Lower Face-lift Surgery

  • The term ‘rhytid’ is derived from {the} Greek ‘rhytida’ which literally means wrinkle. Deriving from this, rhytidectomy means removal of wrinkles. A face-lift or rhytidectomy is a cosmetic surgical procedure of {the} facial region to improve {the} loose skin that causes wrinkles or rhytids. A face-lift smooths out loose skin over your face and neck improving {the} visible signs of aging and giving you a more youthful appearance.
  • A lower face-lift consists of cosmetic surgery of {the} lower face, including {the} neck and jaw line.

The Surgery – How is it done?

  • Face-lift surgery requires either sedation with local anesthesia or general anesthesia, depending on {the} duration and technique used for {the} surgery. A facelift generally takes two to five hours but may possibly require more time if additional cosmetic procedures are done at {the} same sitting. Some of {the} techniques used for a face-lift include:
  • Traditional face-lifts involve incisions along {the} hairline starting at {the} temple region, continuing along and behind {the} ears and ending in {the} lower scalp. Your  surgeon may possibly include incisions under {the} chin for improving  {the}  neck region, especially for a “turkey neck”
  • Limited-incision face-lifts involve short incisions beginning near {the} top of {the} ear in {the} hairline and extending down to {the} earlobe or just behind {the} ear.
  • Neck lifts involve incisions starting in front of {the} ears, then continuing behind {the} ears and ending in {the} lower scalp.

After how long can you expect {the} results of a face-lift procedure?

  • The recovery time is variable and depends upon a number of factors. You can expect visible reduction of facial swelling and bruising after 10 to 14 days. The final outcome is apparent after 6-8 weeks after surgery, but healing actually continues for at least a year.
  • The final outcome will last for years, especially if done at a younger age.

What are {the} Risks and Complications?

A lower face-lift and face-lifts in general involve {the} following risks and possible complications:

  • Bleeding can be severe in some cases, {the} face being a highly vascular structure.
  • Infection, though rare, is possible.
  • Risks and complications related to anesthesia have to be understood.
  • Incisions are usually small and concealed by your hairline, but hypertrophic or unsightly scars do occur.
  • Swelling and bruising are normal after {the} procedure and may possibly be present for weeks.
  • Several months of numbness in {the} skin is normal.  This may possibly be present for 1-2 years after {the} surgery and could even be permanent. The skin may possibly tingle or quickly “shock” as it “awakens”.
  • Hair loss near {the} incision sites may possibly be temporary or permanent. Substantial hair loss could even require hair transplantation.
  • Facial nerve injury is rare but serious. It can cause permanent weakness of {the} facial muscles and therefore cause drooping and asymmetry.
  • Skin loss is rare but can occur due to poor blood supply.   Smokers are particularly at risk.

Who will benefit from a Lower Face-Lift?

  • A lower face-lift is beneficial for those with aging signs of {the} lower face, jaw line and neck such as:
    • Loose lower facial and neck skin
    • Sagging lower cheeks and jaw line – “jowls”
    • Deep creases in {the} cheeks and marionette lines
    • Fatty tissue  in {the} neck with loss of definition
    • Platysmal bands in {the} neck

Who should avoid a Lower Face-Lift?

  • A lower face-lift is contraindicated when {the} risk of injury and complication exceeds {the} expected benefit of {the} procedure. You must discuss your complete medical history and risk factors with your cosmetic surgeon before {the} procedure. It is also recommended that you have a complete physical and {the} approval of your primary care doctor. The following conditions may possibly warrant {the} avoidance of any face-lift procedure:
  • If you are taking blood any thinners such as Coumadin or Plavix, you run {the} risk of bleeding after {the} procedure. If it is not safe for you to temporarily go off these medications, then you should not have facelift surgery.
  • Medical conditions that cause abnormal bleeding or those that prevent or delay healing (i.e. poorly controlled diabetes) are probably contraindications to cosmetic surgery.
  • If you have a tendency to gain or lose weight, your face-lift procedure may possibly not last long.
  • Smoking increases {the} risk of skin loss after a face-lift.  Smokers may possibly be restricted to a limited procedure due to {the} risk of poor healing.

What can you expect from a Lower Face-Lift?

  • Most patients that undergo a lower face-lift report a ‘refreshed’ look with tightened and lifted jowls, double chin reduction, and a smoother contour of {the} skin over {the} jaw-line and neck.



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