Define Clinic

Define 'L' Mini Facelift™

'L' Stitch Face Lift recreates a smooth visage and taut skin, without complicated and invasive surgery.

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Facelift

As part of the ageing process which happens to all of us sooner or later, our skin progressively loses its elasticity and our muscles slacken. The stresses of daily life, effects of gravity and exposure to sun can be seen on our faces. The folds and smile lines deepen, the corners of the mouth drop, the jaw line sags and the skin of the eyelids fathers on loose folds.

In the skin the first sign is fine wrinkles developing around the lips, at the outer corners of the eyes and lines of expression. The rate at which this happens varies from one person to another and is probably determined by our genes.

Ageing of the skin of the face does not necessarily reflect the rate that the rest of our body and mind is ageing and many people feel frustrated that the face they see in the mirror is not the one they feel should be there. Substantial weight loss can produce similar changes in facial appearance to those of the ageing process.

  • Who will benefit from a facelift?
    The best candidate is one whose face and neck has 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 60's, 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.

    What a facelift does not do?
    A facelift works better for the lower half of the face and particularly the jaw line and neck. If you have sagging eyebrows and wrinkles of the forehead then you should perhaps consider an endoscopic brow lift. Loose skin with fine wrinkles, freckles and rough areas will benefit more through chemical peel or laser resurfacing.

    How long does a facelift last?
    The facelift does not stop the clock but it does put the clock back. The effect of the facelift is likely to always be there in that you will not look as old as you would have done had it not been carried out.

  • The Surgery
    A facelift is carried out in a hospital and most surgeons and patients prefer a general anaesthetic. It is possible to carry out the procedure under local anaesthetic and intravenous sedation but the patient would still be advised to spend the night in hospital. The procedure, although long, can be combined with other operations of all sorts. The most common, however, would be an endoscopic brow lift and an eyelid operation. Other extra procedures which can be used to enhance the face at the same time are malar (cheek bone) and chin augmentation and lip enhancement.

    Incisions are made above the hair line at the temples and extend in a natural line down the front of the ear, just inside the cartilage at 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 a separation from the underlying platysma muscle. 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 of 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 be sutured separately. Fat along the jaw line 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 backwards, just as when one lifts the skin when looking in a mirror. Sometimes drains are inserted. Most surgeons will bandage the face to minimise bruising and swelling. These bandages will stay for one or two days and the sutures are removed in 7 to 8 days.

    After your surgery there is usually some bruising of the cheeks and with gravity this tends to descend into the neck. Discomfort is usually mild and can be controlled with Paracetamol. It is normal for there to be some numbness of the skin of the cheeks and ears. This will usually disappear in a few weeks or months. It is better to keep the head elevated for a couple of days to reduce swelling. Drainage tubes will be removed a day or two after surgery. Avoid strenuous activity, saunas and massage for at least two weeks. At the beginning your face will look a little puffy and may feel rather strange and stiff. The scars can be very well hidden by women with their hair and disc shaped earrings so that they should be able to return to work and social activities within a couple of weeks. Camouflage make-up can be helpful in masking bruising.

    Men find it more difficult to disguise the scars and will need to shave their beard closer to the ear in front as well as behind the ear where the skin has also been lifted.

    The scars in the hair do not usually show except that the hair is usually cut shorter around the wound. There may be some slight reduction in hair growth in the temples, but this is not usually a problem unless the hair is very thin and repeated facelifts are being carried out.

    Choosing your surgeon
    A facelift is a skilled procedure and we would recommend that you choose a surgeon who has undergone full training for cosmetic surgery. These surgeons will be on the Specialist Register in Plastic Surgery at the General Medical Council. Al members of the British Association of Aesthetic Plastic Surgeons (BAAPS) are on the Specialist Register.

  • What should you do 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 non-steroidal anti-inflammatory drugs such as Voltarol and Indocid 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 circulation of the skin flaps, 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.

  • ARNICA tablets will reduce swelling. These can be bought at BOOTS or HOLLAND & BARRETT. These should be started a few days before surgery and continued for several days afterwards.

    Swelling and bruising may be severe.

    You should sleep on two or more pillows. This will reduce the swelling in your face.
    The face bra should be worn night and day for two weeks and then only at night for a further four weeks.

    Some of the stitches that you have must be removed. This will be done in one week’s time. Others are dissolving and do not need removing. Occasionally a small piece of stitch may remain and need removing at a later date.

    You must wash your face as normal except that you should use a gentle soap such as DOVE or SIMPLE SOAP

    Ice packs can be applied if desired. They should ideally be GEL PADS rather than ice. ICE SHOULD NEVER BE APPLIED DIRECTLY TO SKIN. If ice packs are used, you should wrap the ice cubes in a towel before applying

    Scarring is always an issue and hopefully your scarring will be acceptable. If scarring is an issue we will endeavor to correct this. There is usually no charge for this, however, a facility fee may be due. Any corrective surgery will only be undertaken when post operative swelling settles which may be after 9 - 12 months.

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