Face Lift or Lifting
The treatment is specific for each patient. It doesn’t always correspond with the person’s age and depends on the affected areas, degree of sagging and types of wrinkles. The photograph on the left shows the extent of the lifting on the skin of face and neck, as well as the incision sites. The photograph on the right highlights the endoscopic incisions (red, in the hair) and the separated areas as needed: A: mid face, B: eyebrow, C: end of the eyebrow, D: malar fat. (Photographs by Man Ray, 1931)
Facial lifting, rhytidoplasty or lifting, are the different names given to the procedure used to remove the signs of aging from the face. The name itself explains the procedure: skin smoothing, wrinkle treatment (Rhytid) and lifting of fallen structures (Lifting).
The different sagging areas of face and neck, as well as the design of the scar, can be seen on the photograph. In endoscopic treatment, minimal incisions are made in the frontal and temporal region.
Rhytidoplasty requires all the sophistication and cares of plastic surgery, but, above all, it requires absolute attention to the detail.
Surgical technique is not sufficient to achieve the best result. It is necessary to join it with the surgeon’s sensibility so that together, they might provide a greater level of satisfaction to the patient.
The saying “A picture is worth a thousand words” helps to understand the Face Lift procedure: imagine whity-brown paper, wrinkle it in such a way that parallel folds predominate, as if it were an accordion. Use glue to stick it by the lower end to a board. Once it’s dry, try to stretch it and you’ll notice that it’s impossible and that the paper can even tear. Now partially unstick the paper, stretch it and you’ll see how the paper smoothens out.
There’s just one more detail, skin is elastic. Stretching it does not correct wrinkles. It is necessary that fat, muscle and other underlying tissues maintain the shape. For this, it is necessary to tighten a very thin structure, like a mesh, called SMAS (Superficial musculoaponeurotic system).
Another important feature is that skin is peeled and elevated, followed by a layer of fat through which the flap’s blood vessels run. This delicate blood circulation is compromised in smokers, people suffering diabetes, arteriosclerosis, etc., which makes it necessary to take special precautions and limitations with this type of patients.
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