As a person ages, the skin of the face and neck tends to loosen. The sheet of fibrous tissue which connects the skin to the muscles weakens, causing the overlying skin to sag. At the same time, the fat beneath the skin also becomes dislodged, creating further droopiness. The result is the gradual formation of wrinkles around the eyelids, on the forehead, and at the sides of the mouth. Jowls may develop along the jawline, making the appearance of the face seem bottom heavy compared to the “V” formation of youth. Extra folds may also form over the front part of the neck, resulting in a “double chin.”
View before and after Facelift Photos
Facelifts and neck lifts are a surgeon’s way to restore what time and gravity have stolen. Skin and excess fat deposits of the lower third of the face can be addressed by lifting and tightening the fibrous sheet of tissue. The re-distribution and excision of loose skin and fat will restore a youthful profile. Please note that a facelift will not target the upper face.
Men and women who are in overall good health, do not smoke, and have realistic goals that can be achieved through a facelift or neck lift may be good candidates.
The facelift is performed under general anesthesia and takes about 3 hours. The two most common facelift techniques used today are a traditional facelift and a limited facelift.
Incisions for a traditional facelift are made at the hairline and extend in front of and behind each ear. They continue to the lower scalp. Incisions for limited facelifts are shorter and made just around the ear. The best technique can be determined at a consultation with Dr. Miller in his New York office.
A facelift is used to achieve a few things. One is to lift and tighten the underlying sheet of facial tissue and re-drape the skin. The second is to redistribute fat that may have collected in undesirable areas of the lower face and neck. The outcome is a refined, youthful profile.
In cases where extra folds and sagging are confined to the neck or when “bands” under the jawline are the source of worry, the appearance of the neck can be rejuvenated with a neck lift. A necklift can also be performed alongside a facelift when extra attention to the neck is needed in addition to targeting areas of the face.
During the procedure, incisions are placed behind the ears and/or under the chin. The skin, muscles, and tissue of the neck are repositioned and tightened. Portions of neck muscles may be removed to reduce bands. Fat deposits can also be suctioned away.
The recovery following facelift and necklift are very similar. After a neck lift, bandages are applied and an elastic garment is typically worn to keep the newly positioned skin and tissue in place. The dressing and drainage tubes after either procedure can be removed 1 to 2 days after surgery. Sutures will be removed between 5 and 10 days. Some discomfort and swelling is normal and can be controlled with cold compresses and medication. Most patients return to work with a refreshed appearance within 2 weeks.
The skin of the face and neck tends to loosen with age, gradually forming wrinkles around the eyelids, on the forehead and on the sides of the mouth. Pouches or “jowls” may develop along the jawline and extra folds may form over the front part of the neck, forming a “double chin”.
Please read and familiarize yourself with these instructions both BEFORE and AFTER surgery. By following them carefully you will assist in obtaining the best possible result. If questions arise, do not hesitate to contact me or my office to discuss your questions at any time. Take this list with you to the hospital and begin observing these directions on the day of your surgery.