A facelift, also known as a rhytidectomy, is a surgical procedure that has been designed to combat the effects aging has on the skin in the facial area. As a person ages, skin cells break down and repair more slowly. Collagen, which keeps the skin tight, is found in the lower dermis layer of skin. This layer divides more slowly with time and becomes thinner, thus losing the tightness of the skin. Skin laxity increases, causing the neck skin to sag and jowls to appear around the mouth, which leads to wrinkles and creases within the skin.

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FACELIFT | In Detail

Facelifts are designed to remove excess skin around the neck and mid face to produce a more youthful appearance. With modern technology, the procedure can be done under local anesthesia, leaving only a 1 to 3 week span for recovery.

The best candidates for a facelift, or rhytidectomy, wish to improve a sagging midface, creases under the eyes or between the nose and mouth, jowls, or loose fat under the chin. Correcting these effects of aging will produce a rejuvenated, smoother appearance.

There are many different types of surgical facelifts offered to target your aesthetic goals.

A SMAS (Superficial Musculoaponeurotic System) facelift is the most traditional route for a facelift and works to eliminate jowls and improve skin laxity in the lower face and neck area. Excess fat is removed through trimming or liposuction and the SMAS muscles are lifted to tighten the skin, eliminating jowls around the mouth and a sagging neck. This will produce a more chiseled chin and jawline. Incisions are made along the hairline down to the earlobe, as well as under the chin. The skin is lifted up and sutured, and any excess skin is removed.

The Deep Plane Facelift targets the muscles that control facial expression in the midface. It is a
slight modification of the traditional SMAS facelift, working more effectively to correct loose skin on the cheeks. It lifts the cheeks and reduces the nasolabial folds for a smoother appearance.

An Endoscopic Facelift is a minimally invasive procedure that reduces signs of aging around the midface and brow area. Incisions are typically made above the hairline and/or behind the ear, resulting in hidden scars a quick recovery time. Small cameras guide the instruments that enable the midface to be lifted and skin to be tightened. The best candidates for an endoscopic facelift are patients who seek to improve creases around the forehead area and improve the skin laxity around the cheeks and nose.

A Midface Lift specifically targets the areas around the cheekbones. Often times as people age, the area below the cheekbones begins to sink in. To restore the natural volume of the cheeks, fat pads are adjusted and skin is tightened.

The Mini Facelift is similar to a tradition SMAS Facelift, however, smaller incisions are made. The Mini Facelift is primarily designed to adjust the skin, rather than the muscles and fat. This type of facelift lifts and tightens the skin through a minimally invasive technique.

The K-lift™ is a facelift designed to focus on the lower areas of the face, which include the neck and chin. The best candidate for this facelift is someone who seeks to remove fat around the neck and chin area and create a tighter neck appearance.

The Tissue-Glue Facelift is a facelift procedure that uses fibrin to close incision sites rather than sutures. Fibrin is a safe biological agent used to prevent scarring and allows Dr. Kassir to micromanage the closure of the incision, thus, the tightness of the skin.

In addition to the wide array of surgical facelifts offered, there are nonsurgical approaches that can be taken to create a more youthful facial appearance. Thermacool, or Thermage, is a skin tightening treatment which uses radio frequency that activates the body’s collagen, which instantly reduces the appearance of fine lines and lax skin. Thermacool requires no recovery time and can last anywhere from six months to two years. Ultherapy is another nonsurgical facelift approach, in which sound waves are used to tighten the skin around the neck and face. Another nonsurgical alternative is the ThreadLift or FeatherLift, in which a needle and surgical thread are placed into the skin. The thread is pulled tight, lifting up the skin with it, creating a smoother look. The surgical thread remains in the skin and is absorbed around six months following the procedure. The lifted effects of the skin typically last up to one year. In addition to these alternatives, dermal fillers can be used to reduce fine lines and relax sagging muscles. Dermal fillers last between three and six months, and there is no recovery time.

For a full facial rejuvenation, many patients choose to get a facelift simultaneously with a brow lift. The facelift is designed to produce a natural and refreshed look by restoring the facial volume by lifting the muscles and skin, as well as eliminating extra fat and skin. Depending on the facelift procedure done, scarring is typical, however, most incisions are made in places that will hide the scars. Following a surgical facelift, there is a 10 day recovery period before you can resume normal, daily activities. The swelling subsides within a few months, and pain is minimal. To decide which surgical or nonsurgical facelift will best combat the effects of aging, schedule a consultation to discuss the many options available.

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