Our Summary

This research paper discusses the use of fillers or fat to add volume to the face, a common practice in facial rejuvenation procedures. However, these injections can sometimes lead to complications and unsatisfactory results. The paper suggests a method for navigating facial injections that involves using the superficial musculoaponeurotic system (a layer of tissue that covers, surrounds and attaches to the deeper tissues and structures of the face and neck) as a guide. This system helps in identifying the correct depth for both deep and superficial injections. The paper categorizes important facial structures, like fat compartments, ligaments, potential spaces, and blood vessels, into levels to help injectors perform safer and more accurate facial volume corrections.

FAQs

  1. What is the role of the superficial musculoaponeurotic system in facial rejuvenation procedures?
  2. How does the paper suggest navigating facial injections for safer and more accurate results?
  3. What potential complications can arise from facial injections and how does the method proposed in the research paper address these?

Doctor’s Tip

One helpful tip a doctor might tell a patient about facelifts is to ensure they have realistic expectations about the results. It’s important for patients to understand that while a facelift can provide a more youthful appearance, it cannot completely stop the aging process or make someone look like a completely different person. Patients should also be prepared for a recovery period after the procedure, during which they may experience swelling, bruising, and discomfort. Following post-operative care instructions provided by the doctor can help ensure a smooth and successful recovery.

Suitable For

Facelifts are typically recommended for patients who are looking to address signs of aging such as sagging skin, deep lines and wrinkles, and loss of facial volume. Patients who are in good overall health and have realistic expectations for the outcome of the procedure are good candidates for a facelift. It is also important for patients to have good skin elasticity and a stable weight in order to achieve optimal results from the surgery.

Facelifts are commonly performed on patients in their 40s, 50s, and 60s, however, there is no specific age requirement for the procedure. Ultimately, the decision to undergo a facelift should be based on individual concerns and goals for appearance.

It is important for patients to consult with a board-certified plastic surgeon to determine if they are a good candidate for a facelift and to discuss the potential risks and benefits of the procedure. The surgeon will evaluate the patient’s facial structure, skin quality, and overall health to determine if a facelift is the best option for achieving the desired results.

Timeline

Before a facelift, a patient may experience concerns about sagging or loose skin on their face, wrinkles, and loss of volume in certain areas. They may consult with a plastic surgeon to discuss their goals and potential options for facial rejuvenation. The surgeon will assess the patient’s skin quality, facial structure, and overall health to determine if they are a good candidate for a facelift.

After deciding to proceed with a facelift, the patient will undergo a pre-operative consultation where the surgeon will discuss the procedure, potential risks and complications, and the expected results. The patient may be advised to stop smoking and avoid certain medications that can increase the risk of complications during surgery.

During the facelift procedure, the surgeon will make incisions around the ears and possibly along the hairline to lift and tighten the underlying muscles and tissues. Excess skin may be removed, and the remaining skin will be repositioned for a more youthful appearance. The incisions are typically closed with sutures, and the patient may have drains placed to prevent fluid buildup.

After the facelift, the patient will experience some swelling, bruising, and discomfort, which can be managed with pain medication and cold compresses. The surgeon will provide post-operative instructions for proper wound care, activity restrictions, and follow-up appointments. It may take several weeks to months for the final results of the facelift to be visible as the swelling subsides and the skin settles into its new position.

Overall, the facelift procedure can provide long-lasting results in improving facial appearance and boosting self-confidence. It is important for patients to follow their surgeon’s recommendations for a successful recovery and optimal outcome.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a facelift procedure?
  2. How long is the recovery period after a facelift, and what can I expect during this time?
  3. Will I need to follow any specific post-operative care instructions or attend follow-up appointments?
  4. How long will the results of the facelift last, and will I need additional procedures in the future to maintain the results?
  5. Can you provide me with before and after photos of previous facelift patients you have treated?
  6. What type of anesthesia will be used during the facelift procedure, and what are the potential side effects or risks associated with it?
  7. Are there any alternative treatments or procedures that may achieve similar results to a facelift?
  8. How experienced are you in performing facelift procedures, and what is your success rate with this type of surgery?
  9. Can you explain the specific techniques and methods you will use during my facelift procedure?
  10. What is the cost of a facelift procedure, and will it be covered by my insurance?

Reference

Authors: Surek CC. Journal: Clin Plast Surg. 2019 Oct;46(4):603-612. doi: 10.1016/j.cps.2019.06.007. PMID: 31514811