Face Lift in Southern California
A facelift is a procedure which involves raising the facial
skin in order to eliminate or make less obvious hanging
folds and lines that appear as we age. Most commonly, this
involves the skin of the neck, the area under the chin,
cheeks and temporal regions. Sometimes, the forehead and
eyebrows may be included as a separate part of this procedure.
In order to understand the procedure, it is helpful to
know what causes the skin to sag as we age. Young people
have few facial lines; the skin is firm and smooth, and
fatty tissue lying under the skin is firm, filling out
tissue contours and resulting in a smooth-appearing skin.
As we get older, the fatty tissue decreases and shrinks,
causing the skin to fit more loosely; much the same process
occurs if an individual loses a great deal of weight. Additionally,
lines become evident where facial muscles attach to the
underlying portion of the skin. Most patients considering
this operation often become aware of the changes in skin
under the chin, upper neck and jowl areas.There are many
factors which have a bearing on the way we age; for instance,
genetic characteristics are important. Often, people with
dry and thin skin show more profound signs of aging than
others. Also, overexposure to sunlight has been known to
dry the skin and produce earlier wrinkling of the skin.
The basic operation has been designed to lift, stretch
and remove sagging skin.
Today, a more sophisticated face lift is being performed.
In addition to removing sagging skin, a layer underneath
the skin called the SMAS is tightened. This softens the
cheek folds around the mouth and makes the face lift last
longer.
As is the case with many cosmetic procedures, the face
lift can be performed under local or general anesthesia,
depending upon the patient's preference. It can be performed
on an out patient basis with the patient admitted to a
surgi-center and discharged on the same day, barring any
complications.
Post-operatively, the patient
may feel a numbness or tension in the neck and cheek areas
as well as around the ear as a result of separating nerve
fibers in the skin during the procedure. In almost all patients,
the numbness will disappear. Swelling and bruising will
vary depending on the patient, but usually lasts from ten
to fourteen days. Swelling around the eyelids is not uncommon
after the procedure.
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