Facelift

Facelift

Unfortunately, the aging process affects all of us and can often be most notably seen in the wrinkles and lines that mark our face as we get older. Fortunately, tremendous advances have been made in the understanding and treatment of the aged appearance of the face. The technique of facelifts has evolved over the years in to a more sophisticated and powerful procedure that effectively rejuvenates the face and restores its youthful characteristics. This is the modern approach to facelifts and is the method that we at ABSAMC follow.

The modern approach

In the present day, plastic surgeons understand that facial aging involves the deflation and descent of the soft tissues of the face. In order to create a natural and beautiful result, this process has to be reversed by delicately lifting and restoring the tissues to their youthful condition. Such a process takes immense concentration, impeccable skill and admirable dedication to achieve the goal – giving your face a natural and youthful appearance.

If you are considering a facelift treatment, please take a moment to familiarize yourself with the following procedure. You can see the wondrous effects of facelift treatment in the before and after photographs below, read about the procedure, the different types of facelifts, and learn more about the renowned surgeons that perform this procedure for ABSAMC. You can also call us to schedule a consultation in our Dubai office on (00971) 04 297 5544, or for more options visit our contact page.

BEFORE AND AFTER PICTURES

Procedure

The modern approach to facelifts follows several principles. Each of these steps is imperative in restoring the youthful shape and contours of the face and creating a natural, unforced look. The basic principles are as follows:

• All incisions are made along natural crease lines (as far as possible), thus camouflaging the scar

• All dissection is done in the safest and most easily controllable manner, in order to achieve success

• The underlying soft tissues are tightened and lifted

• The amount of excess skin is carefully determined and removed

• The remaining skin is then re-draped to create the most natural looking result possible

• Volume is added to the deflated areas of the face, if necessary

• All incisions are meticulously closed, so that scarring may be imperceptible once healed

Types of facelift

At present, two types of facelift make it possible to remedy unsightly aspects of the face and neck brought on by the effects of aging. This can target one specific area, or a wider level, to achieve an all-round youthful and natural look.

1) The face and necklift

The face and necklift is the most commonly-performed procedure. This means surgical correction of the aging of the neck and also of the entire face, from the forehead to the jowls.

The aim of the operation is to remedy the sagging and laxity of the skin and muscles of the neck and face. In the latter, the areas specifically targeted are the forehead, eyebrows, cheeks, jowls, and the oval facial outline. However, transforming the form and appearance of the face is not the only aim here. Rather, restoring the different anatomical structures of the face and neck (the skin, muscles and fat) will allow the patient to look as he or she did years previously.

The muscles are tightened, to correct slackness and sagging. The skin is then draped over the new muscles as required, without excess stretching. This has a double benefit. Firstly, the surgery achieves a lasting effect, due to the strong muscular base. Secondly, this technique corrects the folly of facelifts in years past, when the skin could often look unnatural due to overstretching.

The healing process is also generally less eventful than in previous years. This is because the skin is less bruised, as a result of being subject to less trauma because the tension and separation are limited.

2) Liposculpture-assisted facelifts

If the patient has excess of fat in their face, this can be treated by liposuction. Or, if the face appears emaciated, this can be corrected by re-injection of autologous fat (liposculturing using fat from the same body). In this way, the face and the neck are 'rebuilt' or 'restructured', using tissues from the patient's body. This minimizes the risk of complications whilst ensuring a natural result.

The incisions for the procedure are hidden almost entirely in the hair – at the temples and at the nape of the neck – and around the ears. In this manner, the scarring is almost entirely concealed. A facelift can be carried out as soon as signs of aging appear and the patient feels a real need for corrective treatment, which normally occurs around the age of 40-45.

Top Tip: Many patients seek to combine facelifts with other facial cosmetic procedure. Here are some ideas of possible complimentary procedures:

• Blepharoplasty (eyelid correction surgery)

• Forehead lift

• Laser abrasion (the use of lasers to remove impurities from the skin)

• Dermabrasion (other methods of removing impurities from the skin)

• Chemical peels (the elimination of dead skin using chemicals)

• Medical treatment of wrinkles

Before the Operation

In order to achieve the best results possible, it's important you are fully prepared for both before and after the procedure. Simply follow these steps and in next to no time your dream appearance can become a reality.

• Do not take any aspirin-based medication in the ten days preceding the operation.

• You must wash your hair the day before the operation

• Prior to the operation, you must thoroughly remove all make-up.

• You must fast (neither eat nor drink) for six hours before the operation

Prior to the operation a thorough examination will be carried out as prescribed.

Anesthesia

You will see an anesthesiologist in consultation, at the very latest 48 hours before the procedure. A facelift can be carried out under either general anesthesia or local anesthesia with sedation (known as 'twilight' anesthesia). The type of anesthesia will be chosen after a thorough discussion between yourself, the surgeon and the anesthesiologist.

The procedure

Each surgeon has adopted his or her own specific technique he or she adapts to every individual case, in order to obtain the best results for you. We can, however, give some basic points, common to all facelift procedures:

• The incisions are almost completely hidden in the hair or around the ears.

• Once these incisions are made, the skin is detached. This will be to a greater or lesser extent in each case, according to the degree of sagging of the skin.

• The muscle layer is then carefully and precisely tightened to correct laxity, without affecting the normal expression of the face.

• If there are localized fat deposits (which can form on the neck, the chin, the jowls or the cheeks) liposuction is performed during the operation.

• The skin is then re-draped in a natural manner, excess skin is removed, and stitches are used to hold the skin in place without excess tension.

Finally, a dressing is placed around the head, framing the face.

• The procedure normally lasts for two or three hours, depending on the surgeon and the amount of work required.

Post-Operation

The recovery process differs for everyone, but a few weeks of discomfort will be worth it for the fantastic improvements you will see afterwards.

You will be able to go home on the first or second day after the operation and should rest and avoid physical strain for at least the first few days. During this period, you should not be surprised by – or worried by – any of the following:


• Edema (swelling) which can be worse on the second day than on the first.

• Bruising around the neck and chin.

A sensation of tightness around the neck and behind the ears, which can be painful.

These unpleasant side-effects will generally disappear in the two weeks following surgery. After one month all signs of swelling have usually disappeared almost entirely. The zones from which the skin was detached may feel slightly hardened, which is perceptible to the touch but is not visible, and the ears will not regain normal sensitivity for one or two months.

Scarring and appearance

The scars are hidden by the hair, both in front and at the back of the head. The only zone where they are visible is in front of the ears. However, this can be temporarily masked using make-up or by arranging the hair.

As a general rule, you will be presentable to:

• Close friends and family on the seventh day.

• Other friends on the twelfth day.

People uninformed about the operation three weeks after undergoing the facelift.

After two or three months you will be close to the final results. Nevertheless, the scars will remain slightly pink and hard to the touch, and will not fade until the sixth month after the operation.

Over the course of the years, the great precision of facelift techniques has progressed to such an extent that we usually achieve incredibly desirable results. Among other benefits, you can expect to see:

• Considerable rejuvenation of the features, whilst still maintaining a natural look.

• The face does not have a 'surgical' appearance and has regained the features which it had eight to twelve years before.

• The general impression is relaxed and refreshed.

The physical improvement will also have a knock-on effect on your mental well-being and psychological outlook.

Over the years, face and necklift surgery has developed to such a point that it can overcome the ravages of time. However, the aging process does continue. If desired, a second, similar procedure can be envisaged after about ten years.

Disappointing results

We employ only the finest surgeons around the globe at ABSAMC and as a result, we are sure you will be happen with the results of your operation. However, in rare cases, complications and problems can arise. It is best to be aware of all potential outcomes before undergoing surgery. Some unanticipated results can include:

• Edema (swelling) which can persist in certain zones three months after the procedure and which needs to be treated by massage.

• A partial relapse of sagging skin (known as ptosis). This is particularly more prevalent in the neck, especially if this was a major problem before surgery.

Visible scars or hair loss around the temples (alopecia) which can require revision surgery after six months to a year.

Other possible complications

There are two different sets of potential complications when undergoing a facelift – those relating to the anesthesia and those relating to the surgery.

For the anesthesia, the risks will be explained by the anesthesiologist during the preoperative consultation. You must be aware that anesthesia can cause unpredictable reactions, which can be difficult to control. However, the presence of an experienced anesthesiologist, in a surgical context, means that these risks are statistically almost negligible.

In fact, the techniques, products and monitoring methods involved in anesthesia have progressed significantly over the last twenty years, giving optimal safety. This is especially true when the operation is not an emergency and the patient is in good general health.

Concerning surgery, the risks will be significantly limited by choosing a competent and qualified plastic surgeon to perform the procedure. However, we should stress that these risks can never be eliminated completely.

Fortunately, serious complications are incredibly rare following a correctly performed face and necklift. In fact, the vast majority of all operations go well and patients are completely satisfied with the results. In spite of this, it is imperative to be aware of the following possible complications:

• A hematoma (a build-up of blood outside of the blood vessels). This must be drained immediately.

• Infection. This is extremely rare when the procedure is carried out in a sterile environment.

• Skin death (known as necrosis). This delays the healing process.

• Nerve damage. In particular damage to a branch of the facial nerve can lead to facial paresis (partial loss of voluntary movement) or facial paralysis. This is very rare and the after-effects usually disappear in a few months.

Abnormal scarring. These can come in the form of hypertrophic (enlargement of cells) or keloid (a growth of extra scar tissue) scarring. These are impossible to foresee and their development is unpredictable. They can threaten the aesthetic result and may require specific local treatment over a long period.

All things considered, the risks should not be overestimated. However, it is important to be conscious that an operation, even a minor one, always has some degree of unforeseeable factors.

You can be assured that if you are operated on by a qualified plastic surgeon, as all of our surgeons are, he or she will have the experience and skill required to reduce the risk of these complications to an absolute minimum. Moreover, in the unlikely event that complications do arise, he or she will be able to treat them successfully.

Our advice is to read thoroughly all of the information laid out here and to think over your decision carefully after your consultation. If at any point you have further queries or require additional information, we are entirely at your disposal.

We can be reached either by telephone on (00971) 04 297 5544, at your next consultation or even on the day of your operation. We will meet with you in any case immediately prior to the anesthesia to discuss any last minute concerns or questions.

Why ABSAMC?

At ABSAMC, we pride ourselves on delivering the very best in cosmetic care and surgery. In order to maintain impeccable levels of care and professionalism, we fly in only the elite surgeons from the UK and the USA. Many of our surgeons work in Beverly Hills and have treated not only movie and music stars, but also royalty. We are dedicated to providing the highest standards of cosmetic surgery and will accept nothing less than the best for you.

Here are the following top surgeons that perform Face- and Neck-Lifts at the American British Surgical & Medical Centre, Dubai:

Dr. Jason Diamond MD

Specialist in Aesthetic Facial Plastic Surgery

Dr Diamond picture: Dr DiamondDr. Jason Diamond is a Board Certified facial plastic and reconstructive surgeon, as well as being a Board Certified Head and Neck Surgeon, Otolaryngologist and fellow of the American College of Surgeons. He received his medical degree from the School of Medicine of the University of Rochester and after completing his five-year residency, chose to hone his skills by learning from top experts in the field. He spent two years seeking out the leading facial plastic surgeons worldwide, studying and operating with them to learn their secrets and perfect his craft.

This self-motivated training has enabled Dr. Diamond to master an extensive variety of facial enhancement techniques. His broad base of knowledge, combined with his sense of artistry and perfection, allows Dr. Diamond to tailor his approach to each individual patient.

He has very successful practices in Beverly Hills, New York, Moscow and Dubai, where he has treated thousands of patients and accrued a wealth of experience. Consequently, Dr. Diamond has been recognized as one of the top facial plastic surgeons in his field by a wide variety of sources, including Harpers Bazaar, E! Entertainment and NBC.

Dr. Diamond has devoted his practice to helping patients to achieve an appearance that is beautiful, youthful and also natural. "My patients don't look done," says Dr. Diamond. "They just look great."

Dr. Diamond exclusively visits ABSAMC in Dubai. To get in touch to book a consultation with Dr. Diamond, please click here and visit our contact page.

Dr. Marc Mani MD, FACS

Specialist in Plastic and Reconstructive Surgery

Dr Marc ManiDr. Marc Mani is a plastic surgeon in Beverly Hills, California, and is certified by the American Board of Plastic Surgery. He was named as one of the ten leading plastic surgeons in the United States by Forbes magazine. Among other media appearances, his practice is featured in the New York Times' ten-episode documentary series Plastic Surgery Beverley Hills, airing on Discovery Channel networks all over the globe.

An artist from an early age, Dr. Mani is renowned worldwide, not only for his skill and experience in performing aesthetic procedures, but also for the many advances and innovations he has contributed in the areas of facelift surgery, breast surgery and rhinoplasty. He is a known pioneer of Johnson and Johnson Inc.'s exciting Harmonic technology, which he uses in facelifts and other procedures for a dramatic reduction in swelling, bruising and pain, and leads to a quicker recovery.

Dr. Mani earned his undergraduate degree from Harvard University, and went on to receive medical school and residency training in the prestigious plastic surgery program at Baylor College of Medicine in the Texas Medical Center. He is a frequent contributor to leading plastic surgery journals and textbooks and is a much sought-after presenter of national academic and professional conferences.

Click here to view Dr. Mani's full profile and arrange a consultation with him.