Problem

Flabby, creasing skin, hanging facial skin (cheeks), loss of facial oval, creasing and hanging skin of the neck.

Target group

With age, skin loses its tone and elasticity to form deepening wrinkles around eyes and lips as well as in the forehead. Also the skin of the neck and the cheeks forms unsightly folds under the force of gravity. Facial lift is a surgical method for restoration of youthful and fresh appearance with no visible signs of intervention.

Procedure

The procedure consists in excess skin being removed from the dace and the neck and the facial muscle fascia being relocated so that the skin is better positioned over muscles while not losing its natural mimic capabilities. The incisions are performed at unexposed locations such as at the hairy temporal region or around and within the auricle.

Anesthesia and the course of the surgery

The procedure is performed under general anesthesia which requires 1-2 days of hospitalization. The entire procedure lasts about 3 hours. Usually, drains are removed after 24 hours and the patient is discharged.

Recovery

For the first several days after the procedure, the face may be swollen and bruised; however, the symptoms gradually resolve over time. Normal appearance is restored after about 14 days. During this period, it is very important to avoid bending down or lifting heavy objects. First sutures are removed on day 5 while the rest is removed after 10-14 days, depending on the rate of healing. Dressings are also removed at that time.

Full physical activity may be resumed one month after the surgery; however, it is recommended that tanning is postponed for another 3 months. The procedure rejuvenates the face and neck by ca. 10 years, and the effects can be observed for 5-10 years.

Examinations required

  • bleeding time and coagulation profile
  • hematology, ESR and blood type, creatinine
  • urinalysis
  • chest x-ray
  • ECG

Contraindications

Anemia, diathesis, uncontrolled hypertension, chronic diabetes, purulent inflammation of facial skin and purulent sinusitis, pregnancy.