Facelift and necklift surgery, also known as rhytidectomy, is a procedure used to reduce the visibility of facial wrinkles with the goal of improving the overall appearance of the face. Facelift surgery can be an effective way to improve appearance leading to a final improvement of self-confidence. To perform this procedure, an aesthetic plastic surgeon will remove the excess of skin lifting and tightening the underlying fascia and muscles to create more aesthetically pleasing contours of the face and neck. It is topical to perform this procedures with an artistic eye and extraordinary attention to details so the minimal scarring and natural-looking results will lead to most patients’ complete satisfaction.
Candidates for facelift surgery share certain important characteristics. They need to have appropriate skin elasticity so the skin can conform to its new, improved contours. They ideally have a well-defined underlying bone structure to provide support and contribute to the most satisfying results. It is mandatory for patients to have a realistic expectations, they should understand not only what facelifts can accomplish, but also the limitations of the procedures.
A full facelift and necklift offers the most comprehensive results. This procedure can address deep creases below the eyes, sagging around the cheeks, lines around the mouth, excess fat and skin under the chin, jowls, and neck including turkey neck. The incision is usually quite long, running from the temporal hair area distally encircling the ear and going behind the ear where it runs dorsally.
Temporal lift is the procedure to address the skin excess and wrinkles at the temporal and external periorbital region. The incision usually is short and hidden by the hairs.
Mid facelift procedure is supposed to lift and tighten the tissues below the eyes and around the cheeks. The incisions are similar to those used in a traditional facelift, they usually are shorter but can be deeper. Technique may also use fat grafting or facial implants to enhance contours.
Mini facelifts involve smaller incisions and a shorter recovery time, that is why this procedure is sometimes referred to as a “weekend facelift.” This surgery targets a smaller area, primarily treating the jaw, lower cheeks, and neck.
The lower facelifts target the distal third of the face. This procedure can eliminate jowls, reduce deep nasolabial folds and lift the sagging corners of the mouth.
Cutaneous facelift only addresses sagging and excess skin. Because this procedure does not affect the fascial and muscular structure, it requires a really short recovery time with really low risk for complications. However, the results are limited in terms aesthetics and longevity.
The SMAS (Superficial Musculoaponeurotic System) facelift, involves the lifting and tightening not only of the skin surface but also of the subcutaneous muscle-fascial structure improving facial contours, achieving an overall more youthful appearance with more aesthetic and long lasting effect.
Facelift and necklift surgical procedures can be performed under local anaesthesia or sedation or general anaesthesia depending on the extent of surgery. 1-2 hours is the usual operating time.