Overview & Description
A facelift is plastic surgery to repair sagging, drooping, and wrinkled skin on the face and neck. As people get older, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces. There may be deep creases between the nose and mouth, the jaw line may have grown flabby, and there may be folds and fat deposits around the neck. A facelift will not stop the aging process. A facelift can be done to remove the excess fat, and tighten the muscles and skin. It is sometimes performed with other plastic surgery to reshape the nose, forehead, or eyelids.
Another consideration is the cost. Most health insurances do not cover the expense of a facelift. A plastic surgeon may request full payment before the surgery is performed.
Incisions are made above the hairline, at the temples, and behind the earlobe. The skin is separated from the fat and muscle underneath. Excess fat can be trimmed or suctioned from around the neck and chin to improve the contour. The muscle and skin are tightened. Tiny stitches are generally used to close the layers of tissue. Metal clips are sometimes used on the scalp.
Who is a candidate for the procedure?
The best candidate for a facelift is a man or woman whose face and neck have begun to sag. Their skin should still have some elasticity and their bone structure should be strong and well-defined.Another consideration is the cost. Most health insurances do not cover the expense of a facelift. A plastic surgeon may request full payment before the surgery is performed.
How is the procedure performed?
A facelift may be performed in a plastic surgeon's office, a same day surgery center, or a hospital. Facelifts may be performed under local anesthesia, combined with a sedative to cause drowsiness. In this setting, the person will be awake, but relaxed. There should be no pain. Some surgeons prefer to use general anesthesia, meaning the person is put completely to sleep with medications.Incisions are made above the hairline, at the temples, and behind the earlobe. The skin is separated from the fat and muscle underneath. Excess fat can be trimmed or suctioned from around the neck and chin to improve the contour. The muscle and skin are tightened. Tiny stitches are generally used to close the layers of tissue. Metal clips are sometimes used on the scalp.
Preparation & Expectations
What happens right after the procedure?
After the surgery, the person will be taken to the surgery recovery room to be watched closely for a short time. Vital signs, blood pressure, pulse, and breathing will be checked often.A facelift is usually not associated with significant pain. A small drain may be placed under the skin behind the ear to drain any blood that might collect there. A dressing will be wrapped loosely around the person's head to minimize bruising and swelling.
Home Care and Complications
What happens later at home?
A facelift is usually done on an outpatient basis, meaning the person will go home the same day as surgery. Generally there is minimal pain following the surgery. Some numbness of the skin is common, but it usually disappears in a few weeks. The person should keep his or her head elevated for a few days to keep the swelling down. If a drain was left in place, it will be removed 1 or 2 days after surgery. Bandages are removed in a few days. The face will be pale, bruised, and puffy after the surgery. Swelling and discoloration generally disappear within 2 to 3 weeks. The person can return to normal activities within a few days if he or she feels ready. Final results will not be apparent right away. It takes several weeks for the face to heal.What are the potential complications after the procedure?
There are possible complications with any surgery. These include bleeding, infection, and reactions to the drugs used to control pain. Complications that can occur after a facelift include:The risks of complications can be reduced by closely following the surgeon's advise after surgery.
Attribution
Author:Gail Hendrickson, RN, BS
Date Written:
Editor:Smith, Elizabeth, BA
Edit Date:06/20/00
Reviewer:Adam Brochert, MD
Date Reviewed:06/01/01
"Facelift", www.plasticsurgery.org/surgery/facelift.htm
"Facelift Surgery", www.plasticsurgery4u.com/procedure_folder/face_lift_consult2.html
The Merck Manual of Medical Information, Home edition, 1997
Date Written:
Editor:Smith, Elizabeth, BA
Edit Date:06/20/00
Reviewer:Adam Brochert, MD
Date Reviewed:06/01/01
Sources
"Facelift Surgery", www.plasticsurgery4u.com/procedure_folder/face_lift_consult2.html
The Merck Manual of Medical Information, Home edition, 1997
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