Some of the most visible
signs of aging first appear on the face. You may feel that the
face you see in the mirror doesn't reflect the way you feel
about yourself. If you would like to look as good as you feel
a facelift can make your face appear firmer, fresher and younger.
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Is a facelift / necklift right for me ?
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You may be a good candidate
for a facelift if you have the following conditions:
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Loss of a well defined jawline
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Deep wrinkles on the cheek and sagging skin near the
cheekbones
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Loose skin, wrinkles or excess fat in the neck
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Facelift needs to be approached
with extra caution in patients with - uncontrolled blood pressure,
blood-clotting problems and tendency to form excessive scars.
Be sure to inform your plastic surgeon of these conditions.
You may need additional procedures to meet your cosmetic goals.
Facelift may be combined with:
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Forehead lift - to correct lines and furrows on the brow |
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Eyelid surgery - to eliminate drooping eyelids or baggy
eyelids |
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Nose reshaping |
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Skin treatments - laser resurfacing or chemical peels
to minimize fine lines |
Some patients may be recommended
other procedures (instead of facelift) - non-operative facial
rejuvenation, peel program, Botox injections, Fillers, Contour
thread lift etc.
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How is facelift performed? |
Facelift is performed
in an operation theatre under suitable anaesthesia. The incision is typically hidden in the natural contour of
your ear, and then extends around the earlobe and back into
the hairline. Working through these incisions, the facial
skin is freed from its underlying tissues and pulled upwards
and backwards. The excess skin is then removed. In some cases,
the deeper tissues may also be repositioned or tightened to
restore a more youthful contour to your face.
If necessary, an incision is taken under the chin to remove fatty tissue and to tighten neck muscle. More recently, this conventional facelift has been almost replaced by MACS Lift (mini face lift). This uses a limited incision but effectively tightens the midface, lower face and neck regions.
A compressive dressing may be placed over the face. Any discomfort
will be controlled by medications. Sometimes, small drainage
tubes are placed beneath the skin to drain away fluids that
may otherwise accumulate.
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Post-operative recovery |
The day after surgery,
you will need to move around to promote blood circulation.
You will be advised to rest with your head elevated to minimize
swelling. Although everyone heals at different rate, your
recovery may be as follows:
By the first week the stiches will be removed and you will be permitted to wear makeup and do light activities. After two weeks you may resume all routine activities (except exercises ) and most of the swelling would have disappeared. You may resume exercises after 4 to 6 weeks.
You should avoid exposure to sunlight for several weeks.
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Results of Facelift |
A number of factors,
including heredity and your lifestyle, play a role in how
long the results will last.
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Possible risks and complications |
You may have a detailed discussion about
this during your personal consultation. Some of the possible
complications include - anaesthesia related complications, swelling
& bruising, Bleeding, Infection, delayed skin healing, altered
sensations, facial asymmetry (nerve damage) etc.
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Brow lift is a procedure designed to
elevate the eyebrows to a more desirable and youthful position.
The various methods to achieve brow lift are:
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Non-invasive - Botox injections. |
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Minimally Invasive - Thread lift, Endotine lift or Endoscopic
brow lift. |
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Operative brow lift. |
The technique chosen will depend on patient factors, your cosmetic
goals as well as your surgeon's recommendation.
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Ribbon lift is a minimally invasive surgery which is suitable for those who have heavy and/or sagging midface, lower face and neck. It restores youthful appearance.
The ribbon is a bio-absorbable strip with several hooks which attach to the underlying tissue and muscles. |
How is it done? |
It can be done as an out patient or day care procedure under local anaesthesia.
The incision is very small and varies as per the target area – for neck it is behind the ear and for the face it is within the hairline in the temple region. |
Through this incision a tunnel is created and the ribbon with its covering tube is inserted. When the covering tube is removed the hooks attach themselves to the underlying muscles and tissue. This apparatus is then pulled to lift the whole area to give a toned look to the skin. The ribbon is then hitched to the deeper tissue at the incision site.
The procedure takes 30 minutes to an hour. |
Post-operative recovery |
Minimal swelling and bruising may b encountered which will settle by 10 to 14 days. Elastic neck support is routinely advised for this duration.
Vigorous facial movements, massages and physical activities should be avoided for 1 to 2 months. |
Results |
The results are evident by 10 to 14 days after the procedure. Once the results set in, they are long lasting.
Ribbon lift is becoming popular because of its excellent results and shorter recovery time. |
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Thread lift is a relatively new procedure
that can be done as a day care procedure. Some patients with
busy lifestyles and those who want a subtle difference prefer
this procedure.
However, patients with severe sagging of skin
and a "heavy" face may not see a major improvement
with this procedure. Those who desire a subtle change
in the upper, lower or mid face region are more likely to be
satisfied with the procedure.
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Procedure of Thread Lift |
Through a small incision (within the hairline at the temple area) a barbed suture
is inserted to grasp and then lift the skin and underlying tissue.
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Post-operative Course |
You will be advised to rest with your
head elevated and to apply cold compresses to minimize swelling.
You must rest your face for a few days after the procedure. You should not rub your face or chew excessively. Stitches will be removed after 7 to 10 days.
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