PROCEDURE OF THE WEEK: Facelift

The facelift procedure, or rhytidectomy as it is medically called, treats the neck, cheek, jowl, lateral temporal or eyebrow area. It gives the ultimate improvement in facial plastic surgery because it addresses all the areas of concern, and will reposition tissues into a more normal, natural position. It helps to turn back the clock approximately 10 years in most people.

Aging results in loss of moisture from the skin, the fat redistributes itself, the skin becomes more lax and the muscles become more lax. Facelift surgery addresses many of these areas. Liposuction is used in conjunction with facelift surgery to remove excess fatty tissue which has repositioned itself in aesthetically unpleasing locations. In some, fat cases can herniate down into the jowl area and accentuate fullness in this area. Liposuction can be used through a small incision on the inside of the mouth to remove the excess fatty tissue in this area.

Facelift surgery repositions muscles into their normal position. With aging there can be a diastasis of muscles. This is most prominent in the neck area where the platysma muscle sags resulting in the deep banding or cording in the neck. By repositioning these muscles we obtain a more natural, more physiologic appearance. We feel it is important to reposition the muscles into their natural position and avoid cutting or altering the position of the muscles feeling that this would give a more artificial appearance and prolong the healing process. Facelift surgery then removes the excess skin.

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