Face lifts
FACE LIFTS
A facelift, technically known as a rhytidectomy (literally, surgical removal of wrinkles), is a type of plastic surgery that gives you a more youthful appearance. This usually involves removing excess skin on the face, with or without stretching the underlying tissue, and repositioning the skin on the patient's face and neck.
In the traditional facelift, the incision is in front of the ear up to the hairline. The incision runs around the bottom of the ear and then behind it, usually ending near the hairline at the nape of the neck. After the incision, the skin is separated from the underlying tissue (called lymph) on the cheeks and neck with a scalpel or scissors. In this phase it is possible to sew the deeper tissue (SMAS, Facial Suspension System), with or without removing part of the excess deeper tissue. The skin is then reapplied and the amount of excess skin to be removed is determined by the surgeon's judgment and experience. The excess skin is then removed and the skin incisions are closed with sutures and staples.
The facelift helps eliminate skin folds on the neck and sagging cheek tissue. A facelift requires skin incisions; However, the incisions in front of and behind the ear are usually fair. In men, the hairy skin around the ears can make it more difficult to maintain a natural look after surgery. A facelift can be usefully combined with blepharoplasty (blepharoplasty) and other facial procedures and is usually performed under general anesthesia or in deep twilight.
Contraindications to the facelift procedure include serious coexisting health problems. Although this is not an absolute contraindication, the risk of postoperative complications is increased in cigarette smokers, as well as in patients with hypertension and diabetes. Patients are usually asked not to take aspirin or other blood thinners for at least a week before surgery.
MACS LIFT: Modified S-Lift. The minimal access skull suspension is a form of facial surgery or rhytidectomy used to reduce wrinkles and lift sagging facial tissue and was originally developed in Belgium. Access to tissues is through an incision in front of the ear. The sutures are then used to lift the underlying tissue. These sutures are then secured to the deep temporal fascia with pocket sutures.
There is a strong trend towards less radical facial rejuvenation treatments. In 1999, a very simple but effective rhytidectomy technique called the S-Lift was described in the literature. Its basic principle is to hang sagging facial features with a strong and durable bag seam. The procedure is performed on the patient under local anesthesia. Significant changes were made to the incision, suture anchor position, direction and shape of the skin incision. Limited skin tightening is achieved through an inverted L-shaped preauricular incision that extends below the cheekbones.