Facelift is a cosmetic surgical procedure in which unwanted wrinkle are removed by tightening the skin of the face, thereby signs of ageing are reversed. A treatment which was only affordable to hollywood stars, celebrities and really wealthy people is now an affordable reality for many women. Here at Dezire clinic we offer many options to bring back that youthful look that you had or always wanted. Dr Prashant Yadav is equipped with the knowledge, skills and experience to give you the facelift makeover.
Facelift also known as rhytidectomy can correct following signs of ageing:
- Sagging in the midface.
- Deep creases below the lower eyelids.
- Deep crease along nose that extends to the corner of the mouth.
- Fat that has fallen or is displaced.
- Jowls created in the lower face due to loss of muscle tone
- Double chin due to excess fat collection and loose skin under chin
Surgeons have studied in significant detail the anatomy of the face from skin to bone. We also better understand the aging process and the changes that take place. With age the skin becomes thinner and it loses elasticity, and becomes separated from the fatty tissue beneath it. However, one’s facial appearance depends not only on the skin but also on what is beneath it: fat, muscle, and bone. These all have a tremendous influence on our appearance. As we age the fatty tissue thins and descends, the muscles become lax, and even the bone atrophies. In order to “reverse” the aging process, surgeons have begun to look past the skin and try to reverse the aging process as it affects the deep structures as well. As a result, these more complex procedures result in a more natural (less pulled) look which lasts longer than the traditional “skin only” facelift.
The procedure is done under general anesthesia or intravenous sedation. It can be performed as a solo procedure or can be done in combination with dermal fillers, laser resurfacing, wrinkle reduction or facial implants.
There can be 3 options for the facelift procedure depending upon degree of change required. They are a traditional facelift, limited incision facelift or a neck lift.
For traditional facelift the incision begins in the hairline at temples, goes around ear and ends in the lower scalp. Fat and underlying tissue is redistributed whereas deeper layer of tissue and muscles are lifted. Skin is then draped over the uplifted contours and excess skin is trimmed away. A second incision under the chin may be necessary to further improve an aging neck. Sutures or skin adhesives close the incisions.
When the incision is taken at the temples and continued around ear and possibly within the lower eyelids or under the upper lip, it’s called as limited incision facelift.
Neck Lift– Sagging jowls, loose neck skin and fat accumulation under the chin may be corrected with a neck lift. The incision in neck lift surgery begins in front of the ear lobe and wraps around behind the ear ending in the lower scalp.
When your procedure is completed, a bandage is placed around your face to minimize post facelift swelling and bruising. We will remove your dressing after 48 hrs and you will be given a compression garment.
You will be able to see improvement of a facelift as swelling and bruising subside in 2 weeks time. After 3-4 weeks your final result will be visible. The facelift surgery not only restores a more youthful and rested appearance, but also help you feel more confident about yourself.
Facelift results will be long-lasting.
Once healed, the incision lines from a facelift are well concealed within the hairline and in the natural contours of the face and ear.
Facelift Surgery Cost
Facelift surgery cost varies from patient to patient and it depends upon the amount of work is needed to be done on your face to achieve your goal. Please make an appointment with Dr Prashant at one of Dezire clinics located at Pune, Delhi, Bangalore or Gurgaon. On your visit Dr Prashant will discuss all aspects of your case including the exact cost for your procedure.
What are the steps before the surgery?
You will consult with Dr Prashant and discuss exactly what bothers you about your face.Even if it is a minor problem, mention it beforehand. Dr Prashant will explain the options; discuss exactly what he plans on doing and what you should expect after surgery. Photographs of your face will be taken and Dr Prashant and may review your photographs with you to make sure you are both in agreement with the goals of the surgery. You may consider letting your hair grow long to help hide the scars while you heal.
What do I need to avoid before surgery?
You will need to avoid aspirin and aspirin containing products for 2 weeks before surgery. Also, completely quit smoking at least four weeks before surgery. You should avoid getting a suntan as well. If you use skin rejuvenation creams like Retin-A, stop using these 1-2 weeks before surgery.
What are the different techniques used?
Each surgeon uses his own technique; the one he is most comfortable with. However, there are basic principles and philosophies which are followed. Basically, the surgeon needs to decide what the “problem areas” are and how he will improve them. Extra skin will be removed and the remaining skin will be tightened. What varies is that, if anything is done to the deeper structures. The main deep structure which the surgeon will address is called the SMAS (SubMuscular Aponeurotic System) This is a fascial layer under the skin, most surgeons will tighten the SMAS with the belief that this gives a better and longer lasting result. Even though more structures are being pulled, the patient is actually left with a less “pulled look” (which nobody wants).
How long does the surgery take?
It will take anywhere from 2 to 3 hours to finish the facelift surgery. The time depends upon how much is done and which type of procedure is done.
What happens after surgery?
You will go to the recovery room for 1 to 2 hours. Your vital signs will be monitored. Once you are stable you can go home. You will want to stay relaxed and primarily in bed for the first few days. You will need to keep your head elevated and relatively still. You do not want to use any pillows directly behind your head for a few days (that flex your head down onto your chest). Your dressing and drains will be removed after 1 or 2 days. Your activity can slowly increase each day but it will take up to 2 weeks before you start to feel like your old self again. You should avoid any strenuous activity for 4 weeks.
How much bruising, swelling, and pain is there?
The bruising is usually in the neck region. The bruising usually lasts for 2 weeks but becomes less noticeable each day after surgery. The swelling in the face will subside around 3 weeks. In some cases it may last upto 3 months. The majority of the swelling, however, will be gone by 3 to 4 weeks. There may be some pain after surgery, but this is usually controlled with painkillers.
When can I get back to work?
You should plan on being off work for at least 1 week. If your work is strenuous, you will need more time off.
Will I have to change any bandages?
Your dressing will be changed by our staff during the first week after surgery. By second week no bandages are required by most patients.
How long should the results last?
This depends on what is done, on the patient’s skin and tissue quality, age, habits (sun exposure and smoking) and overall health. When the deeper structures are tightened, the results are longer lasting.
What happens before I have the surgery?
You will first have a consultation with Dr Prashant to discuss your particular case. Once you have decided to proceed with the surgery and have scheduled a date, you will return for a second visit at which time. On this visit Dr Prashant will review the surgery with you,take photos , Get consent forms signed, and further instructions and prescriptions will be provided.
What happens on the day of surgery?
You will arrive at the clinic. You will have to be nil by mouth since midnight. You will be checked in and your vital signs will be taken. Pre op pictures will be taken and markings will be done.
What happens after surgery?
Bandages and dressings will be placed. You will recover for 1 to 2 hours in the recovery room. You will then be driven home by a friend or family member. Your activities will be limited for the first few days. Driving is not recommended for first 7 days after surgery. You will be able to resume normal activities as the pain and swelling decreases.
When will the sutures come out?
The sutures are removed after approximately 10 days.
When will I see the final results?
After the swelling has subsided you should have a reasonably good idea of what the final look will be. That period can vary somewhere from 3 weeks to 3 months.