How are facelifts performed?
Our facelifts typically take between two and five hours and are performed under general anesthesia. Unlike facelift procedures of the past, which just pulled on the skin, modern techniques work below the skin to tighten underlying muscles, as well as move, remove, or even add fat to the face as necessary.
To start the surgery, your surgeon will make small incisions at the temple and along the natural contour of the ear. Adjustments will then be made to the underlying muscles and fat to reshape the face and neck. Finally, any excess skin will be removed before draping it back over the face and closing the incisions with thin metal staples and nylon sutures.
For your neck lift, medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. You and your doctor will discuss the best choice for you.
Depending on the degree of change you’d like to see, your neck lift choices include a traditional neck lift incision or a limited incision neck lift.
A traditional neck lift incision often begins in the hairline at the level of the sideburn, continues down and around the ear and ends in the posterior hair. Fat may be sculpted or redistributed from the jowls and neck. The tissue underlying the neck skin is repositioned, and commonly the platysma muscle is tightened. Skin is “re-draped” over the uplifted contours and excess skin is trimmed away. A separate incision under the chin is often necessary for liposuction of this area and for repair of the muscle. Sutures or skin adhesives will be applied to close the incisions.
A limited incision neck lift may involve incisions only around the ear. While the incisions are shorter, the results may be more limited.
Incision lines are closed with sutures and perhaps skin glue. Sutures may be dissolving or may need to be removed after a few days. Once healed, the incision lines from a neck lift are usually well concealed within the hairline and in the natural contours of the ear.
The visible improvements of a neck lift appear as swelling and bruising subside. Your final neck lift result should not only restore a more youthful and rested appearance, but also help you feel more confident about yourself.