Rhytidectomy; Cosmetic surgery of the face
A facelift is a surgical procedure to repair sagging, drooping, and wrinkled skin of the face and neck.
While you are sleepy (sedated) and pain-free (local anesthesia), or deep asleep and pain-free (general anesthesia), the plastic surgeon will make surgical cuts above the hairline at the temples, behind the earlobe, to the lower scalp. Often, this is a continuous cut.
Many different techniques exist, and the outcomes are similar.
During a facelift, the surgeon may:
Sagging or wrinkled skin occurs naturally with increasing age. Folds and fat deposits appear around the neck, and deep creases form between the nose and mouth. The jawline grows "jowly" and slack. Heredity, poor diet, smoking, or obesity can contribute to early or severe skin problems.
A facelift can help repair some of the visible signs of aging. Fixing damage to skin, fat, and muscles can restore a "younger" look.
People who have a facelift are not satisfied with the signs of aging on their face, but are in otherwise good health.
Baker SR. Rhytidectomy. In: Cummings CW, Flint PW, Haughey BH, Robbins KT, Thomas JR. Otolaryngology: Head & Neck Surgery. 4th ed. St. Louis, Mo: Mosby; 2005:chap 30.
Miller TR, Eisbach KJ. SMAS facelift techniques to minimize stigmata of surgery. Otolaryngol Clin North Am. 2007;40:391-408.
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