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Face and Neck

Face Lift :: Neck Lift :: Brow Lift


Face Lift

Degeneration of skin cells with aging results in loosening of the skin of the face and neck. Facelift, also known as meloplasty or rhytidectomy, involves surgical procedures that tightens and removes drooping skin. This surgical tightening of the facial muscles improves the tone of the skin. These procedures also involve the removal and repositioning of the excessive fat present beneath the skin.

Face lift is more commonly performed in the age group between 40-65 years, but people with the higher or lower age group can also go for it. The results of a facelift usually last for 5-12 years.

Purposes of face lift surgery

The objective of face lift surgery is as follows:

  • Reduces the signs of ageing
  • Improves the contours of the face and neck
  • Make the skin younger and smoother
  • May be combined with other cosmetic surgical procedures such as brow lift, eyelid surgery or skin reconstruction
  • May be undertaken along with non-surgical treatments such as chemical skin peel, dermabrasion or skin resurfacing

Face lift surgery does not involve the alteration of the bone structure of the face.

Procedure

Face lift surgery is performed under general anaesthesia. The type of facelift surgery depends upon the age, type of skin (dry, thick etc.), condition and requirement of the individual person.

Depending upon the general health and the extent of the procedure, facelift surgery can be performed with a short stay in the hospital. In some cases, a small, thin tube may be temporarily placed under the skin for the drainage of excessive fluid.

Post-operative care

The basic post-operative instructions for the person’s undergone facelift are as follows:

  • One can have light meal and can drink fluid 2-3 hours after the surgery
  • Elevate your head while sleeping that reduces swelling
  • Take the prescribed medications for pain and swelling
  • Take rest for few weeks as recommended
  • Avoid heavy lifting, strenuous exercise, swimming and strenuous sports

Risks and complications

Face lift surgery is generally a safe procedure. Smokers are having increased risk of complication. The associated risks and complications with face lift surgery are as follows:

  • Bleeding
  • Infection
  • Allergic reactions
  • Formation of large blood clot or haematoma
  • Pain and numbness
  • Bruising and swelling
  • Scar formation
  • Hair loss around the scar
  • Loss of skin
  • Deformity of the earlobe
  • Damage to the facial nerve

Revision surgery may be recommended for correcting the complications.

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Neck lift

Neck lift is a surgical procedure performed to improve the appearance of the neck and under the jaw line by reducing the loose sagging skin. Neck lift, also called cervicoplasty or neck lift with platysmaplasty procedure is used to enhance the appearance of your neck. The procedure usually takes two to three hours, but the time may differ accordingly if other surgeries such as liposuction, facelift, brow lift are performed along with neck lift.

The procedure is performed under general anaesthesia and a small incision is made under your chin in front and behind the ear to access the platysma (neck muscle) and tighten them as required. You doctor may also perform liposuction on the neck to remove excess fat deposits from the neck. Some excess skin is also removed through the incisions near the ears. After the muscles are tightened the skin is draped over the ear. The extra skin is then trimmed and the incisions are closed using sutures. A drain is placed on the neck to drain extra fluids to decrease the swelling and discomfort following the surgery.

Following the surgery, you will have a compression bandage to help decrease the swelling. Most patients are able to restore to normal activities after 10 to 14 days. Avoid participating in sports for at least 3 weeks.

Complications associated with neck lift include infection, swelling and bruising, tightness or tingling, burning or pulling sensation and numbness on the skin.

Brow lift

Brow lift also called as forehead lift is an aesthetic treatment to correct low position of the eyebrows and to remove horizontal lines and vertical frown lines on the forehead. This surgical procedure can be done in people who naturally have them and also in those who develop them as a result of stress or ageing.

Brow lift procedure softens facial lines, uplifts the eyebrows and helps you to regain the softer, younger and gives you more aesthetic appearance.

The surgery is done under general anaesthesia. During the procedure Dr Kane uplifts the loosened forehead skin and alters/removes the muscles so that the frown lines and wrinkles on the forehead will be disappeared. Surgical brow lift can be performed by three different techniques:

Coronal brow lift: Here the incision is made above the hairline on the head from one ear to the other ear and the skin from scalp will be removed.

Hairline brow lift: It is recommended in individuals with high receding hairline. During the procedure an incision will be made between the forehead and beginning of hairline. This procedure shortens the forehead apart and gives better results in those with more horizontal creases.

Endoscopic brow lift: The procedure is performed using endoscope, a tiny instrument that has a camera at its tip and is connected to an external display. Dr Kane makes few small incisions behind the hair line on the scalp and through one incision an endoscope is inserted. By viewing the inside structures on the large television screen, surgeon inserts small surgical instruments through other incisions and shifts the skin backward on the head.

The extra skin and muscle are then removed and the elevated position of the brow is fixed permanently by surgical stitches, small screws or absorbable fixation devices and the incision is closed. Initial swelling and bruising occurs after the procedure but reduces in few weeks to reveal youthful, relaxed and pleasant face with smooth skin.

In endoscopic brow lift the incisions are small and thus recovery is much faster as compared to the other two procedures. But each procedure has its own advantages and disadvantages. Dr Kane will decide the appropriate procedure for you depending on your specific facial bone structure, position of the brows, skin texture, elasticity and the desired results.

Complication are rare and may include infection, scarring, blood below the skin (hematoma), hair loss at the place of incision, effects of anaesthesia, numbness on certain areas of face or facial paralysis due to nerve damage, revision surgery may be required in rare cases.

Other procedures like facelift and eyelid surgery (blepharoplasty) can be done along with brow lift to improve the results of the brow lift and to take time back by few years on the face.

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Blepharoplasty/Eyelid Surgery

A blepharoplasty is the removal of unnecessary skin and fat surrounding the eye that may obscure vision, resulting in a tightened and more youthful appearance to the upper and lower eyelid.

Otoplasty/Ear Correction

An otoplasty is a surgical procedure that assists in correcting prominent ears by reshaping the cartilage structure of the ear to change the angle and shape, which is held in place by sutures. This procedure is normally done as a day surgery and can be done under a local anaesthetic

Rhinoplasty/Nose Surgery

Rhinoplasty is a surgical procedure which improves the appearance as well as the function of the nose by reshaping the underlying nasal cartilage and bone to correct hereditary or post-traumatic defects.