¿Listo para parecer tan joven como te sientes?
La gente a menudo nos dice que están trabajando duro para mantenerse saludable. Sin embargo, años de daño solar y el envejecimiento están alcanzándolos. Sus rostros no reflejan su actitud juvenil.
La cirugía de lifting facial hace que su cara y cuello se vean más lisos, más jóvenes y rejuvenecidos.
El objetivo del Dr. Izquierdo es mejorar las áreas que definen un contorno importante: la mandíbula, el escote y la mejilla de una manera elegante pero sutil que cree cualquiera de los signos de la cirugía.
Durante su consulta, el Dr. Izquierdo discutirá todas sus opciones basadas en su examen. El objetivo del Dr. Izquierdo es mejorar las áreas que definen un contorno importante: la mandíbula, el escote y la mejilla de una manera elegante pero sutil que desmiente cualquiera de los signos de la cirugía.
El procedimiento se realiza típicamente en 3-4 horas como paciente ambulatorio en un centro quirúrgico ambulatorio. Se utiliza anestesia general o sedación intravenosa. Las cicatrices del estiramiento facial se localizan típicamente en el pelo del templo y los pliegues delante y detrás de la oreja donde están ocultados. Dependiendo de sus problemas particulares, se puede usar una incisión más corta limitada a la parte delantera de la oreja (incisión mínima).
A veces el Dr. Izquierdo puede sugerir cirugía para los párpados, la frente y el cuello para producir un mejor equilibrio de sus rasgos faciales. La liposucción se usa cuando se indica para contornear mejor el cuello y la mandíbula.
Durante la recuperación del estiramiento facial, las áreas tratadas se hinchan y se machucan. Los vendajes se colocarán en el momento de la cirugía para controlar la hinchazón, proporcionar apoyo y ayudar en la curación. El primer día de postoperatorio, usted será visto por el Dr. Izquierdo. Una semana después de la cirugía, se le quitarán los vendajes y se le dará sólo una correa de soporte. Las suturas se retirarán de cinco a siete días después de la cirugía.
Las cicatrices del rejuvenecimiento facial se ocultan generalmente y raramente incómodo, pero los pacientes deben ser conscientes que la cicatrización es a veces impredecible. El ejercicio ligero se puede iniciar en dos o tres semanas. La cicatrización continuará por los próximos tres a cuatro meses.
Un levantamiento facial puede ayudarle a lograr un aspecto radiante, juvenil y natural. Los procedimientos pueden borrar los años, restaurar una apariencia más fresca y ofrecer resultados a largo plazo
Anesthesia Used During a Facelift
A facelift is usually performed under general anesthesia. There are ways to do it under local with IV sedation and that can be certainly perform but most surgeons will opt for general anesthesia solely because we have better access to areas of the face with the ability to extend and improve on the contour of the patient.
Facelifts Where Are the Incisions
The incisions on a facelift are usually in front of the ear and then they are extended into the back portion of the ear and along the hairline in the back portion of the head. If we do work on the neck we will also usually make a transverse incision just behind the chin line that we have to address the muscles in the interior neck that have become loose. We will then sow those muscles together much like our corset to help define a better angle of the neck into the chin area.
The Best Age for Your First Facelift
The best age for your first facelift is unknown. The reality of it is that we look for changes of aging meaning loosening of the skin mostly in the face and into the jowls. Loosening of the neck skin and so forth, I have I’ve seen patients that at the age of 35 are almost requiring a facelift at that time. And I’ve seen patients in their mid-to-late fifties that actually would benefit from a smaller procedure such as a mini facelift. So depending on the character of the skin, the character of the tissues and the fat a facelift is done on those parameters not on age.
Best Procedure for Firming Neck and Chin
The best procedure for firming the neck and chin are yet to be described. There are many options available. We now have several injectables that can possibly remove excess fat in the area. But once the skin is lax meaning that it’s lose. We have we don’t have any good way to make it spring back. In other words the skin has lost its elasticity and once that occurs, the only options available at this time are a face and or neck lift to improve the contours of the neckline and the jawline.
Patients who have a facelift are going to require at least 10 days to 2 weeks minimum for recovery. I try to tell my patients that you will feel like you have been in a prize fight and you’ve lost to Muhammad Ali and I say that truthfully because when we do surgery there is a large amount of swelling postoperatively especially in the first two to three days and there will be bruising. As much as we have tried to minimize bruising it will still occur. Usually the first three to five days most patients are wrapped of the entire face and neck and then afterwards we usually will then be able to take out the stitches at around five days and put them in a suspensory sling for the chin and jaw areas. In terms of returning to work or activities it’s usually a 10 to 14 day event when most of the swelling has come down and also most of the bruising. However final result is usually in the realm of 6 to 8 weeks.
Facelift vs. Neck lift What Is Right for Me
A neck lift is usually performed on patients who have most of their aging problems at the jawline or below and that includes some of the excess fullness in the marionette lines and certainly the neckline down to the area of the of the Adam’s apple. We usually will do a facelift with a neck lift but that it that would be for patients who need more lift of their cheek pads and the areas around the temples.
Facial Microcurrent Do They Work Like a Facelift
Facial microcurrents have been brought into the spectrum of facial improvement however the issues are more related to what the process produces. The thought is that a microcurrent through the tissues will help in producing tightness in the tissues. But we don’t have adequate information or adequate studies to prove that it produces any good results.
How Can I Avoid Getting a Pulled Up Look from a Facelift
A pulled up look is a technical problem from elevating the skin and pulling it too tight. We like to make sure that a patient looks like themselves and that involves usually working on a layer below the skin called the smash which we use to tighten the contours of the jawline and the cheek area. Once that’s done the excess skin is then re-drape in a non-tension fashion and the closure of the skin then produces the final contour.
How Is a Facelift Different Than a Mini Facelift or Mid Facelift.
A mini facelift is performed usually when people have some early jowling that can be addressed through a smaller incision. That incision is usually made in the front of the ear and the skin is lifted down to the area of the skin laxity or excess fat. In general these are for patients who otherwise do not need any other procedure such as improvement of their neck.
How Long Does a Facelift Last
We do get this question quite often of how long does a facelift last and much of it revolves not necessarily on the surgical technique but on the quality of the patient’s skin and in general health. For the most part I tell patients that they will have a five to seven-year time period where they look much-improved depending on the age. The patient may begin to have some laxity of the tissues beyond that time. However, I tell patients that they will still look more refreshed and younger than they would have otherwise.
How Long Should Swelling and Numbness Last after a Face Lift
Well many patients are surprised that they’re numb afterwards and I tell them that postoperatively once we’ve raised the skin to a lift it the nerves that produce the sensation of those areas have been have been cut. They will grow back however and they will grow back from a front to back direction in other words that start at your chin and progressively grow back into the overlying skin over a period of up to two to three months at times. But you will return you will retain all of your sensation in those areas.
How Should You Sleep and Take Care Of Your Skin after a Facelift
After a facelift we usually will have our patients see our esthetician so that we can revive and improve on their skin quality after surgery. This is very important and we will have our estheticians suggest for example skin cleansers as well as moisturizers and how to treat the skin especially in the early portions of the recovery.
How to Avoid Bruising After Facelift
Bruising is hard to predict and I tell my patients that they will bruise in some form or fashion. There are some supplements that people have taken over the years and they may help on some patients but not all patients. The newest that I have been using lately is eating a pineapple which contains bromelain and bromelain apparently helps minimize the bruising. It won’t make it not that you bruised but you will have probably less bruising and slightly less edema postoperatively.
Is 40 Too Young For a Facelift
40 is not too young for a facelift, however you must have things that can be improved. Usually it’s the jowls, the neckline, the jaw line and even some of the cheek areas that may need to be lifted for improvement. However we don’t we don’t have a definitive age because of the differences in the patients up own skin.
Is Facelift the Only Answer for Marionette Lines and Jowls
A facelift can help and certainly improve the marionette lines and jowls. There are some options where during a facelift once the skin is pulled away from the underlying tissues. Some of the fat that is overlying those areas can be trimmed but it has to be done in a very judicious manner because there are important nerves in those areas. Most of us will trim just a little bit of the superficial fat in that area if required but usually with the release of the mandibular ligament which produces the jowling we get a much better elevation and softening of that area.
The Benefits of Combined Facelift and Eye Surgery
Combined surgery of the eyes and face is probably one of our most, more common procedures. Mostly because most patients with as they age the changes are very noticeable in the areas of the eyes and face. Usually the upper eyelids can be droopy and baggy as well as the lower eyelids and certainly the face and neck and cheeks can also have a lessening of the contour that they had once they were younger. So we will sometime suggest to, do the procedure all at once because that that really is the best way to rejuvenate the entire face, eyes and neck.
Effective and Long Lasting Procedure for Lifting Jowls
The jowls are those areas of the face down by the chin that produce a pleat and sometimes are also called the marionette lines. This is due to the loss of the contours of the fat compartments of the face which are just above those areas. What we do in facelifts is we actually will identify a ligament on both sides of the marionette lines and cut that ligaments so that the skin can then be pulled posterity and superiorly in a more pleasing fashion.