The facelift or rhytidectomy is a surgery to enhance the noticeable signs of aging of the face and neck. As the private ages, the skin and muscles of the face region begin to lose tone. The facelift is a very dangerous procedure when it is not performed by a board certified plastic surgeon. When you choose to work with SurgeonGate you are ensuring that you are working with a board certified facial plastic surgeon who specializes in facelift surgery.
The facelift is not able to stop the aging process, however it can enhance the most visible indications of aging by tightening up the much deeper structures, readapting the skin of the face and neck, and getting rid of selected locations of fat. A face lift can be carried out in combination with other procedures, such as an eyebrow lift (frontal), liposuction, eye lift or nose surgery. The very best candidates for a face lift are those people who have a face and neck that have actually begun to lose tone, but whose skin remains elastic and whose bone structure is well defined.
Physiological factors of Plastic Surgery to consider
Superficial Aponeurotic Muscle System (SMAS).
The Shallow Aponeurotic Muscle System (SMAS) is the link of important affiliation in between the various muscles of facial expression. The SMAS is a fibromuscular network located between the shallow dermis and the inmost facial muscles. This broad fibrous sheath is an integral element of the cervicocephalic fascia and extends vertically from the frontalis muscle to the platysma, and transversely from the pretragal location to the perioral dermis.
The branches of the facial nerve pass under the SMAS. As long as the subcutaneous dissection remains shallow to the SMAS and platysma, damage to the motor nerves can be avoided. The surgical traction on the SMAS offers firmness to the facial cover, thus improving the look without causing extreme skin stress.
This broad and flat muscle originates from the fascial covers of the pectoralis major and the deltoid. It is directed upwards and medially to the sides of the neck; It is accountable for offering the tone of the soft tissues of the neck.
As the name indicates, the facial nerve is responsible for innervating the facial muscles and the platysma. The facial nerve is divided into temporal and cervical branches within the gland and after that supplies the five timeless terminal divisions (temporal, zygomatic, buccal, mandibular and cervical).
Facelift Surgical methods.
Classical rhytidectomy: The cut starts in the temporal location behind the hairline, and after that follows the course of the preauricular fold. Listed below the tragus the cut continues in the anterior and posterior lobe fold, and then at the level of the mastoid procedure, going sideways down the occipital line. Formerly, when just the skin cuts were made, the results were of brief duration, however with the advancement of new strategies that imply the SMAS plication, the outcomes are more long lasting. It is critical that you work with the best plastic surgeons in Michigan if you want to maximize your results and have a safe and successful procedure.
The results of facial rhytidectomy become more appealing when performed in combination with facial lipectomy, submental liposuction, and toning of the platysma. Nevertheless, with this strategy, the correction of the nasolabial folds is not accomplished.
At the end of the last century, Dr. Zaylan reintroduced the S-lift technique. This needs a preauricular skin incision and a modified plication of the SMAS. The correction of the nasolabial fold is not the goal of this treatment.
The cut is made in the type of inverted S. The internal dissection to the ear ends at the line of the lateral angle of the eye, approximately 5-7 cm in front of the tragus. The cutaneomasteric ligaments are divided, favoring the pulling of the SMAS and the skin separately. The dissection stays inferior to the zygomatic arch to avoid damage to the nerves or blood vessels.
The inferior margin of the dissection extends to the sternocleidomastoid and the submandibular area, so that the SMAS can be plicated and tensed. This permits remedying the submental angle. At the tragus level, only skin traction is required. The excision ends 2-3 cm below the lobe of the ear, which avoids unnecessary hair loss and noticeable scars.
This method is very effective and has few complications. It is a three-stage procedure:
- Correction of popular nasolabial folds.
- Liposuction of the jaw area/plication of the platysma bands. Correction of the platysma bands is done through a little cut (2 cm) just if there is considerable muscle laxity.
- Delta lift. The extension of the dissection depends on 6 cm and liposuction is performed in the open. The SMAS and platysma are tensed by sutures that start at the lower end of the parotid. This brings back the cervicomental angle. A 2nd suture begins 2 cm in front of the tragus to the puppet line, going up at a 45º angle. This pulls the SMAS superolaterally and eliminates perioral wrinkles. Another similar suture towards the middle and upper nasolabial fold is connected superolaterally. This raises the malar fat pockets. Finally, the skin is closed with non-absorbable stitches.
It is an outpatient procedure that is performed under local anesthesia. During the treatment a little cut is made in the temporal line of hair, then with a KH needle (Khawaja-Hernández) the SMAS is tensed and fixed to the periosteum of the temporal bone. This procedure allows the extending of the lower part of the face.
Facial Mini Lifting is suggested for middle-aged clients with signs of incipient facial aging. For that reason, it is advised for those who want to fix the very first indications of aging.
The intervention is performed on an outpatient basis and can be performed under sedation or regional anesthesia. During the procedure, small incisions are made and the extending is performed in a coming down and/or rising instructions of both the internal tissues and the skin. In this method, a more natural look is provided and the face is prevented from looking excessively extended. The mini facelift is commonly offered by family doctors, dermatologists and Lasik eye surgeons so it is critical that you do your research on the facial plastic surgeon and ensure they are board certified.
Facial lifting risks.
Any surgery involves a particular quantity of threat and it is critical that you understand the risks related to facial plastic surgery and facelift. The option to go through cosmetic surgery is based upon comparing the danger with the prospective advantage for you.
Although the majority of patients do not experience the following issues, you need to talk about each of them with your plastic surgeon to ensure you understand the dangers, potential problems, and effects of a facelift (rhytidectomy).
Bleeding: It is possible, although uncommon, that bleeding occurs during or after the procedure. If a postoperative hemorrhage develops, it may need emergency treatment to eliminate the built up blood in the tissues. You ought to not take aspirin or anti-inflammatories 10 days prior to surgical treatment, because they can increase the threat of bleeding. Badly managed hypertension can also cause bleeding during or after surgery. Blood clumps under the skin can delay healing and trigger visible scars.
Infection: Infections after surgical treatment is really uncommon. If an infection takes place, extra treatment might be required, which includes making use of antibiotics.
Scarring: Although excellent injury healing normally takes place after the surgery, abnormal scars might appear on both the skin and deep tissues. The scars can be hypertrophic and unappealing. Sometimes, extra treatments may be required to treat abnormal scarring.
Postponed healing: There is a possibility of wound opening or delayed healing. Some areas of the face might not recover generally and take a long time to heal. Cigarette smokers have actually an increased danger of tissue loss and complications of recovery.
Injury of deep structures: Deep structures such as blood vessels, muscles, and nerves, can be damaged throughout surgical treatment: The possibility of this occurring varies depending on the type of technique utilized. The injury to deep structures might be short-term or permanent.
Persistent pain: It is a very unusual problem and is normally caused by the injury of a nerve.
Asymmetry: Little facial proportions may result after surgical treatment.
The patient can go back to work in seven or ten days after surgery. Activities that require considerable physical effort for 3-4 weeks should be avoided. It is recommended to minimize exposure to the sun in the following