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Facelift

What is it ?
A

Facelift

is the remedy to loose and sagging skin and face muscles, thus enables to fight efficiency against the visible signs of aging. The goal is not to change face but to be able to get back the appearance the patient once had. There are nowadays several types of facelifts



Am i a good candidate for facelift?
You may consider a facelift as soon as aging signs appear generally around 40-45 years old.
Required conditions: facelift is a hard procedure therefore it needs to be motivated physically and psychologically

 

 


Facelifts

addresses a specific area of the face and can be done separately or during one single surgery (then it’s called a full lift).

 

Lower Facelift (Cervicofacial) : improves the overall appearance of the neck, the jowls, the drooping corners of the mouth, the nasolabial folds (grooves between the nose and mouth), and the cheek fall. It is the most commonly performed facelift of the mid-lower part of the face.

Temporal facelift :Temporal facelift: addresses sagging skin near the temple, and the external corner of the lids (laugh lines or Crow’s feet).

Brow facelift : addresses the horizontal wrinkles that appear on the forehead and the wrinkles between the eyebrows (Lion ?Frawning? wrinkles).

We can also differentiate facelifts according to the surgery depth:

- Subcutaneous facelift only addresses the skin without in-depth action

- SMAS lift tightens the underlying muscle layer

- The mask lift acts right the near the bone and leads to a change in the face shape.

For the last decade, the facelift procedures improved tremendously, thanks to endoscopic plastic surgery (a camera and an endoscope are used and can reduce the scar length), laser treatments (laserbrasion, dermabrasion) and a great improvement in anatomy knowledge.

This surgery can be associated with another plastic surgery procedure for the face: lid plastic surgery (blepharoplasty) and therapeutic medical procedures can complete it (peeling, botulic toxin injections).


How the surgery is performed

Every surgeon has his/her own technique and adapts it to each patient to obtain the best results. However we can identify the most common principles, as follows:

The incisions : are made at different places on the face depending on the type of facelift. The incisions follow the natural shape of the ears, thus they are for the most part hidden in the hair and the scars are easily concealable

The detachment or lift : it is done under the skin and its degree depends on each case

The procedure for the muscle: it can be different depending on the type of facelift.
for a lower facelift : a "muscle tightening", extremely defined and measured, addresses the sagging while keeping the face expression.
for the temporal-brow facelift: a "weaking of the muscle" to address the wrinkles that appeared
The redraping gives tightening to the skin while it is repositioned in order to obtains a result as natural as possible.
Sutures: as they are located in the hair, they are done by staples in most cases




AOthers examples of face lifting pictures

Facelift


Remarque : These pictures show a common clinical case, these results cannot be guaranteed to another person.The surgeons will talk about the advantages and drawbacks of each technique and will motivate their choice in regards to the patient’s wishes and physiological constraints..


Type of Anesthesia

The surgery is either done under local anesthetic with sedation (neuroleptanalgesia) or under a general anesthetic, the choice will be made after an agreement between the patient, the surgeon and the anesthesiologist.


How long does the surgery last ?

It lasts between 2 to 3 hours.


Hospitalization Time

In order to guarantee the best postoperative check-up possible, and prevent any complcation or side effect, it is recommended to spend two nights at the clinic.


My recovery

Facelifts are generally not followed by huge pains but a tightness feeling that can be eased by antalgics. The scars have to be disinfected until the edges are removed, then they will have to be rubbed for 2 months, and protected from the sunrays with a sunscreen lotion.

Bruises and swelling (edema) can appear and will fade away in average within two weeks after the surgery. After the first month, the swelling is almost gone, but a slight induration of the lifted skin remains, felt more from touching than from seeing directly.


Follow-up care

- In the country where the surgery is performed

During your hospitalization the surgeon and his staff monitor to ensure there are no complications occurring. A few follow-up visits are also necessary during the required recovery period (usually about 7 to 10 days depending on the type of lifting), they take place directly at your hotel. The first few days the patient will have to rest and avoid any major effort.

- After you get back to your homeland

After 3 months: a check-up visit, Your surgeon monitors the first results to ensure they are satisfying. In some cases, you may require additional corrections or treatment. The final results of a facelift can only be evaluated 6 to 8 months after the surgery

Examples of unsatisfying results requiring additional treatments (corrections):

- A partial effect of the sagging tissues (ptosis) around the base of the neck, where the ptosis was important before the surgery.

- Scars that are too visible or a hair loss in the temple area (alopecia).



What are the risks for potential complications and side effects?

Your surgeon will inform you of all the risks involved during your first discussions but also every time you will have a question. You will be then asked to sign a consent form which contains all the details of the whole surgery procedure.

Medical literature lists some of the following potential complications (apart from the ones directly linked to anesthesia):

- An hematoma that would require an immediate blood evacuation

- A localized cutaneous necrosis, responsible for a delay in scarring

- The infection is really rare when the surgery is carried out in normal asepsis conditions

- Nervous lesions, particularly a facial nerve branch lesion, that can lead to paresis, or a facial paralysis are rare, the sequelas of such complications will disappear after a few months

- Abnormal, hypertrophic or keloid scars, that appear and evolve unpredictably, can alter the cosmetic result and will require specific local treatments often on the long-term.

Without over-estimating the risks, it is necessary to fully understand that even a simple surgery is dependant on a certain amount of unpredictable factors.

Choosing a qualified plastic surgeon ensures you that he/she has the required education, skill and experience to avoid these complications or to efficiently treat them when necessary.



Tarifs

As an indication the price of a

Facelift

in Tunisia or in Morocco is : 1800 to 2000 €, in France the price charged is 4500 to 6000 €.

The medical fixed price includes:

- fees of the doctors (surgeon and anaesthetist),
- expenses of the stay to the private clinic,
- expenses of pharmacy in per and post-operative.

For that, it is of course necessary to add the price of the ticket and the stay of convalescence according to the stay to the private clinic. For more information see the heading stays and destinations.

In order to obtain a more precise estimate corresponding to your case, click below:

 

Creation de site internet: Cianeo
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