Subperiosteal Facelift (Rhytidectomy)
Indications:
- Appearance of jowls and deep creases between the base of the nose and the corners of the mouth
- Lack of youthful chin and neck contours
- Tired facial appearance
- Not indicated for excess skin of face or neck
Description of Procedure:
- The operation is done on an outpatient basis under general anesthesia.
- In a subperiosteal lift most of the dissection is done deep to the soft tissues of the face and brow and all of the facial soft tissues are lifted.
- Occasionally, pre-auricular incisions are avoided with this operation.
Intended Result:
- A more rested and youthful contour to the face and neck.
Recuperation and Healing:
- The patient goes home with head and neck wrapped in dressings, which are usually removed the next day.
- Minimal initial discomfort is easily controlled with oral medication. Sutures are removed within 10 days.
- Bruising and swelling decreased to “socially acceptable” levels in 14-21 days, but frequently last longer than standard lifts.
- The final result is evident in 6-8 weeks or sooner with continued improvement for several months.
Standard Facelift (Rhytidectomy)
Indications:
- Loss of skin elasticity and muscle tone of the face and neck.
- Appearance of jowls and deep creases between the base of the nose and the corner of the mouth.
- Lack of youthful chin and neck contours
- Tired facial appearance
Description of Procedure:
- Facelifts range in size from “mini” to “standard” depending on location and extent of skin laxity.
- The operation is done on an outpatient basis under general anesthesia.
- Incisions are made within the hairline (or along the hair margin) above the ear, extending down around the ear lobe and ending in or below the hairline behind the ear.
- The subcutaneous layers and neck muscles are tightened, the facial skin is redraped and lifted, and the excess skin is removed.
Intended Result:
- A more rested and youthful contour to the face and neck.
Recuperation and Healing:
- The patient goes home with the head and neck wrapped in cotton dressings, which are usually removed when the drains are removed.
- A small drain placed on each side of the neck will be removed in 2-3 days after surgery.
- Minimal initial discomfort is easily controlled with oral medication.
- Sutures are removed in 7-14 days. Bruising and swelling decreases to “socially acceptable” levels in 14-21 days.
- The final result is evident 4-6 weeks or sooner with continued improvement for several months.
Additional Procedures to Enhance Results:
Face Procedures
