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With ageing, there is loss of fat and subcutaneous tissue, causing the skin to sag. This causes the face to sag, with the appearance of fine lines and wrinkles making one look tired and old.
A surgical procedure done to tighten and lift the sagging facial skin is called a facelift (Rhytidectomy). It improves the overall appearance of the face and creates a naturally radiant and youthful look. It tightens the jawline and the loose skin around the neck.
The best effect of a facelift is on improving the contour of the lower half of the face, mainly the jaw line and neck. Some surgeons may advice you to combine a facelift surgery with an endoscopic brow lift to improve sagging eyebrows and the wrinkles on the forehead. Loose skin with fine wrinkles, freckles and rough areas will benefit more by chemical peel or laser resurfacing.
If you need to loose weight, it should be done before the operation. Avoid taking tablets containing aspirin and non-steroidal anti-inflammatory drugs for at least two weeks before surgery as they increase the risk of bleeding. Let your surgeon know if you are on any other regular medications, especially if any medications which affect the clotting of blood.
It is done under a general anaesthetic and may involve one day’s stay in hospital. Usually, an incision is made along the hairline in front and behind the ears. This incision area is chosen so that the tiny scars will be hidden within the hair and the natural creases of the face. The skin is lifted off the underlying tissue, the excess fat repositioned and facial muscles tightened. The skin is then stretched and sutured back and any excess skin removed. Post surgery the face is wrapped in bandages to reduce oozing and bleeding and also prevent infection. Drains (tiny pipes) may be left under the skin to drain any excess oozing, usually for 24 to 48 hours.
There may be some bruising and swelling of the face and neck after surgery. Any pain is easily managed by simple analgesics. The numbness of the skin of the cheeks resolves within a few weeks or months. Avoid strenuous activity, saunas and massage for at least two weeks. Camouflage make-up can be done to help mask the bruising.
A facelift is a skilled procedure and should be done by a surgeon who has undergone a full training programme for cosmetic surgery and has sufficient experience in this field.
Dr. Anup Dhir, at Image medical centre has done many successful facelift surgeries.
Botox and fillers are both non-surgical treatments used to for facial rejuvenation and to minimise signs of aging. However, they are chemically entirely different and therefore, so is their mechanism of action. The indications for their use varies and only a trained cosmetic surgeon would know when to use these products to maximise their benefit.
Botox (Botulinum toxin) is a neurotoxic protein and is produced by a bacterium Clostridium botulinum and other related species. As a neurotoxin, botox when injected, paralyses the muscles in the area. Wrinkles and fine lines on the face are exaggerated by muscle contraction with facial expressions, like between brows, forehead and around the eye area. When these muscles are paralysed with botox injection, they relax, thus ironing out the lines and wrinkles making the area look smooth. The effect lasts for four to six months and regular treatments may be needed to maintain the results.
Fillers used for for the face are usually composed of hyaluronic acid, calcium hydroxyapatite or collagen. They smooth out skin folds and lines by adding volume to the injected area. They are used to improve wrinkles on the forehead, brow area, the area around the eyes and neck. The results may last for six months to up to two years, depending on the type of filler used. These days, fat transfer is being used as a very effective filler.
Good qualification and training provide a surgeon with the basic knowledge and
skill to be able to perform the particular procedures. With years of experience, these
skills are polished and a surgeon learns ways to reduce risks and complications
to the patient. He also learns to say no, when a patient is unlikely to benefit from a
procedure. So an experienced surgeon gives you not only the best results, but also
peace of mind.