Aesthetic Plastic Surgery

Today there are several types of facelifts to improve the misfortunes caused by the aging of the face and neck, or on a localized or more extensive.

The facial and neck lifting is the most frequently performed, is the surgical correction of aging in the neck and in the face from the temples of the region until the region jowls.

This aesthetic surgery but can not be covered by health insurance.
Objectives

The operation aims to address the sagging and loosening of the skin and muscles of the face (temples and eyebrows, cheeks, jowls, oval of the face) and neck.

The aim of such an intervention is not to change the shape and face. On the contrary, the mere restoration of the anatomical structures of the face and neck (skin, muscle, fat) allows the operator (e) to find the aspect for which it was a few years ago.
Principles

The muscles are being switched in order to correct their release. The skin is then redrapée the demand on new curves without excessive traction. This double action allows for a natural result (because the skin is not too fired), durable (because the plan is solid muscle), operating suites usually quite simple (the skin “mark” because it less is little traumatized because of the tension and décollement limited). Overload any fat can be treated by liposuction.

In contrast, if the face is wasted, this can be corrected at the same time by re-injection of autologous fat (lipostructure).

Thus the face and neck are somehow “reconstructed”, “restructured.”

The skin incisions are needed for the most part hidden in the hair (at the temples and neck) and around the ear. The scar is almost completely hidden.

The lifting cervico facial can be done as soon as the signs of aging appear and a correction request is made reasoned, generally from 40 or 45 years.

This may be associated with another gesture of facial plastic surgery: eyelid surgery (blepharoplasty), correction of wrinkles and sagging of the forehead (frontal endoscopic lifting). It can also be supplemented by medical and surgical therapies (laserbrasion, dermabrasion, peeling, medical treatment of wrinkles and furrows, injections of botulinum toxin).

Before surgery

A preoperative assessment is normally conducted in accordance with the requirements.

The anesthetist will be seen in consultation at least 48 hours before surgery.

Any medication containing aspirin should be taken within 10 days preceding the intervention.

It will be almost a wash hair the day before the intervention and a thorough-up on the day of the intervention.

It is essential to remain fasting (nothing to eat or drink) 6 hours before surgery.
Types of anesthesia and hospital procedures
Types of anesthesia

The lifting cervico facial can be done under general anesthesia or under local anesthetic depth by tranquilizers administered intra-venous (anesthesia “guard”).

The choice between these different techniques will be the result of a discussion between you, the anesthetist and the surgeon.
Terms of hospitalization

Hospitalization of 24 to 48 hours is usually necessary.
Intervention

Each surgeon adopts a technique of his own and that adapts to each case to get the best results. However, it may hold common basic principles:

* The cut is largely hidden in the hair and around the ear.
* From the incisions, a detachment is made under the skin, its scope depends on each case, including the importance of relaxing the tissues.
* It then proceeds to the restoration plan muscular tension, extremely accurate and determined to correct the failure, while keeping his facial expression.
* In case of overload localized fat, liposuction is performed in the same operation: it can act on the neck, chin, the jowls and cheeks.
* The skin is naturally redrapée, the excess skin removed, sutures made without tension.
* At the end of the war, it has a bandage that goes around the head.

Depending on the surgeon and the importance of corrections, the procedure can last from two to three hours.
FOLLOW-UPS

The output may take place either tomorrow or the day after the operation.

The first days, we need to rest up and avoid any violent effort.

During these early days, the operation (e) should not surprise or worry:

* An edema (swelling) that may be more pronounced on the second day than the first,
* Bruises (blue) in the neck and chin,
* A painful sensation of tension, especially behind the ears, and around the neck.

The bruising and swelling disappear on average within 2 weeks after surgery.

After the first month, the swelling has almost disappeared in general. But there was a slight induration areas unstuck, more tangible and visible. The ears can recover their sensitivity normal one or two months later.

The scars are hidden in front of and behind the hair. The only slightly visible area in front of the ear, can be temporarily masked by hairstyling or makeup.

Basically it is:

* On the seventh day, presentable for intimate
* To twelve days, present for his friends,
* But to appear before the people we want to ignore the operation, it is necessary to provide for three weeks.

The result

After two to three months, we can have a good idea of the final outcome. But the scars are still a little pink and indurated and not to diminish as the sixth month.

Thanks to the progress and great technical detail, the result is often a significant rejuvenation effect, yet it is very natural: the face does not look “surgical” and found about the traits that were his eight or twelve years ago, giving a whole rested, relaxed and refreshed. The physical improvement is usually a better psychological.

In the long term, the lifting cervico facial allowed to struggle against the ravages of time, but aging continues to do its work and we can possibly consider a new type of intervention to lift after a decade .
The result of imperfections

It may be in essence:

* An edema (swelling) persist in certain areas beyond the third month and may need a massage,
* A partial relaxation of the tissues (ptosis), including the anterior neck when ptosis was important before surgery,
* Too visible scars or localized hair loss in the region of the temples (alopecia) that may require surgical touch distance (six months to one year).

The possible complications

A lifting cervico facial, although directed primarily for aesthetic reasons, remains a real surgery, which involves the risks associated with any medical procedure, however small it may be.

We need to distinguish between complications related to anesthesia those relating to surgery.

Regarding anesthesia, during the consultation, the anesthetist himself inform the patient of the risks anesthetics. You should know that anesthesia induced in the body sometimes unpredictable reactions, and more or less easy to control: the fact to use a perfectly competent Anesthésiste, engaged in a real fact that the surgical risks are now almost statistically insignificant.

Be aware, in fact, that the technology, products and anesthesia monitoring methods have made tremendous progress over the past twenty years, providing security, especially when the intervention is conducted outside the emergency and in a healthy person.

Regarding the surgery: choosing a Plastic Surgeon qualified and competent, trained in this type of intervention, to minimize these risks, but not completely remove.

Fortunately, the operating suites are generally simple setting of a facelift Cervico-facial made in the rules, and the real complications are rare.

In practice, the vast majority of happens without any problem and the patient (s) are satisfied (s) of their results.

Nevertheless, and despite their rarity, you should be aware of the potential complications:

* Hematoma requiring evacuation,
* A localized skin necrosis, responsible for a delay healing,
* Infection is exceptional when the intervention is carried out under normal asepsis.
* Nerve damage, particularly injury to a branch of the facial nerve, which can lead to paresis or facial paralysis are quite exceptional, and the consequences of such complications most often disappear within a few months.
* Abnormal scars, keloids or hypertrophic, creation and evolution unpredictable, can compromise the aesthetic outcome of treatment and require specific local often long.

In total, we should not overstate the risks, but just be aware that surgery, even seemingly simple, always has a small share of hazards. The use of a qualified Plastic Surgeon assure you that it has the training and expertise to know to avoid these complications, or treat them effectively if necessary.

Filed under: Aesthetic Surgery, Plastic Surgery