Things to Ponder Before and After a Surgery on Your Skin

As part of the aging process, our skin progressively loses its elasticity and our muscles tend to slacken. The stresses of daily life, effects of gravity and exposure to the sun can be seen on our faces. The folds and smile lines deepen the corners of the mouth droop, the jawline sags and the skin of the neck becomes slack. Around the eyes, the eyebrows droop and the skin of the eyelids gathers in loose folds. In the skin, the first sign is fine wrinkles developing around the lips, at the outer corners of the eye and lines of expression.chin augmentation before and after The rate at which this happens varies from one person to another and is probably determined by our genes. Substantial weight loss can produce similar changes in facial appearance to those of the aging process.

WHO WILL BENEFIT?

The best candidate is one whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well defined. Most patients are in their 40's to '60s, but facelifts can be done successfully on people in their 70's or 80's.

It should not be obvious that a patient has had a facelift, but instead, they look younger, more vital and cheerful. It is a procedure that technically works well but also increases morale and is well appreciated by the patient.

BEFORE THE OPERATION

If you are overweight and intend to lose it you should do so before the operation. This allows the surgeon to remove more skin and therefore achieve a more pleasing result. You should avoid taking tablets containing aspirin and nonsteroidal anti-inflammatory drugs such as Combiflam or Brufen for at least two weeks before surgery as they increase the risk of bleeding.

You should stop smoking at least two weeks before surgery as this is the main cause of reduced healing. It decreases the circulation of the skin flaps, Facial fracture surgery, particularly behind the ears. Have your hair permed and tinted, if you wish, before your operation as fresh scars are sensitive to these chemicals for a few weeks.

THE OPERATION

A facelift is carried out under general anesthesia. It is possible to carry out the procedure under local anesthetic and intravenous sedation but the patient would still be advised to spend the night in the hospital. The procedure, although long, can be combined with other operations of all sorts. The most common however would be a forehead or brow lift and eyelid surgery (Blepharoplasty). Other extra procedures that can be used to enhance the face at the same time are malar (cheekbone) and chin augmentation and lip enhancement.

A forehead lift is designed to tighten the skin of the upper half of the face, as opposed to the standard facelift which helps the lower half of the face.

Incisions are made above the hairline at the temples and extend in a natural line down the front of the ear, or just inside the cartilage at the front of the ear, and continue around behind the earlobe and up in the crease behind the ear and off into the lower scalp. Occasionally it may be necessary to make a small incision under the chin. Sometimes only the skin is lifted following separation from the underlying platysma muscle (Classical Facelift).

More usually however the platysma muscle and its fibrous attachments (S.M.A.S.) is dissected free and sutured tightly to the solid structures in front and behind the ear. At other times the skin and the S.M.A.S. layer are lifted together as a single layer, but will still be sutured separately. (SMAS Facelift).face surgery cost in Delhi Fat along the jawline and under the chin may be removed by liposuction or on occasion through an incision under the chin. The skin is sutured so that it is lifted upwards and backward. Sometimes drains are inserted. Most surgeons will bandage the face to minimize bruising and swelling. These bandages will stay for one or two days and the sutures are removed in 7 to 8 days.

LIMITATIONS

A facelift works better for the lower half of the face and particularly the jawline and neck. If you have sagging eyebrows and wrinkles of the forehead then you should perhaps consider a brow lift. This can be performed surgically or endoscopically. Loose skin with fine wrinkles, freckles, and rough areas will benefit more by chemical peel or laser resurfacing.

A facelift does not stop the clock, but it does put the clock back. The effect of the facelift is likely to be there but it may not last forever.

RISKS

A facelift is a major surgical procedure. In a facelift, complications are rare but they need to be treated promptly. Hematoma - a collection of blood under the skin can happen and needs to be drained out. Nerve injury - Numbness of skin is routine but some patients have partial weakness of muscles of facial expression which is usually temporary and should recover in 6-8 weeks. Infection is rare and responds to antibiotics. Poor healing is seen mostly in chronic smokers. Scars are usually fine and well hidden. In some individuals, they tend to become thick and red (Hypertrophic scars) and can be helped with steroid injection.

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