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Cheeks and Midface

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Facelift

What is it for?

  • The facelift is the most complete surgical procedure for facial rejuvenation, improving sagging, wrinkles and furrows

What does it mean?

  • Facelift surgery is a procedure in which the tissues of the face are subjected to resuspension according to vectors that return the characteristics of a young face, counteracting the effects of gravity and the excess skin that appear with age. A facelift, according to current concepts, implies working and reorganizing  the tissues that are below the skin level (SMAS - superficial muscular-aponeurosis system), and not just to "stretch" the skin, which causes unfavourable results, such as the " wind tunnel face" and the "elf-like" earlobes ("pixie ears"). Therefore, we believe that a complete facelift involves some degree of skin detachment to achieve good results, opposite to what is offered by some surgeons, that may eventually feel less comfortable with this kind of techniques and resort to minimal procedures.
  • Contrary to what one might think, a more natural look is obtained when the procedure is performed on relatively young people, starting at 40 years of age, as the transition between before and after is less dramatic, however allowing to keep the features of a young face for many years.
  • The classic facelift applies to the midface (the area below the eyes to the zone of the mouth), but complementing it with other techniques such as the brow lift, blepharoplasty, fat grafting and neck lift can achieve more harmonious and complete results for the entire face and neck. The procedures to be carried out have to be assessed case by case, we do not apply a standard formula for all patients

Procedure time

  • 3 to 5 hours, depending on the complexity of cases

Other procedures that can be associated

  • Brow lift, upper blepharoplasty, lower blepharoplasty, fat grafting, neck lift

Type of anaesthesia

  • General anaesthesia

Scars

  • The scars are concealed in the areas surrounding the ear, sideburns and scalp, making them unnoticeable after a few months

Hospitalization

  • Usually requires two days of hospitalization

Recovery

  • During the first week there is some swelling in the operated areas, which decreases in the following weeks. The patient is able to work usually after 8 to 10 days. The end result is only evaluated accurately after 3 to 4 months

Most frequent problems and risks

  • Hematoma, numbness, muscle weakness (facial paresis), infection, persistent swelling, dry eyes, poor wound healing, change in hair implantation site

Longevity

  • A facelift rejuvenates the face around 10 years in comparison to the starting point, and generally keeps the same difference lifelong