A
facelift, technically known as a rhytidectomy, is a type of cosmetic
surgery procedure used to give a more youthful appearance. It usually
involves the removal of excess facial skin, with or without the tightening
of underlying tissues, and the redraping of the skin on the patient's
face and neck. According to the most recent 2007 statistics from the American
Society for Aesthetic Plastic Surgery, facelifts were the seventh most
popular aesthetic surgery performed after liposuction, breast augmentation,
blepharoplasty (eyelid surgery), abdominoplasty (tummy tuck), breast reduction,
and rhinoplasty
Facelifts
are effectively combined with eyelid surgery (blepharoplasty) and other
facial procedures and are typically performed under general anesthesia
or deep twilight sleep.
The most common complication can be bleeding which usually requires a
return to the operating room. Less common, but potentially serious, complications
may include damage to the facial nerves and necrosis of the skin flaps,
or infection.
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Facelifts are helpful for eliminating loose skin folds in the neck and
laxity of tissues in the cheeks. The areas not well corrected by a facelift
include the nasolabial folds and perioral mounds marionette lines which
are more suitably treated with Botox or liposculpture, respectively. A
facelift requires skin incisions; however, the incisions in front of and
behind the ear are usually inconspicuous. Hair loss in the portions of
the incision within the hair-bearing scalp can rarely occur. In men, the
sideburns can be pulled backwards and upwards, resulting in an unnatural
appearance if appropriate techniques are not employed to address this
issue. Achieving a natural appearance following surgery in men can be
more challenging due to their hair-bearing preauricular skin. In both
men and women, one of the signs of having had a facelift can be an earlobe
which is pulled forwards and/or distorted. If too much skin is removed,
or a more vertical vector not employed, the face can assume a pulled-back,
"windswept" appearance.
Facelifts are effectively combined with eyelid surgery (blepharoplasty)
and other facial procedures and are typically performed under general
anesthesia or deep twilight sleep.
The most common complication can be bleeding which usually requires a
return to the operating room. Less common, but potentially serious, complications
may include damage to the facial nerves and necrosis of the skin flaps,
or infection.
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