed. We must check your good state of health. It is important to tell your surgeon if you smoke or if you take any medication.
If you decide to undergo a facelift we will explain the techniques and the type of anesthesia that we are going to use and where the facelift will be make. Do not hesitate to ask the doctor all the questions, especially those related to expectations and results. Dr. García-Guilarte will give you specific instructions about how to prepare for surgery, including rules on food and liquids, tobacco or take or suppression of medicines and vitamins and washing of the face.
It is important to quit smoking at least a week or two before surgery.
Surgery and Anesthetics
Facial Lifting is always performed in the operating room, in a clinic or hospital. Usually you must be hospitalized until the day after surgery. Surgery can be done under local anesthesia more sedation or general anesthesia, depending on the complexity of the surgery and doctor preferences.
A facelift cervicofacial usually lasts 3-4 hours. The exact placement of incisions and the surgery steps vary according to the structures of your face and the technique preferred by the doctor. There are various possibilities about the location of incisions. In our case, we typically proceed with techniques of minimal incisions and in a situation just ahead of the line of the hair so that the scars are imperceptible, fundamental aspects for facial rejuvenation surgery.
The different types of facelift range from a lifting of the area of the forehead and eyebrows, to a stretch of all the skin and facial musculature and cervical, through other techniques that work especially on other areas such as jaws and cheeks.
The facial rejuvenation not obtains only tightening skin, but stretch must be exercised both cutaneous level and level of deeper structures. That is to say, all those deep tissues should be repositioned especially the facial muscles, in order that the result is not artificial. In addition the fat can be removed or liposuctioned around the neck and Chin to improve the contour of the face and can even be injected to increase certain structures such as the cheekbones (lipofilling).
One of the fundamental aspects for success in facial rejuvenation surgery is to hide properly the scars. So the incisions must be along the boundary line of hair and ear.
Without this, even though its rejuvenation is good the result is artificial. When we plan a surgery of rejuvenation-facelift, facial topography shall be subdivided into the following areas:
-FRONT LIFT OR UPPER FACIAL LIFT; this area includes the forehead and eyebrows. A lifting of these structures is indicated in those situations of important wrinkles horizontal in the forehead, as well as in circumstances of fall of the eyebrows which means a tired aspect or fatigue of the eyes.
-MIDFACE LIFTING; this area includes the malar or cheekbone area. As a result of gravity, facial tissues fall, this means that this area leads to a loss of volume-projection of the cheekbones and the emergence of the nasolabial folds. In these situations, it must be done an uprising of the facial musculature to their original condition, as well as a removal of the excess skin in the facial side area.
-LOWER FACELIFT; this area includes especially the jaw area. The loss of the line of the jaw when appear the “daddies” is one of the circumstances that make you feel ugly and ages lateral facial appearance. Over the years, tissues accumulate in the anterior part of the mandible and leads to the emergence of the knowns as Daddies and marionette lines that provide you a picture of sadness in your face.
In this situation, the lifting of the facial musculature and liposuction of the cervical fat will recover mandibular contour.
– CERVICAL LIFTING; it is in the cervical area where takes place predominantly the fatty accumulation; this is also accompanied by loss of elasticity of muscle platysma’s neck and its anterior displacement.
All this leads to the loss of the cervical angle by the anterior displacement of their structures. In these cases, the mentioned lateral muscle tension and the fat inframandibular liposuction will regain the original cervical angle.
-MINIFACELIFT; the term minifacelift refers to the realization of a facelift partial or little aggressive, that is to say with one lower cutaneous detachment, aimed at solving certain specific problems.
After surgery (post-operative)
After facelift surgery, may be placed for a few days a small pipe or drainage behind the ears to drain any fluid that may accumulate. It is also usually placed a light bandage. There is usually little discomfort after the surgery; If any, are easily alleviated with prescribed medication (if severe or persistent pain submit you must communicate it to the doctor). It is normal that there are certain areas of the skin that are drowsy, but this sensation will disappear in a few weeks or months. You must keep the head elevated for a few days after surgery, to reduce inflammation.
If you have been placed drainage tubes, they will be removed in 24 hours, the bandages will be removed between the first and fifth day after the lifting. Do not be surprised by the appearance of swollen and bruised of the early days; Remember that in a few weeks, your appearance will be normal. The majority of stitches are removed five days after its facelift operation.
Risks and guarantees
There is usually little discomfort after the facelift ; If any, are easily alleviated with prescribed medication (if severe or persistent pain submit you must communicate it to the doctor). It is normal that there are certain areas of the skin that are drowsy, but this sensation will disappear in a few weeks or months.
In approximately 3-4% of patients happens a hematoma or accumulation of blood that must be drained despite not alter the outcome of the surgery. Therefore it is
Do not expect an immediate result after its Facelift Facia. The reduction of swelling is progressive; the final result is obtained at 3 – 6 months. Your appearance will improve as months pass.