A facelift is one of the most common plastic surgery procedures available, designed to treat wrinkles, sagging and skin laxity within the face for a younger, more refreshed appearance. As we age, the effects of time, gravity, sun exposure and stress inevitably take their toll on our faces, producing wrinkles, folds, fat deposits and loose skin.
Patients unhappy with the changing appearance of their face may seek relief through a facelift. This time-tested procedure targets the mid- to lower face, including the cheeks, mouth, chin and neck. Ideal candidates are usually those in their 40s, 50s or 60s looking to reverse the early signs of aging in the face, are generally healthy and have realistic expectations for surgery.
The neck may sag as a result of aging or weight loss, and is often affected before the face. Loose neck muscles can lead to an appearance of bands on the neck or drastic drooping of the skin. A neck lift is a surgical procedure that can smooth and tighten the skin on the neck and provide a more toned and youthful appearance. The results of this procedure offer a drastic improvement to the appearance of the neck and subtle changes to overall appearance. A neck lift may be performed alongside a facelift, or may be performed alone, after which your friends and family may not even realize that a surgical procedure was performed.
A neck lift procedure includes both a cervicoplasty to remove excess skin and a platysmaplasty to remove or alter muscles in the neck. Liposuction can also be used to remove excess fat during a neck lift. This takes two to three hours and may be performed under general anesthesia or local anesthesia with sedation, depending on the preference of the patient. Most procedures are performed within an outpatient basis.
Swelling and bruising may occur shortly after the procedure and last up to ten days. Most people can return to work and other regular activities within two weeks after a neck lift procedure.
There are certain risks involved in a neck lift, as there are with any surgical procedure, including problems with anesthesia or infection. There is also a risk of facial nerve damage that may occur during surgery and can result in muscle paralysis. Although these complications are rare, they emphasize the importance of choosing a skilled and experienced surgeon for your cosmetic procedures.
Forehead Lift (Browlift)
Browlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, browlifts involve the removal or alteration of the muscles above the eyes to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of the eyes and other areas of the face.
While browlifts are typically performed on patients aged 40-60 to counteract the effects of aging, anyone with lined or inelastic skin on the forehead – whether it’s caused by muscle activity or inherited conditions – is eligible. The procedure is usually performed in an office-based facility or surgery center under local anesthesia and sedation.
Traditional browlift: First, the patient’s hair is tied with rubber bands near the incision site. Then Dr. Ganchi makes a coronal (headphone-shaped) incision behind the hairline, stretching between the ears and across the top of the forehead. The incision may be placed further back or made along the skull bone joints to minimize visibility in patients with thinning hair or who are bald. Then the forehead skin is lifted, tissue is removed, muscles are adjusted and the eyebrows may be lifted. Excess skin is trimmed and the incision is closed with stitches or clips. The site is washed and the rubber bands are removed. Some surgeons will protect the stitches with gauze or bandages.
Endoscopic browlift: After the hair is tied as with the traditional procedure, Dr. Ganchi makes three to five short incisions (less than an inch long) behind the hairline. The endoscope is placed in one so Dr. Ganchi can see beneath the skin without having to make a large incision, while he or she lifts the skin and adjusts muscles through the other incisions. If the eyebrows are lifted they will be stitched or screwed (temporarily) into place. The site is washed and the rubber bands are removed. Some surgeons will protect the stitches with gauze or bandages.