Plastic and Reconstructive Surgeon

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Facelift is a cosmetic procedure that gives better contour to the face and neck. This in turn allows you to feel better and perhaps younger than you are. During the initial consultation, you will be asked to look in the mirror and point out exactly what you would like to see improved. Both you and your surgeon should understand your expectations and determine whether they can realistically be achieved.

Various factors will be assessed to decide whether you are a candidate including:

the thickness, texture and elasticity of your skin severity of wrinkles and folds hairline will be examined to determine where incisions can be discreetly place bone structure and underlying tissues Dr. Grubnik will not perform this operation if you have not stopped smoking at least six weeks before the surgery. In addition, medications such as aspirin, anti-inflammatory drugs and herbal supplements should be avoided as they can cause bleeding.

Procedure

The surgical technique is individualized to each person depending on the main complaint. There are usually different problems with different people, the results achieved may not always be the same. It is usually up to the surgeon to decide which procedure will give optimal results according to your needs. The incisions are most commonly hidden in the natural contour of your ear, extending around the earlobe and back into the hairline. In certain circumstances, the incision may follow the hairline. Following surgery, incisions can be easily concealed by your hair or with makeup. There may also be a small incision hidden underneath your chin. Through these incisions the skin is freed and re-draped in a better position. n some instances, the deeper tissues may also need to be repositioned in order to restore a more youthful contour to your face. If necessary, a small incision beneath the chin permits the removal of fatty tissue in that area and smoothing of the cord-like structures of the underlying muscle in the neck. It is important to realize that the amount of time it takes for recovery varies greatly among individuals. After surgery, you will be asked to restrict your activities and simply relax for a few days. Elevating your head when you sleep will help to minimize swelling and bruising. training, bending and lifting should be avoided during the early postoperative period. n many instances, you will be able to resume most of your normal activities within two weeks and begin to exercise four weeks after surgery. You will be instructed to temporarily avoid exposure to direct sunlight and, for the long-term, to be conscientious about the use of a sunblock to protect your skin.

Indications

One must remember that facelift is purely a cosmetic procedure, and therefore there are no absolute indications for this procedure. It is dependent on whether you are unhappy with certain features of your face due to aging. In addition, a facelift will not change your general appearance but rather add a youthful tone to your face. Any one or combination of the following conditions may indicate that you are a good candidate for a facelift:

Deep lines, or folds, running from the corner of your nose to the corner of your mouth
Jowls (loss of a well-defined jaw line)
Deep wrinkles in the cheeks and sagging of the cheekbones
Loose skin, wrinkles, vertical “cords” or excess fatty tissue in the neck
Certain things will not be improved with a facelift and may require additional procedures for example:
Sagging eyebrows
Excess skin and fatty deposits in the upper and lower eyelids
Wrinkles around the mouth

Disadvantages / Complications

Complications are relatively rare if performed by an experienced surgeon.It is important that you ask your plastic surgeon about such complications before they occur so that you are aware of what may happen.
Some of the potential complications that may be discussed with you include:


Reactions to anaesthesia
Haematoma (an accumulation of blood under the skin that may require removal); 
this complication occurs in 0.9% - 8% of facelifts
Infection
Injury to underlying structures is possible, though it is usually only temporary; the facial nerve which supplies the muscles of the face may be injured in 0.9% of facelifts
Visible scars (incisions are most often inconspicuous, but this is not entirely predictable due to individual variations in healing)
Wound dehiscence (the incision that was sutured may open and require further 
surgery or leave a poor scar
The skin that is elevated may die and slough off; this occurs in 1% - 3% of cases (mostly occurs in smokers and requires further reconstructive surgery
Hair loss around the incisions has been reported to occur in about 1% - 3% of case
Darkening of the skin may occur but this is mostly temporary but may take up to 8-12 months to recover; it may be permanent in rare case
Prolonged swellin
Prolonged bruisin
Earlobe deformities

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