A facelift and forehead lift provides rejuvenation of the whole face. A facelift is performed to remove excess, loose or sagging skin from the middle and lower face, the jaw line, jowl and the neck. The underlying muscles and fascia are tightened during the procedure to physiologically reverse aging.
Tightening t he underlying structure of t he face allows the result to be more natural and long lasting; it also reduces tension to the skin, thereby minimizing visible scarring.
The forehead lift can be done at the same time or independently to improve drooping eyebrows, hooding around the eyes, furrowed foreheads or the vertical frown lines at the tip of the nose. Traditionally the forehead lift is done either at the hairline [pretrichal lift] or within the hair [coronal lift], depending on the shape of the forehead.
Endoscopic technique is the most up-to-date surgical technique for forehead lifts and select cases of facelift. It leaves almost no conspicuous scar. It revolutionizes the conventional technique of facelifts and has become very popular among patients.
To improve the contour of the face, during the facelift, liposuction may be used to remove excess fat. Laser skin resurfacing can be done to remove fine wrinkles around the eyes and lips. Other procedures such as blepharoplasties, rhinoplasty and facial contour procedures can all be done at the same time to achieve the result of total facial rejuvenation.
Full head bandages and drains are removed within one to three days, and shampooing can be started immediately. Swelling and bruises can last up to three weeks. Tightness and minor pain around the ears is normal and can be improved through an soft or liquid diet and mild analgesics.
Endoscopic Midface Lift
The distinct advantage of an endoscopic subperiosteal midface lift is the ability to lift the midface without the need for a preauricular incision. In addition, the motion attained in the cheek area with this approach allows for the excision of the lower eyelid skin with less risk of ectiopion.
As a result of the repositioning of the midface soft tissue in the subperiosteal plane, apart from rejuvenating the sagging midface fat pad, the underlying muscles are lifted in a superior-lateral direction, which leads to an upturning of the commissures of the mouth correcting the down and tight lips of an aging mouth. The approach provides an excellent way of repositioning the soft tissue of the midface that yields a well rested look.
The operation is done through the same incisions of an endoscopic foreheadplasty. It is in fact done in conjunction with a forehead lift. This allows for no conspicuous incision on the face. Because of the better blood supply, this approach may be an alternative for smokers who would otherwise be denied of a facelift. By the same token, there will be more prolonged swelling post-operatively.
This approach is particularly useful in the occasional patient who is seen with cicatricial hemifacial deformity, due to the ability of subperiosteal undermining of the face to reposition tissue in mass more effectively than extraperiosteal approaches. For cosmetic patients, this approach is excellent for younger patients ho have developed eyebrow and midface sagging yet with no significant neck or jowl problems, who wish to have a natural rejuvenation with no visible scars.