Face Lift

Face lift is a highly effective procedure for the correction of facial skin ageing, notably the neck and the jaw line.

Why Face-lift?

Due to ageing, the facial skin and the underlying muscles become lax with loss of skin tone and snap. The laxity increases with the impact of sun and gravity, resulting in the ugly drooping of the facial tissues. The fat muscle volume decreases and there’s fat descent on the face. This makes the face look dull, dark, loosened, spotty and wrinkled.

Facelift, in some measure, reverses these changes as the procedure involves removal of neck fat, blepharoplasty (eye-lid tuck), eye-brow tuck/lift and fat injection that fills out the centre of the face and raises the forehead, eye brows and eyelids. Facelift procedure helps you re-furbish your younger looking skin and colour.

The Procedure of Facelift Surgery

There are basically two procedures of the face-lift cosmetic surgery:

  • The full-facelift, and
  • The short scar facelift

Here’s the procedure for full-facelift surgery:

  • The process comprises of first lifting the skin and then removing the worn out fat layer from the underlying muscles of the cheek, jaw-line and down into the neck.
  • An incision is then made from above the ear that runs into the hair and ends up behind the ear. (The incision is generally placed on the whiskers hair-line rather than up in the hair)
  • However, the choice can be easily made at the time of consultation.
  • Now, the underlying muscle layer (SMAS layer) is tightened.
  • The surplus skin from the face and neck is now removed and punctiliously sewn in its new elevated and tightened position.

Here’s the procedure for short scar facelift surgery:

A short scar facelift involves a smaller incision from behind the ear. Most of the other steps remain the same, however, the extent of skin elevation is lesser (more on the jaw line and nominal on the neck) than that in full facelift surgery.

Length of surgery

The surgery ideally takes 3-4 hours

Nights in hospital

The patient has to spend usually one night, and rarely 2

Time off from Work and Socializing

Ideally, the recovery time is 2 weeks, varying from individual to individual. In fact, many patients take just a week’s time to recover from post operation litharge.  A little swelling and uneasiness carries on for the first week and fades away during the second week.

Time off from Physical Activities

Walking at a considerable distance is possible in 5-7 days, swimming in 10-14 days (if absolutely healed) and strenuous exercise (aerobics etc) is ought to be avoided for four weeks. Libido should be avoided until 2 weeks of the surgery.

Postoperative instructions

Day 1-4 Take it easy, stick to your medicine regime and do not stress!
Day 5-14 You may be feeling far better from here forwards. The swelling starts to sink and the bruises subside.
Week 3-6 You may feel absolutely fine by now and ready to be back to chores.

Follow up

It is highly recommended to see the doctor for wound check and dressing every 5th day. Once the stitches are healed and the wound subsides, Dr. Kalia suggests visiting every 3 months for regular check-up and follow up. Moreover, there absolutely no extra charges for follow up visits in reference to your surgery.

Complications

Though there is high success rate of the facelift surgery and very rare chances of complications, most clinics, hospitals or doctors won’t guide you about the complications involved. It is important to identify all the complications involved before actually going for the procedure. Here are the possible complications that may occur post surgery:

  • Skin Loss: This is quite an uncommon condition and happens in case the blood provided to the skin is skimpy. It may also occur if the skin is very tight, and chances are also high with the ones who are regular smokers.
  • Altered Skin Sensation: Skin sensation is a common symptom post operation and is generally cured within a couple of weeks.
  • Altered Ear Sensation: It is again an uncommon condition only occurring if the ear nerve gets injured whiles the operation.
  • Scars: Scars vary from skin type to skin type and generally subside with time.
  • Wound Breakdown: It is again a very uncommon condition but occurs only in cases of sensitive skin, delaying in the healing of the wound and peculiar scars.
  • Bleeding: Bleeding might occur rarely below the skin flaps. In this case, you need to see your doctor right away. This is a very rare condition that happens to one in hundred and twenty five surgeries.
  • Infection: The skin sensitivity is greatly a cause for more infection. This is again a rare condition, however, stick to your prescribed dose of antibiotics to keep away from any infections post surgery.