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Face & Neck Lift

About Procedure

Skin of the face and neck lose elasticity as one ages. Underlying muscles also lose tone. This is magnified through sun exposure, weight gain or loss, gravity and stress. These factors may act together and accentuate the appearance of wrinkles, creating a tired look.

A facelift-necklift helps improve the most visible signs of aging through removal and redistributing excess fatty deposits, tightening underlying muscles and removing sagging skin. The standard facelift addresses the lower 1/3 of the face and the upper neck.

Variants include the mini and extended facelift-necklift procedures. Procedure choice depends on your needs and must be discussed with your surgeon. Surgeons have recognized the three dimensional nature of the facial structures and often complemented this procedure with others to restore volume and address cosmetic issues throughout the facial-neck structures.

Often other facial procedures are performed at the same time including forehead lift, eyelid lift (blepharoplasty), chin and cheek implants, nose reshaping (rhinoplasty), liposculpture, chemical peel, laser resurfacing and lipotransfer.

Who is a candidate?

  • Men and women with jowl formation (the lower cheeks and jaw line are saggy).
  • Men and women with a poorly defined jaw line.
  • Men and women with wrinkled saggy and fatty neck.

Intended results

  • A sharper and better defined jaw line.
  • Improved neck and chin angle.
  • Less tired look with more youthful appearance.
  • This does not treat the lines around the mouth and will not improve skin surface defects and discoloration.

Procedure description

  • Face Lifts are usually performed in an accredited office facility, outpatient surgical facility or in the hospital.
  • They may be performed under local anesthesia with or without oral sedation, conscious sedation, and general anesthesia.
  • The surgeon usually makes incisions in front and behind the ear. This should be discussed with your surgeon.
  • Sutures and/or staples are used for closure followed by placement of an elastic dressing around the face and neck.

Recuperation and healing

  • A compression garment may be worn around the lower face and neck for approximately one week.
  • Bruising and swelling are normal and may take several weeks to resolve.
  • Stiffness in the neck and some soreness with swallowing and eating is common.
  • Sutures and staples are removed within two weeks.
  • Drains, if used are usually removed 1-3 days after the procedure.
  • Make-up can be applied over the skin immediately but not over the incisions for 2-3 weeks.

Other options

  • Chemical peels, laser resurfacing and microdermabrasion
  • Botox and fillers
  • Lipotransfer and implant insertion
  • Eyelid and forehead rejuvenation
  • Rhinoplasty

Note

The specific risks and the suitability of this procedure for a given individual can be determined only at the time of consultation with your cosmetic surgeon. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.

Fat Transfer/Fat injections

Fat transfer, also called autologous fat transplantation or micro-lipoinjection, plumps up facial features with a patient’s own fat, and is a popular alternative to other wrinkle treatments. Fat transfer to the face is a safe, natural non-allergenic procedure, designed to recontour your face, and can provide definition to your cheeks and chin. It can also be used to correct facial deformitites. Since fat transfer uses your own fat cells, you can never have an allergic reaction, because it’s from your own body.

With fat transfer, it is possible to have fat liposuctioned from your thighs, for example, and then transferred to any area of your body. Reinjected fat lasts longer in larger areas of non-movement, so it is very successful for the correction of sunken cheeks, because this area does not move as often. Fat transfer can also correct atrophic aging of the hands, and post-surgical and post-traumatic defects. But not every area of the body responds well to fat transfer. The breasts for instance, are not appropriate. Injecting fat into the breast makes it much more difficult to detect breast cancer with mammograms.

Fat transfer is performed on an outpatient basis. Both the area from which the fat is taken, and the treatment site, are anesthesized with a local anesthetic. Using a small needle attached to a syringes, fat is removed from a donor site, where the fat is most tightly packed, such as the abdomen or the buttocks.

Once removed, the fat is processed to remove excess fluids, and then reinjected using another needle, which is placed under the skin beneath the wrinkle. This process may be repeated until the desired correction has been achieved.

Harvesting the fat cells for reinjection is often performed in conjunction with other procedures, such as liposuction, tummy tuck or cosmetic breast surgery. When fat is harvested during another procedure, it is often possible to obtain a larger amount of fat, then freeze and store that fat, for future usage when it becomes necessary.

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