Face Lift (Rhytidectomy)

Face lift or Rhytidectomy should more appropriately be discussed in terms facial rejuvenation. Seldom is face lift done as an isolated procedure. Usually it is accompanied by eyelid lift (blephroplasty), nasal surgery (rhinoplasty), and skin resurfacing, either by laser or chemical peel.

 
 


There are many different types of face lifts and actually several components of face lift which might be performed as isolated procedures. For instances, one may perform neck lift with brow lift, or "mini face lift", as isolated procedures or may combine neck lift with mid face rejuvenation or brow lift with mid face rejuvenation, the so called deep plane face lift. Choice of the appropriate procedure often depends upon the degree of facial rejuvenation required. If the patient's primary problem is that of hanging, sagging skin of the neck as opposed to deep grooves in the nasolabial region of the face then emphasis might be placed on rejuvenation of the neck than of the brow and mid face. If upper face sagging is present without significant neck deformity (a rather unusual condition) then so called deep plane or subperiosteal face lift might be the best choice. In any event restoration of the face requires lifting of those components which have settled due to the effects of gravity over the years. Improvements in technique, now allow for more total restoration and longer lasting restoration than was previously possible.

Chemical Peel/Skin Rejuvenation

Changes in the surface of the skin should be considered separately from that of the need for face lift. The two conditions may well develop simultaneously, and both require treatment, but it is a misunderstanding to think that face lift will correct very fine lines and wrinkles, age spots, and skin blemishes. These are more appropriately treated by chemical peel, the depth of which varies depending upon the peeling agent chosen and/or laser skin resurfacing. Whichever modality is chosen for skin resurfacing, the superficial layers of the skin are removed and the regenerative layer of the skin is stimulated to produce a new layer which is thicker, healthier and blemish-free.

Recovery after skin resurfacing varies depending upon the depth treatment applied and preexisting conditions. In all cases, a period of erythema (redness) is present and varies in length depending upon the depth of resurfacing and the agent applied. In some instances- especially around the mouth where deep rhagades exist in smokers- it is desirable to perform a second resurfacing procedure some months following the first.

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