Facelift surgery, also called rhytidectomy, is an ever-evolving procedure. Generally all facelift surgeries involve incisions along the ear, tightening of loose facial skin and removal of excess skin to improve visible signs of aging. It is necessary in some cases to tighten the facial muscles as well, or use liposuction to improve areas of the neck. Signs of aging are most apparent on one’s facial features, and this procedure is for those seeking a more youthful appearance.
There are a wide number of facelift techniques used to obtain optimal results. The best approach will be determined for you by your facial bone structure, the condition of your skin, and the goals you and Dr. Loghmanee or Dr. Cerio discuss.
Am I a good candidate for facelift surgery?
One or more of the following may indicate you are a good candidate for a facelift;
- You are in good physical condition
- You are bothered by signs of aging in your face
- You have deep creases around the nose and/or below the lower eyelids
- You have parenthesis (creases along the sides of the mouth)
- You have areas of excess fatty deposits that have fallen or are displaced
- You have loose skin and sagging in any of these areas: the midface, neck, or along the jaw causing jowls or the appearance of a double chin
- You have a good bone structure and retain some skin elasticity
Dr. Loghmanee or Dr. Cerio will conduct an examination and discuss with you your expected outcome and determine whether your desires can realistically be achieved. You must come prepared to discuss your full medical history, including any medical conditions, previous surgeries or treatments, drug allergies, current medications, and use of alcohol, tobacco or illegal substances.
Medical conditions: This procedure is not recommended for those with diabetes, heart problems, or a weak immune system. These factors can complicate surgery and interfere with optimal recovery.
Weight: It is important that you complete any weight loss goals prior to surgery and stabilize your weight. Extreme weight gain or weight loss will affect the long-term results of your procedure.
Expectations: It is important that you realize a facelift will improve signs of aging, but does not stop aging. It is not a permanent procedure. It does not change underlying bone structure so it is not possible to look “like someone else.” This procedure must be for your happiness, and not to please others.
Surgery and Recovery
Facelift surgery is commonly an outpatient surgery, performed with general anesthesia or local anesthesia and sedation. After a few hours recovery you will be permitted to go home. Your incisions will be wrapped in gauze dressings and will likely include drain tubes to prevent the accumulation of fluid. You will be given detailed information from Dr. Loghmanee or Dr. Cerio detailing normal symptoms, signs of complication and instructions for recovery.
You should be able to walk immediately following surgery and will be up and about within a day or two after surgery. Your incisions will be tender to the touch for the first few days, and you must avoid straining, bending, lifting and other strenuous activity for several days. Drain tubes are removed within a few days, most stitches are removed within a week. Bruising will occur, but typically resolves itself within two weeks. Swelling is most prominent in the first two days post surgery and greatly improves within two weeks but it may take several weeks for all swelling to clear. Facial numbness may occur but resolves within several months. Dr. Loghmanee or Dr. Cerio will recommend follow up visits to evaluate your healing process. It is important to follow your doctor’s orders for the best outcome.