The best rejuvenation technique: The facelift

A muscle facelift, also known as facial rejuvenation surgery, is a technique that puts muscle and fatty tissue that has drooped over time back into its proper position in order to get rid of flaccidity.
As a part of the ageing process, various factors cause parts of the face to move: weakening of the bone structure and supporting ligaments, atrophy of expressive muscles due to constant movement and the ageing of the skin itself.
However, many other factors are also involved, such as genetics, eating habits, exercise, exposure to the sun, etc.

Lifting facial antes

Before

Lifting facial despues

After

Candidates

It depends on each person’s ageing process and when they start to see their face drooping. It is recommended for men and women with drooping facial muscle and fatty tissue, but who still have some elasticity. Most patients are in their 40s to 60s, but facelifts can be done successfully on people in their 60s to 80s.

Preoperative

On the first visit, the surgeon will study the patient’s facial bones: the characteristics of the bones in their forehead, cheeks, jaw and chin to determine the support under the soft tissue. If the doctor sees that any of these bone structures aren’t large enough, they may recommend a stretching face lift for greater definition (cheekbones and chin).

The doctor will also assess the muscles on top of the bone structure, fatty tissue and skin (elasticity and firmness).

Based on this analysis and proper clinical studies, the doctor will advise the patient as to which technique is best in their situation and the possible results in order manage expectations. In general, the procedure greatly rejuvenates patients, making them look considerably younger than they are.

Surgical technique

The surgery is done in an operating room, normally with general anaesthesia or local anaesthesia with sedation.

Incisions are normally made at the temple or along the hairline, hidden inside the front of the ear and behind the back crease of the ear, continuing down to the nape of the neck under the hairline if necessary, depending on whether it is a short, medium or long facelift.

With these incisions, the surgeon will detach the skin to reposition and pull tight the structures that have drooped over the years. These structures are located in the SMAS, the layer below the skin that covers the muscles of the face and the platysma muscle of the neck, which is the main focus of a deep facelift.

For rejuvenation surgery to be truly effective and to get the most natural results, it is important to lift these areas back to their original position, in the opposite direction from the drooping.

After the surgery, drainage tubes will be put in to decrease bruising and swelling and promote faster recovery.

Postoperative

For the first 48 hours, the patient will stay at the clinic under observation with the necessary medications.

It is normal for there to be bruising, pain and discomfort.

From the second day, the patient will be checked and sent home with medication and instructions from the specialist.

For the first week, patients should wear the bandage for several hours a day and rest as much as possible, avoiding intense physical exertion, stress and smoking. They should also do lymphatic draining face massage, moisturise the face well and take special care with their eyes and eyelids.

After the second week, the sutures are removed and the bandages can also come off.

Most patients can return to normal life within approximately 15 days, although there may still be some bruising that will fade gradually. Patients will have periodic check-ups and should follow the surgeon’s instructions, which depend on each case.

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  • Personal diagnosis after oral and facial exploration
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