A face lift usually takes several hours or more. The exact placement of incisions and the sequence of events depend on your facial structure and your surgeon’s technique. Incisions usually begin above the hairline at the temples, extend in a natural line in front of the ear (or just inside the cartilage at the front of the ear), and continue behind the ear lobe to the lower scalp. If the neck needs work, a small incision may also be made under the chin.
In general, the surgeon separates the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. The surgeon then tightens the underlying muscle and membrane, pulls the skin back, and removes the excess. Stitches secure the layers of tissue and close the incisions; metal clips may be used on the scalp.
The Package Includes
- Operating Room Charges : Operating Room , Scrub & Circulating Nurse, Recovery Room
- Accommodation for 2 Nights: Room and Nursing Service
Charges, Regular Menu Food Charges
- Laboratory Testing : Necessary for the procedure if required by surgeon as
- CBC (Complete Blood Count), PT (Prothrombin Time) & PTT (Partial Thrombin Time), EKG (Electrocardiogram)
- Radiology Studies :
- Chest X-ray , if required
- Medical Equipment and Medical Supplies necessary for the procedure
- Anesthesia :
- Pre-Anesthetics Drugs
- General Anesthesia
- Medications :
- Routine medication used for procedure and during admission only
- Doctor Fees
- Surgeon Fees
- Anesthesiologist Fees
- Take home medications and supplies
- Follow up at the Aesthetic Department 1 -2 times
- Package is applicable for elective, uncomplicated patients
The Package Excludes
- Charges for in patient stay in excess of 2 nights. Additional charges for these days including room and other charges will be added to the package price at a normal hospital rates;
- Charges for other procedure(s) or other plastic surgery
- Charges for intensive care, if necessary;
- Outpatient fees and expenses incurred before admission: Exercise Stress Test, Echo-cardiogram
- Any other charges for additional doctor consultations, laboratory profiles and medications not related to the procedure and charges related to additional condition, Diabetes, Hypertension, Thyroid, Asthma, Drug Allergy.
- Items of a personal nature such as in-room soft drinks, telephone charges and guest meals will be charged at the normal rates in effect;
2 Nights Admission in Private Room
You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, pregnancies, previous surgeries and medications that you currently take.
In evaluating you for face lift surgery, your plastic surgeon will assess the thickness, texture and elasticity of your skin, and the severity of wrinkles and folds. Your hairline will be examined to determine where incisions can be discreetly placed. All of these factors, as well as your bone structure and underlying tissues, will be considered in developing an individual surgical plan.
Your plastic surgeon may discuss with you additional procedures that can be performed along with a face lift in order to address all the concerns you have identified. For example, a face lift is frequently combined with a forehead lift, eyelid surgery, nose reshaping, etc.
If you are overweight and you have a realistic desire to lose more than 15 pounds, you should discuss this with your surgeon.
Below are important points that you need to consider before undergoing any surgery
- Stop smoking well in advance of surgery.
- Stop taking Aspirin, herbal or diet supplements and certain anti-inflammatory drugs at least 2 weeks as taking these substances can cause increased bleeding.
- Do not eat nor drink anything at least 6 – 8 hours before surgery.
- Use antibacterial soap and allow the soap lather to cover the skin of the surgical area for 10 minutes on the night before your surgery and in the morning of your surgery.
Post Operative Care
After surgery, you will be asked to restrict your activities and simply relax for a few days. Elevating your head when you sleep will help to minimize swelling and bruising. Doing leg exercises while on bed also helps to prevent blood clot formation on the legs.
- The surgeon wraps your head loosely in bandages to minimize bruising and swelling.
- A small, thin tube is temporarily placed under the skin behind
your ear to drain any blood that might collect there.
- Bandages and drain tubes will usually be removed in one or two days.
- Do not be alarmed by any unevenness or temporary
asymmetry caused by swelling and bruising. The greatest amount of swelling occurs 24 to 48 hours after surgery. Puffiness and bruising will disappear in about two weeks.
- Facial numbness may be present for several weeks or longer.
- Stitches will be removed from four to seven days after surgery.
- Resumption of sexual activity and heavy housework in about two weeks.
- Avoid alcohol, steam baths, and saunas for several months.
Potential Risks & Complications
Our team and our plastic surgeons take every precaution possible to prevent and minimize the risks of surgery. However, much of the responsibility for risk avoidance rests with the patient as well.
Risks of General Anesthesia
The risks of general anesthesia include human error, unsuspected inherited hypersensitivity to anesthetic drugs, accidental overdose of anesthesia, any undetected airway disconnection or airway blockage. General anesthesia, which increases the risk of vomiting and impairs protective airway reflexes, can cause aspiration of stomach contents.
Moderate or severe asymmetries may require a second surgery. Mild asymmetry is normal.
Skin Death or Necrosis
This is very rare but there are increased risks in patients with diabetes, compromised wound healing abilities, history of smoking and circulatory problems. The necrotic skin will be surgically removed which may affect the cosmetic outcome.
This is due to age, skin type, failure to follow doctor’s advice or factors beyond anyone’s control.
This results from injury to sensory or motor nerves which are often temporary. Transient motor nerve paralysis is more common and may be due to local anesthetic effect, excessive traction of the sub- mucosal apo-neurotic system (SMAS), infection, or hematoma.
Any sudden change in color should be reported immediately. A hematoma is a collection of clotting or clotted blood in a body cavity which can cause pain, skin flap infection, etc.
Predisposing factors for infection include diabetes, immuno- suppression, or other systemic illnesses. Post-operative factors include undetected hematoma and wound contamination.
Parotid Gland Pseudo-Cyst
This condition may occur after trauma to the parotid gland when raising the SMAS flap.
Hyper-trophic scarring is most common in post-auricular areas and areas of previous partial-thickness or full-thickness skin slough. The condition may be related to excessive tension on suture lines and can be prevented by careful incision planning, adequate SMAS suspension, accurate skin flap re-draping, and judicious use of deep sutures.
Alopecia and Hairline or Earlobe Deformities
Alopecia may be caused by excessive tension on suture lines and is often transient because of the shock to the hair follicles. Recovery usually occurs within 3 months. Earlobe distortion results from poor incision placement, inaccurate re-approximation of the earlobe to the re-draped skin flap, or excessive tension on the skin closure.
A face lift restores smoother, more pleasing contours to your face and neck. It can help you look as good as you feel and perhaps feel younger than you are.
The results of your face lift may be dramatic or subtle, depending on how you look before surgery as well as the specific goals that you and your plastic surgeon have established. Since the healing process is gradual, you should expect to wait at least several weeks for an accurate picture of your "new look."
By the third week, you’ll look and feel much better. Most patients are back at work about ten days to two weeks after surgery. If you need it, special camouflage makeup can mask most bruising that remains. Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you will be able to resume most of your normal activities within two weeks and begin to exercise three to four weeks after surgery. You will be instructed to temporarily avoid exposure to direct sunlight and, for the long-term, to be conscientious about the use of a sun block to protect your skin.
For more clarifications, please feel free to contact us and/or our plastic surgeon.