What is a facelift?
A facelift, also known as rhytidectomy, is the surgical procedure designed to improve the most visible signs of aging in the lower two-thirds of the face. This is achieved by eliminating excess fat, tightening the muscles beneath the skin of the neck, and removing excess sagging skin.
How permanent is a facelift?
The procedure is meant to improve your present appearance. It will not stop the aging process, but it will set back the clock’. Many patients find that the effects last for a good 5 to 10 years later, and some opt to undergo a repeat facelift around that time. There are several things that you can do to help extend your results, including maintaining your weight, avoiding sun exposure, and keeping the skin properly hydrated.
What is SMAS?
SMAS is an abbreviation for the Submuscular Aponeurotic System. The SMAS is a layer of tissue which covers the deeper structures of the cheek area and is linked to the superficial muscle covering the lower face and neck, called the platysma. Some techniques for facelift surgery lift and reposition the SMAS along with the skin. In doing so, the jowls are lifted, the neck is tightened, and the cheeks are elevated.
Will there be scars?
As with any surgical procedure, facelift surgery involves the use of incisions, meaning that you will have scars. However, these incisions tend to be minimal and placed in well-concealed areas, typically within the hairline and within natural contours, or folds, in and behind the ear, thus allowing for minimum visibility. Some facelifts involve the placement of incisions underneath the chin as well. These scars may appear extreme immediately following surgery but will fade over time and be barely noticeable, particularly if the patient avoids direct sun exposure. Some patients, particularly those who are younger, can undergo endoscopic surgery which involves tiny minimal scarring.
How much time do I need to take off from work?
Most patients are able to return to work within two to three weeks following surgery. Due to bruising and swelling, however, you may choose to hold off on any major social engagements for four to eight weeks.
Is there a difference between rhytidectomy and a facelift?
Rhytidectomy is the medical term for facelift surgery, which comes from the Greek word rhytid meaning wrinkle.
Is there some way to hide scarring and bruising after a facelift?
There are post-operative camouflage techniques which you can discuss with your surgeon. These can include special camouflage cosmetics for both men and women which will help to disguise any bruising and scarring as it heals, along with lines and discoloration.
I”m not sure whether I need a facelift or laser resurfacing.
A facelift will lift sagging skin and muscle while removing excess fat. Laser surfacing will correct fine wrinkles or lines on the skin”s surface but it will not tighten skin or correct sagging of the neck. Some patients may require both.
Is there anything a facelift won’t work on?
Traditional facelift surgery will correct the lower portion of the face including the cheeks, jowls, and the neck. Unless a brow lift is performed, it will not improve the upper portion of the face, such as the position of the eyebrows, wrinkling between the eyebrows, or excess skin of the upper or lower eyelids or lower eyelid bags. The procedure will do little for the smile lines and cannot improve wrinkles around the mouth.
How much pain is there after a facelift?
Typically patients do not feel much pain following surgery. If anything, they tend to describe a mild discomfort, mainly in the back part of the neck, which usually clears up within a day. Pain or discomfort can also be relieved with oral medication.
Does your head get shaved?
No. In fact, many patients undergoing surgery choose to grow their hair out beforehand in order to better hide scars and stitches during the healing period.
Are bandages applied after surgery?
Bandages may be applied to the head and neck in order to maintain the area and keep it immobile. These are typically removed the day after surgery, though another light bandage may be placed around the chin.
If you have any questions about Dr. Epstein’s hair replacement or facial plastic surgery procedures, please don’t hesitate to contact us.