Face lift is a surgical procedure that can remove excess fat, tighten muscles and redrape the skin of the face, resulting in a more youthful appearance. As people age, their skin becomes less elastic, particularly on their face. Sometimes, sagging skin around the jaw line or loose skin on the neck becomes particularly noticeable and inflattering. In such circumstances, a face lift also called rhytidectomy, can dramatically smooth the skin and improve a person’s appearance. While other procedures can smooth surface wrinkles, only a face lift can tighten sagging facial skin, jowls, double chins and loose skin. A face lift reshapes the lower one-third of the face while eyelid surgery and brow lift address the eyes and forehead.
Facelift surgery involves surgical lifting of the face by repositioning of the sagging tissues and various layers in face to give a harmonious look. This is typically required for people age 45-50 years and above. Everyone ages differently, so treatment has to be individualised depending on what all areas needs to be corrected and what the patient wants. So in the preoperative counselling all these things are discussed including the incisions to be used during surgery. The postoperative healing is generally quick and the swelling and bruises tend to settle soon with time.
Thread lift is one of the non-invasive techniques used for lifting and contouring the sagging tissues. Multiple threads are used in one go depending on the pre-procedure markings and the areas intended to be lifted. They can include midface, lower face, brows, neck or combination of any of the above. Thread lift is a safe and effective procedure which not only lifts the sagging tissues with time but also leads to effective collagen generation. The effect usually takes 3 weeks to manifest.
The face lifting treatments include both surgical and non-surgical treatments depending upon the degree of sagginess of tissues, age and finally what the patient chooses. Surgical face lift is the gold standard varying from conventional to mini-face lift. Non-surgical face lift includes variety of methods which can be used in combination to give effective results. They include Thread lift, Fillers, Botulinum toxin, Lasers like Radiofrequency (RF) and high intensity focused ultrasound (HIFU).
Non-surgical face lift or face lift without surgery or instant face lift involves non-surgical methods to contour the face and lift the sagging tissues. Normally one or more are used in combination to give an effective result. In these the most common are Fillers and Thread lift. Fillers when injected at certain predetermined points not only lifts the tissues but also gives volume where desired which is depleted with age. Fillers help to reposition the ligaments and fat pads at the pre-desired positions to give effective results. Thread lift on the other hand is less of volumisation and more of repositioning the sagging tissues and fat pads. When both are combined they not only give a V shape lift but also an effective volumisation to the aging face.
Face lift cost whether surgical or non-surgical depends on various factors including what all techniques are required, surgical or non-surgical, any combination techniques to be used, single or multiple sessions and lastly what all areas patients want to get treated. All these things are discussed by your physician before the treatment is started and he/she explains all the pros and cons of all the treatments so that the patient can decide what is best for him/her.
High intensity focused ultrasound or HIFU/ Ultherapy denote the use of high intensity ultrasound to create heat in various layers of skin, dermis and deeper tissues to stimulate collagen and create an immediate face lifting of the sagging tissues. As the collagen builds slowly, the effect starts coming by 3-5 weeks. It is a non-invasive or non-surgical method for face lifting and gives effective results. It is important that this is done by experienced technicians or physicians themselves preferably so as to get effective results and avoid inadvertent fat pad dissolution.
These point face lift have been designated to the use of fillers in such a way that the predetermined points are injected to get the desired result. Usually 7 and 9 point lift are most commonly used in females and males respectively, since few points are inadvertently not injected in females so as to prevent them from getting masculine and vice-versa. These are based on anatomical knowledge of ligaments and fat pads so that they can be repositioned effectively to give the desired results.
Mini face lift surgery as the name suggests implies use of a much smaller incision to reposition the sagging tissues and fat pads to give a desired result. This technique is an advanced technique of face lift and done only by experienced surgeons all over the world. In this technique permanent sutures are used to modify the tissues and various layers including face and part of neck to give a desired look. Mini face lift requires advanced learning curve as compared to conventional technique.
Botulinum toxin causes relaxation of the injected muscles. This concept is used to relax the platysma muscle which is a powerful depressor. So Botulinum toxin injected at predetermined points not only relaxes the muscle but also lifts the lower face leading to its contouring. Nefertiti refers to the ancient Egypt princess who had a perfect jawline and the name goes by the same.
Vampire face lift is one of the most popular procedures. This is a non-invasive procedure which provides immediate but temporary lifting by modulating the collagen synthesis. In this method we utilise Micro-needling to open the pores all over the face followed by PRP (platelet rich plasma) injection all over the face and spraying the same all over so as to allow penetration through the multiple holes created by micro-needling. It gives an effective collagen regeneration creating a lifting effect of the face and also a good glow to the face. It is usually advised for younger individuals and middle aged people with minimal sagging.
Facelift whether surgical or non-surgical can have own set of problems. Surgical face lift can lead to facial paresis, though temporary most of the times, hematoma or infection. Non-surgical face lift can lead to uneven results on both sides, visible threads, rippling, parotid injury. Usage of sound technique by an experienced physician can prevent any such complication and give a pleasing and natural result in long run.
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