Our face changes as we age, our skin loses its' elasticity and begins to fold in several locations. This loss of "snap" is secondary to sun damage, emotional stress, large weight gains or losses, smoking and any health related problems.
The following is a description of normal facial aging by decade:
A facelift restores the look of your youth by helping to alleviate those features which indicate signs of aging. The cheeks are elevated, facial folds are flattened, jowls are tightened, the neck is lifted and redraped, and excess skin is removed. Your appearance is not replaced, but a younger appearance is re-established.
There are several variations of facelifts. Skin-only face-lifts were popular many years ago and are still performed in appropriate situations. Intermediate depth face lifts achieve their lift at deeper levels by also elevating the layer of tissue just above the facial muscles. Deep plane face lifts strive to achieve these changes by elevating all the soft tissues from just above the facial skeleton. Facelift incisions are typically made just in front of the ear, wrapped around the back of the ear and hidden within the hairline. These incisions and the various types of lifts are tailored to your anatomy and your desired result. The amount of swelling you may have varies, but you can resume most normal activities within a week and should show few signs of your procedure by three weeks (please see the commonly asked questions below).
Dr. Roland will evaluate your entire facial appearance during your consultation in our Manhattan office, pointing out your strengths and your areas which surgery can improve. He will also discuss other surgical procedures to improve your facial harmony which are not targeted in a facelift. These other procedures may include eye work or using your own fat as grafts to replace what has been lost to atrophy over the years. As always, Dr. Roland will map out a plan of treatment for you to consider now, and outline those procedures that you're not ready for as yet, but may want to consider in the future. This system is designed to give you a game plan when considering facial enhancement surgery. Options to temporize your facial appearance with soft tissue fillers, BOTOX and or Laser treatments which may be more economical are also addressed.
Facelifts, technically known as rhytidectomies (literally, "removal of wrinkles"), rejuvenate the mid- to lower face and neck. Facelifts are most effective for patients who want to correct:
Facelifts can produce a dramatic improvement in appearance for patients with the problems mentioned above. However, facelifts do not stop the aging process; in time, signs of aging will gradually appear once again. Furthermore, facelifts will not rejuvenate the brow, eyelids, nose, and some of the midface. Patients who want to improve these areas may consider combining a facelift with a brow lift or eyelid surgery (blepharoplasty). Injectable soft-tissue fillers, facial implants and skin resurfacing can also enhance the effects of a facelift.
The best candidates for a rhytidectomy procedure:
During your consultation Dr. Roland will address each of these factors when evaluating your eligibility for this procedure.
Facelifts are typically outpatient procedures and may be performed in an office-based facility, surgery center or hospital, in the New York City area. The way a facelift is performed varies depending the patient's facial structure, and the extent of correction desired. The three most common incision techniques are:
In all three methods, incisions are closed with sutures and scars are hidden in the hairline and natural contours of the face.
After your rhytidectomy, Dr. Roland will wrap the incisions in bandages and may place drainage tubes in the area. These drains will be removed one or two days after your procedure. Sutures will be removed over the first one and a half weeks post operatively. You may experience facial weakness, swelling, numbness, bruising, and a feeling of tightness or tension in your face and neck. Your facial appearance may look uneven and your facial muscles may feel stiff. Most of these symptoms usually resolve within 3-6 weeks. Scars become less red, raised, lumpy or itchy over time. Many patients return to work by the second week post operatively. Camouflage cosmetics can be used to minimize the appearance of bruising. You should be gentle with your skin and hair as you recover.
Results of a facelift do not last forever. Gravity is a constant force acting on all of the tissues in the face and body. Therefore you may want to retighten your facelift after seven to ten years. However, in another sense, the effects will continue to look better than if you had never had a facelift, as if setting back the hands of time.
Possible complications of a facelift include: bleeding, infection, bruising, uneven swelling or discoloration, allergic reaction to the anesthesia, skin blistering (usually only seen in smokers), and temporary or permanent loss of sensation or movement in a part of the face. Dr. Roland will discuss the risks and benefits of a facelift with you before your surgery.
Hours by Appointment at:
|52 East 72nd Street, Suite 1A
New York, NY 10021
|80 Wall Street, Suite 615|
New York, NY 10005
|Tel: (212) 744-9400
Fax: (212) 744-9424
|Tel: (212) 952-0200
Fax: (212) 952-0203
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Donald Roland, MD
BOARD CERTIFIED PLASTIC SURGEON