You may be candidate for facelift (rhytidectomy) if you have experienced a loss of skin elasticity and muscle tone of the face and neck. A facelift may also be desirable if you have the appearance of jowls and deep creases between the base of the nose and the corners of the mouth, or have developed facial and neck wrinkles. A facelift may also be helpful if you believe you lack youthful chin and neck contours and/or feel you have a tired facial appearance.
A facelift is intended to give the patient a more rested and youthful contour to the face and neck.
Facelifts range in size from “mini” to “standard,” depending on location and extent of skin laxity. The facelift operation is done on an outpatient basis under local anesthesia with sedation, or under general anesthesia. Incisions are made within the hairline (or along the hair margin) above the ear, extending down hugging the ear contours and ending at or just behind the lobe of the ear. The subcutaneous layers of the face are lifted and tightened and neck muscles (platysma muscles) are tightened, the facial skin is redraped and lifted, and the excess skin is removed.
The patient goes home with the head and neck wrapped in dressings, which are usually removed the next day. Minimal initial discomfort is easily controlled with oral medication. Sutures are removed within 5 to 7 days. Bruising and swelling decrease to “socially acceptable” levels in 7 to 10 days. The final result of a facelift procedure is evident in 3 to 4 weeks or sooner, with continued improvement for several months.
Additional procedures are available to enhance the results of a facelift that include: Upper or Lower Eyelid Lift, Brow Lift, Injectables, Chin Enlargement, Nose Reshaping (Rhinoplasty), Fat Transfer, etc.
A facelift is considered cosmetic and therefore is not covered by insurance. The specific risks and the suitability of the facelift (rhytidectomy) procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.
Washingtonian Recommended Top Facial Specialist, Sheilah Lynch, MD. Lynch Plastic Surgery has 2 locations in Chevy Chase and Easton, Maryland.