As we age, we begin to experience atrophy, a loss of fat and muscle in the face. Additionally, our bodies produce less collagen and elastin than in our younger years, and gravity begins to take a toll on the skin. The result is the appearance of deflated or hollow facial features and sagging skin near the mouth, jawline, and neck. These areas are referred to as nasolabial folds (the parenthesis lines between the nose and the mouth), the jowls (sagging skin on the jawline), and the wattle (the skin beneath the chin, by the neck).
A facelift is the most effective and permanent way of correcting volume loss and sagging in the face. In cases of severe volume loss, lifting alone is not recommended as attempts at complete correction of loose skin can result in an undesirable, "pulled" appearance. Dr. Madorsky works with patients to create a customized plan, tailored specifically to your facial construct and end goals.
This plan will most likely combine elements of lifting with volume restoration, for a completely rejuvenated look. Dr. Madorsky may also discuss the option to incorporate fat transfer to the face or cheek augmentation with implants during your procedure.
If it is determined that you are a candidate for a facelift, you can look forward to the following results:
If you are experiencing one or more of the physical characteristics of aging noted below, you are a candidate for a facelift.
First 24 hours: Facelift patients may feel groggy or nauseous after surgery. This feeling should subside within the first 24 hours after surgery.
10 - 14 days: Any swelling or bruising should fade within the first two weeks and most stitches will dissolve within about a week. An exception to that is any stitches that must be removed by the physician.
2 - 3 months: Patients should feel back to themselves, any evidence of residual swelling, should have settled by this time.
Depending on the specific type of facelift as well as any additional procedures done in conjunction with a facelift, the surgery takes approximately three to four hours.
Technological advances and innovative techniques enable surgeons to combat the causes of facial aging with less chance of scarring. During a facelift procedure most incisions are made to be well hidden. They will be methodically located around the temple hairline, down the front creases of the ears, around the earlobes, and behind the ears into the posterior hairline. Dr. Madorsky and his staff will guide you in proper skin care recovery techniques for improved healing. In the event that any redness or noticeable lines exist after complete healing, he can work with you to incorporate additional means of scar reduction.
Incisions are methodically made around the temple hairline, down the front creases of the ears, around the earlobes, and behind the ears into the posterior hairline. Once the incision is made, the skin and muscles of the lower face and neck are released and repositioned. Any excess skin is trimmed. In some cases, an incision under the chin may be required in addition to neck liposuction. This is in order to help create a more refined jawline. If it is part of your discussed surgical plan, Dr. Madorsky may choose to reconstruct stretched earlobes during your facelift, as incisions will already be made near that area.
Many people are under the old misconception that a facelift procedure will result in tightened facial skin around the eyes and forehead and scarring in the hairline. Actually, the surgery is performed to the lower half of the face. The forehead and brow area are not tightened during a facelift.
Yes. Many patients choose to combine multiple treatments when planning a facelift. Common combinations include:
Benefits of undergoing multiple procedures at one time include: