What is a facelift?
It is the operation by which the skin of the face is stretched and lifted to people (women or men) who show its "fall" with the formation of folds and wrinkles. As a result of aging (as well as under the influence of stress, ultraviolet rays, gravity and even smoking) the skin and muscles of the face lose their elasticity. The result is a deepening of the wrinkles around the mouth, the "falling" of the skin on the edge of the mandible and at the neck. Lifting rejuvenates, "gives time back", but does not beautify. The effect of lifting is temporary, at most 7-10 years, because the skin and muscles continue to age and will begin to fall again.
What does surgery require?
It is done under general anesthesia (especially for longer types of procedures) or under local anesthesia combined with sedation. The classic incision (on both sides of the face) is vertical from the temple area, down in front of the ear, then under the lobe and up behind it, up to the middle of the ear where it is cut horizontally a few cm in the hairy skin, towards the nape of the neck. Sometimes an additional incision (a few cm) is needed under the chin, to operate on the neck (where liposuction can be done).
Through these incisions, the skin and fat are lifted from the facial muscles (which are also partially stretched) and stretched by pulling it up and towards the nape of the neck, then the excess skin is resected and sutured. Sometimes a small tube can be left behind the ear to eliminate possible secretions, which are removed after 1-2 days.
At the end of the operation, a compressive dressing is applied that will cover the entire head, sometimes the neck.
There is moderate discomfort caused by pain combined with a numbness of the face. The skin of the face will be swollen, pale, with bruises, distorted features and cumbersome movements. They persist for 2-3 weeks, during which time you should avoid physical exertion and the slightest facial trauma (including sun exposure). After 7 days, the sutures are removed around the ear, and after 14 days the ones in the hairy skin.
Complications of this procedure
Complications that may occur are:
hematoma-forming bleeding (to be surgically removed)
infection (very rare)
nerve damage (causes paralysis, sometimes permanent, of a facial muscle group)
skin necrosis (very rare)
the formation of unsightly scars (in people who have this tendency).
Side effects of the operation include narrowing of the percussions and, in men, the appearance of the chin behind the ear.