Face

surgery

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Facelifting and minifacelift

Plastic surgery of the face, the so called face lifting, is usually performed to prevent skin and subcutaneous tissue ageing in faces of elderly patients. The ageing process develops wrinkles, sagged skin and soft tissue of the face, the neck and the eye surroundings. The subcutaneous fat is reduced and the face loses its young appearance

Facelifting can be combined with corrections of upper and lowed eyelids, suture of splitting neck muscles, lipoinjection, liposuction of the neck and the jaws, laser treatment of face skin etc.

Facelifting: your surgery

Plastic surgery of the face usually takes 2-3 hours, depending on the intervention type, and is performed under total anaesthesia.

To properly tension the skin and the subcutaneous tissues of the face the facial complexion must be detached form the substrate and tensioned upwards and sideways. The incision is made in the hair in the temple area, then right in front of the ear downwards, around the ear on the bottom and on the rear, behind the ear upwards and then back to the hair. The tissues are detached depending on the extent of the sag with different radicalism in the direction towards the face and the neck. Then the subcutaneous tissue and muscle fascia are detached, shifted upwards and anchored with special suture. Excessive skin is removed and the wounds are carefully sutured. The face and the neck are bandaged with elastic compression till the next day when redressing is performed, the drains are removed and a compression face mask is applied. There are several modifications of face lifting, from the relatively undemanding mini face lifting, tensioning of the central part of the face/S lift/ to complex tensioning of the whole face, the temples and the neck in combination with other procedures.

Facelifting: recovery

Hospitalisation usually takes 1 day. The client sometimes stays in the clinic till the evening of the operation day and then is accompanied home. The elastic mask is left on until the first post-operative visit to the clinic in 7-10 days after the surgery.

In the post-operative period swells or hematomas are common. To accelerate their absorption heparin ointments must be used, such as Heparoid or Lioton gel. Rest is required for 2 days after the operation and no excessive physical strain is allowed until the first post-operative visit. Face and hair washing must be agreed with the surgeon. For the reason of problem-free blood circulation in the operated facial tissues it is necessary to limit smoking before and after operation. For quicker healing and swell absorption Wobenzym is recommended.

Do not expose the post-operative scars to direct sunshine and solarium sun for 6 months after the surgery.

Facelifting: possible risks

Like all operations, face lifting may be associated with certain risks which you must be aware of. These are general operation-related risks connected with the total anaesthesia (bleeding - hematoma, infection, pulmonary embolism, poor healing, operation wound splitting, development of colloid scars etc.) plus intervention-specific risks.

Possible face lifting related risks

  • Subcutaneous hematoma requiring draining.
  • Other complications are rare, including blood circulation disorder and partial necrosis in extreme cases.
  • Temporary pareses are reported – paralysis of face muscle nerves.
  • Other complications include disturbed sensitivity of the ear resulting from cutting a small skin nerve.
  • Regeneration options are limited and so this condition is usually permanent.
  • Permanent hair loss may occur in the surroundings of the scars.
  • Plastic face surgeries may also produce colloid scars. The resulting appearance of the scars depends on the quality of healing processes of the body and therefore is absolutely individual. Therefore the results cannot be foreseen and the scars cannot be avoided.
  • Corrective surgery is possible in the case of unsatisfactory result of the operation.
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