Our Summary
This research paper is about the importance of understanding facial anatomy and the effects of aging on it for surgeons who perform facelifts. It provides guidance on what areas to focus on when evaluating a patient before surgery. The paper particularly focuses on a technique called sub-SMAS (superficial musculoaponeurotic system) dissection. It discusses the importance of understanding the facial nerve branches’ depth and changes, and the spaces beneath the SMAS, particularly in relation to deep plane facelifts. It also describes key structures in the deep neck region. In simple terms, it helps surgeons know where to cut and what to avoid during a facelift to give the best results.
FAQs
- What is the importance of understanding facial anatomy for a facelift surgeon?
- What is the role of the sub-SMAS potential spaces in deep plane facelift dissection?
- What are some key anatomic structures in the deep neck that are important in facelift surgery?
Doctor’s Tip
One helpful tip a doctor might tell a patient about facelift surgery is to follow all pre-operative instructions provided by the surgeon, including avoiding certain medications and substances that can increase bleeding or interfere with anesthesia. It is important to have realistic expectations about the results of the procedure and to communicate openly with the surgeon about any concerns or questions. Post-operatively, it is essential to follow all post-operative care instructions, including avoiding strenuous activities and protecting the incision sites from excessive sun exposure. Regular follow-up appointments with the surgeon are also crucial for monitoring healing and addressing any concerns that may arise.
Suitable For
Facelift surgery is typically recommended for patients who are seeking to address signs of aging in the face, such as sagging skin, deep wrinkles, and loss of facial volume. Ideal candidates for facelift surgery are generally in good physical health, have realistic expectations for the outcome of the procedure, and have specific concerns about the appearance of their face that they hope to improve through surgery.
Patients who are recommended for facelift surgery may include those who have experienced significant facial aging as a result of factors such as genetics, sun exposure, smoking, and environmental factors. These patients may be seeking to rejuvenate their appearance and restore a more youthful look to their face.
It is important for patients considering facelift surgery to consult with a board-certified plastic surgeon who has experience and expertise in performing facelift procedures. The surgeon will conduct a thorough evaluation of the patient’s facial anatomy, skin quality, and overall health to determine if they are a suitable candidate for facelift surgery and to develop a personalized treatment plan that addresses the patient’s specific concerns and goals.
Timeline
Before a facelift surgery, a patient typically undergoes a consultation with a plastic surgeon to discuss their goals and concerns. The surgeon will evaluate the patient’s facial anatomy, skin elasticity, and overall health to determine if they are a good candidate for the procedure. The patient may also be advised to stop smoking and avoid certain medications that can increase the risk of complications.
On the day of the surgery, the patient will be given anesthesia to ensure they are comfortable and pain-free during the procedure. The surgeon will then make incisions along the hairline and/or behind the ears to access the underlying facial muscles and tissues. The skin is then lifted, and excess fat and tissue may be removed or repositioned to create a more youthful appearance. The skin is then re-draped and the incisions are closed with sutures.
After the surgery, the patient will need to rest and avoid strenuous activities for a few weeks to allow the body to heal properly. Swelling, bruising, and discomfort are common side effects that can be managed with pain medication and cold compresses. The patient will also need to follow the surgeon’s post-operative instructions, such as keeping the incision sites clean and avoiding sun exposure.
Over the following weeks and months, the patient will gradually see the full results of the facelift as the swelling subsides and the skin settles into its new position. Regular follow-up appointments with the surgeon will be scheduled to monitor the healing process and address any concerns. With proper care and maintenance, the results of a facelift can last for several years, helping the patient look and feel more youthful and refreshed.
What to Ask Your Doctor
- What are the different types of facelift procedures available and which one is best suited for my specific needs?
- What are the potential risks and complications associated with facelift surgery?
- How long is the recovery period and what can I expect during the healing process?
- Will I need to have any additional procedures or treatments in conjunction with the facelift surgery?
- Can you show me before and after photos of previous facelift patients you have treated?
- What type of anesthesia will be used during the procedure and who will be administering it?
- How many facelift surgeries have you performed and what is your success rate?
- Will I need to follow any specific pre-operative or post-operative instructions to ensure the best results?
- How long will the results of the facelift last and are there any ways to prolong the effects?
- Are there any alternative treatments or non-surgical options that could achieve similar results to a facelift?
Reference
Authors: Surek CC, Moorefield A. Journal: Facial Plast Surg Clin North Am. 2022 May;30(2):205-214. doi: 10.1016/j.fsc.2022.01.015. PMID: 35501058