What is a Facelift?
As we age, the skin on our face begins to lose elasticity, resulting in sagging skin, lines and folds, jowls, or excess fat on the neck that can cause a double chin or “turkey neck.” A facelift is a surgical procedure done to improve these visible signs of aging face and neck for a more youthful appearance.
Who is a Candidate?
Men and women who are experiencing sagging skin in their midface or jawline, deep creases from the nose to the mouth or from the mouth to the chin, fallen facial volume, sagging jowls, or a double chin may be able to benefit from a facelift. Non smokers, and patients in good general health are the best candidates. The best way to see if you are a candidate is to schedule a consultation with Dr. Fichadia.
There are multiple facelift techniques available, including the traditional facelift and the limited incision facelift.
Traditional facelift incisions begin at the hairline near the temples, and continue around the ear, ending in the lower scalp. Fat is redistributed and sculpted in the mid to lower face, jowls, and neck, and underlying tissues are repositioned. The deeper layers of the face and muscles may also be lifted, and excess skin is trimmed away. It includes a neck lift. Dr Fichadia understands that facial aging includes loss of volume in the cheek area, and routinely combines fat grafting to these areas to ensure beautiful results.
Limited Incision Facelift
The limited incision facelift uses shorter incisions, which begin at the temple and continue around the ear. This technique is usually done for patients with less sagging skin, as results are not as dramatic as a traditional facelift. This can be done with local anesthesia in office, resulting in much quicker recovery and lower cost.
A neck lift is often done in conjunction with a facelift to address sagging jowls and loose skin on the neck, but can occasionally be done alone. Incisions often begin near the earlobe and continues around behind the ear, ending in the posterior hairline.
Results and Recovery
Dr Fichadia’s approach to a facelift is individualized with careful analysis of degree of facial aging in each individual patient. Following a facelift, a compression garment should be worn to reduce swelling. Drains are removed the next day. Patients can also reduce swelling by reclining rather than lying down, and keeping their head elevated. Any discomfort can be controlled with pain medication. Allow at least two to three weeks for the facial bruising and swelling to subside and for sutures to begin healing. Strenuous exercise, bending and lifting should be avoided for 2-4 weeks. Direct sun exposure should also be avoided to reduce the chance of irregular pigmentation. Scars tend to mature over 6 months, in which time they can be camouflaged with make up and hair style.
Those in the Portland, OR area who are looking to turn back the clock with a facelift can contact our office to schedule a consultation. We would be happy to answer any questions that you may have.