Facelift surgery is an accepted treatment that can help both men and women regain a more youthful appearance. The out-of-date attitude of belittling cosmetic surgery has been replaced with the knowledge that there is a way to help us improve some of the signs of aging. At The Langsdon Clinic we strive to reverse the signs of aging while preserving the “natural appearance”.
A facelift (Rhytidectomy) procedure is designed to reduce sagging caused by loose skin and muscles and drooping, fatty tissues of the face and upper neck. The operation is done to treat the relatively early signs of aging or to improve the advanced signs in older patients. If the sagging is significant, the results of surgery may be more dramatic. In younger patients, the results may be more subtle; they may simply “look less tired”.
What Areas Of The Face Does A Facelift Improve?
A facelift treats only the lower face, jowls, and upper neck. Other procedures may be recommended to improve the eyelids, eyebrows, forehead, or mid cheek. Wrinkles cannot be “pulled out” with a face-lift, and areas of facial deflation (the groove between the eyes and upper cheek, the folds along the sides of the mouth, cheek depressions) cannot be eradicated with a facelift.
In patients with thick or fatty cheeks and neck, the tissues may not be as mobile and the contouring obtained may be somewhat less than that obtained in a patient with thin tissues.
Preoperatively, medications are given to begin relaxation and help minimize swelling and bruising. The procedure is usually performed at the clinic’s outpatient surgical center. “Twilight” sedation is used and is supplemented by local anesthesia. Most patients have no discomfort during the procedure and have amnesia of the experience.
The face is divided into several areas of concern: the neck, the lower cheek-jowl, the upper cheek, eyelids, and the forehead. The facelift deals with the lower cheek-jowl and neck. It does not treat the forehead, eyelids, or cheekbone areas.
Normally, we do not shave the hair in preparation for the procedure. Not having to wait for hair to re-grow makes it easier to camouflage postoperative healing.
The incision for the lower cheek-jowl-neck operation begins in the temple hair and extends down just in front of the ear, around the ear lobe, up behind the ear, and then backward along the hairline. Through this incision, the skin is elevated out into the cheeks, and neck. The underlying muscle and connective tissues are raised and repositioned with sutures to help support these underlying facial structures of the cheek-jowl and upper neck. Excess skin is then removed.
A small incision is usually placed in a crease under the chin. Through this incision fatty accumulation in the upper neck may be improved and the muscles may be tightened. The skin edges are secured with absorbable sutures in front of the ear and under the chin; and small skin clips may be used for the incisions along the hairline.
Ideal Candidates For A Facelift Procedure
Call The Langsdon Clinic to find out if you are a good candidate and to discuss your possible facelift outcomes. Dr. Phillip Langsdon is a facial plastic surgeon with over 23 years of experience bringing beauty and youth to Tennessee residents.