Facelift / Necklift
In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jawline slackens, and folds and fat deposits appear on the neck. Facelifts counteract these problems by removing fat and tightening skin and muscles, giving your face a fresher, youthful look -- after surgery, some patients appear as much as ten or 15 years younger.
Who are good candidates for Facelift / Necklift?
Facelifts are most often performed on people in their 40s-60s, although those in their 70s or 80s can have facelifts as well. If you feel as if your skin is starting to sag around the jowls, the forehead and generally "all over," if you look tired and physically exhausted and you, in fact, are NOT, a facelift may be right for you. The procedure can be combined with others (browlift, eyelid surgery, nose reshaping) for more dramatic results, or it can be restricted to the neck (necklift) if your problems center there. Patients who smoke, take medications or have certain medical conditions such as high blood pressure, blood clotting problems or the tendency to form excessive scars should discuss potential risks with Dr. Conkright.
During your consultation, Dr. Conkright will discuss whether a Facelift / Necklift is right for you.
How is a Facelift / Necklift performed?
Facelifts are usually outpatient procedures and may be performed in an office-based facility, surgery center or hospital, typically under local anesthesia combined with a sedative. The procedure itself varies depending on your facial structure (i.e. where the incisions are placed, whether one or both sides of the face are worked on at once, in which order the steps are performed).
In most facelifts, incisions are made from the temples down in front of the ears and back behind the earlobe to the lower scalp. Dr. Conkright lifts the skin, suctions fat, tightens muscle, trims excess skin and then stitches the incisions closed. In some instances, the deeper tissues may also need to be repositioned to restore a more youthful contour to your face. If necessary, a small incision beneath your chin permits the removal or fat and smoothing of the cord-like structures in your neck. Sometimes metal clips are also used to hold incisions firmly closed on the scalp, and bandages are often wrapped around the head to reduce bruising or swelling.
There are many variations to the facelift procedure and the placement of incisions. The goal of every facelift technique is to keep the incisions hidden as much as possible. Following surgery, scars will be concealed by your hair or with makeup.
What is recovery like for a Facelift / Necklift?
Patients may temporarily need a thin surgical drainage tube which is placed behind the ear. Any numbness, bruising, or thinned hair around the scar will fade in a few weeks; bandages, stitches and clips are removed within a day to a week. Most patients are back on their feet in a day or two, although the face may appear distorted and feel stiff, and many return to work within 10 to 14 days. At first you should be gentle with your skin and hair, and men may need to shave behind the neck and ears where areas of beard-growing skin have moved.
After facelift surgery, you will experience temporary skin discoloration and some tightness or numbness in your face and neck. Your skin will remain somewhat sensitive for a few months. Protection from the sun, including daily use of a sun block is essential. You can wear cosmetics after a few days and patients often are back to work within a week.
Will there be scarring with a Facelift / Necklift? If so, where will the scars be located?
Some scarring is necessary, usually hidden in the hairline, behind the ears or under the jaw line. The surgery is individual to your needs and Dr. Conkright can discuss with you the techniques that he uses.
How long do the result of a Facelift / Necklift last?
Results of a facelift do not last forever; you may want to have another procedure in five or ten years. But in another sense, the effects are permanent; years later, your face will continue to look better than if you had never had the procedure.
What are the risks associated with Facelift / Necklift?
Possible side effects include, but are not limited to: temporary bruising, swelling, numbness and tenderness of skin; tight feeling; and dry skin. For men, a permanent need to shave behind ears, where beard-growing skin is repositioned, may occur.
Complications are rare but may include hematoma, temporary or permanent nerve injury, infection, and allergic reactions to anesthesia.