Our Summary

This research paper discusses the history and evolution of facelift surgery. It started with just the removal of skin and has now progressed to a more complex procedure which involves the superficial musculoaponeurotic system (SMAS) - a layer of tissue and muscle under the skin. The paper also explains the important aspects of facial anatomy that surgeons need to consider during a facelift. These include the structure of facial layers, the ligaments which hold the face together, the spaces within the face, and the complex network of facial nerve branches. The article also talks about the relevant anatomy of the neck. To provide a better understanding, the paper includes anatomical dissections of fresh cadavers.

FAQs

  1. What is the history and evolution of the facelift operation?
  2. What is the critical surgical anatomy involved in a facelift procedure?
  3. What is the role of the superficial musculoaponeurotic system in modern facelift operations?

Doctor’s Tip

A helpful tip a doctor might tell a patient about facelift surgery is to follow all pre-operative and post-operative instructions carefully to ensure optimal results and minimize the risk of complications. This may include avoiding certain medications, quitting smoking, and maintaining a healthy lifestyle. Additionally, it is important to have realistic expectations and understand that the final results of a facelift may take several weeks to fully manifest.

Suitable For

Facelift surgery is typically recommended for patients who are experiencing visible signs of aging in the face and neck, such as sagging skin, deep wrinkles, and loss of facial volume. Ideal candidates for facelift surgery are typically in good overall health, non-smokers, and have realistic expectations for the outcome of the procedure. It is important for patients to consult with a board-certified plastic surgeon to determine if they are a suitable candidate for facelift surgery, as individual factors such as skin elasticity, facial anatomy, and desired results will all play a role in determining the best course of treatment.

Timeline

Before facelift:

  1. Patient consultation: The patient meets with a plastic surgeon to discuss their goals and expectations for the procedure.
  2. Pre-operative assessment: The patient undergoes a physical examination and medical history review to determine if they are a suitable candidate for the facelift surgery.
  3. Pre-operative instructions: The patient receives instructions on how to prepare for the surgery, including avoiding certain medications and arranging for someone to drive them home after the procedure.

After facelift:

  1. Immediate post-operative care: The patient is monitored in a recovery area after the surgery to ensure they are stable and comfortable.
  2. Follow-up appointments: The patient will have several follow-up appointments with the surgeon to monitor their healing progress and address any concerns.
  3. Recovery period: The patient will need to rest and follow post-operative care instructions, including avoiding strenuous activities and taking prescribed medications.
  4. Long-term results: Over time, the patient will see the full results of the facelift as swelling and bruising subside, revealing a more youthful appearance.

What to Ask Your Doctor

  1. What are the risks and complications associated with a facelift procedure?
  2. What type of facelift technique would be best for my specific concerns and desired results?
  3. How long is the recovery period and what can I expect in terms of downtime and post-operative care?
  4. Can you provide before and after photos of previous facelift patients you have treated?
  5. Will I need any additional procedures or treatments to achieve optimal results, such as fillers or Botox?
  6. What type of anesthesia will be used during the procedure and how will I be monitored during surgery?
  7. How long will the results of the facelift last and what can I do to maintain them?
  8. Are there any non-surgical alternatives to a facelift that may be suitable for my needs?
  9. What is the cost of the facelift procedure and are there any financing options available?
  10. How many facelift procedures have you performed and what is your success rate?

Reference

Authors: Charafeddine AH, Drake R, McBride J, Zins JE. Journal: Clin Plast Surg. 2019 Oct;46(4):505-513. doi: 10.1016/j.cps.2019.05.001. Epub 2019 Jul 17. PMID: 31514803