Aesthetic plastic surgery

Face lift

Aging, although a natural progress, leaves some signs-wrinkles. Many people would choose to slow down the aging process. Modern-day Plastic Surgery, which these days boasts a vast range of high-grade forms of treatment, is being regarded increasingly as the obvious way forward …
A wonderful method of removing the signs of ageing from the face, or, at least, of making them less severe, is the facelift (as a rule, this will include the neck). It will make sagging cheeks disappear, straighten up the chin-line and tauten up loose face and chin-skin. Wrinkles become smooth, the contours of the face come across as being much younger. If the procedure is carried out properly, a facelift should not be readily identifiable as such for the observer, even if the individual looks younger afterwards.
Incisions usually begin above the hairline at the temples, extend in a natural line in front of the ear and continue behind the earlobe to the lower scalp. Afterwards the underlying layer of tissue, called the superficial musculo aponeurotic system (SMAS) is tightened, to create a natural and youthful undersurface of the face and to enable a long lasting result. Excess skin of the face and neck is removed. Stitches secure the layers of tissue and close the incisions. Small tubes will be temporarily placed under the skin behind both ears to drain blood and fluids. They will be removed the day after surgery. Liposuction or lipostructure, sometimes are combined  with a facelift that allow a precise modelling of facial contours.
There are many different ways of a facelift procedure. Which one is the right for you can only be decided after an examination in a personal consultation. Whatever procedure or technique is chosen to rejuvenate your face, it is important to maintain your individual facial features and not to create a „tight facelift- look“!
At what age should a facelift be done?
Most facelifts are performed between 45 and 70 years. But age is not important in the consideration, more importantly are signs of aging, especially sagging skin, the formation of jowels or marionette lines (lines between the corner of the mouth and the chin).
What are the potential risks and complications of a face- lift?
You will have bruising and swelling that goes down 7 – 10 days after the operation. Major complications after a face lift are fortunately very seldom. There will be some temporary numbness at your cheeks. Wound healing problems with damage and loss of skin, infection or the injury of important anatomical structures like nerves and vessels are also seldom.
What anaesthetics will be used?
During a facelift you will be completely asleep.
How long does a facelift last?
Usually you gain 10 years by a facelift. You carry that benefit with you your entire future life.
How long does the operation take?
The time for surgery depends on the technique involved and the additional procedures performed (liposuction, lipostructure..) and usually takes between 3 and 5 hours.
How do I prepare for the surgery?
• take no drugs that influence the blood clotting system (e.g. aspirin) two weeks prior to the operation
• do not smoke. Smoking impairs the blood flow into the skin and raises the risk of skin and tissue damage.
• wash your hair the day before surgery
How should I take good care of myself after the surgery?
• Avoid any vigorous activities (like bending down) for five days after surgery because you might cause post operative bleeding. Move or turn your neck and head slowly.
• Your sleeping position should be on your back in a slightly upright, sitting position
• Cooling might be necessary
• You will have to wear a circular bandage around your head for four days.
• Drains will be removed the day following the operation.
• Be careful when washing your face and hair. Don`t lean your head backwards during the first five days to avoid bleeding.
• There should be no direct sunlight (UV-light) on your face for 6 months. Sunlight might cause large and red scaring. Protect yourself with a strong sun-blocker cream or with a hat.
• No sports or exhausting activities for 8 weeks after the facelift.
• Massage your scars with your fingertips, applying some pressure. The best way to treat small scars is pressure!
How long until I am back to normal?
Take two weeks off work. This is the necessary time for the swelling and bruising to go down and you can get back to normal. In some rare cases, bruising can last a little longer.

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