Rhytidectomy (Facial and Neck Lift Surgery)

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Rhytidectomy or face and neck lift. If you are considering a rhytidectomy, there is probably a lot of information and clarification. That you would like to have and many questions you want answers to. We have written this blog to provide you with any information about this surgery and to answer the following questions.

Are you a good candidate for a rhytidectomy?.
Usually, people become candidates for a rhytidectomy around their forties. Senescence or aging process varies from one person to another. And being ready for this surgery depends not only on the genetic makeup but also from environmental factors such as sun exposures.

Therefore, if you are aware of your skin, you can help ward off the effects of aging. Unfortunately, we can not do anything against genes (at least not yet), but what we CAN control are environmental factors.

If you see the following changes in your face, you may be a candidate for a rhytidectomy:
-Slowed or loose eyebrows
-An excess skin or “pockets” at the top or bottom of the eyelids.
-The flattening of your zygomatic bones (they are no longer round and full as before).
-Deep wrinkles or wrinkles of the smile (they resemble brackets around your mouth).
-Of the excess or loose skin on the chin line and in the neck.

The only way to be certain is to meet your plastic surgeon. Discuss what you want and your concerns, and make you explain everything well.

What improvements we get from a rhytidectomy?.
A rhytidectomy often performed in combination with forehead and/or eyelid surgery. It may improve the following regions:

– Eyelids raised to correct a collapse (rise of the forehead).
– Improvements in the appearance of “pockets” or excess skin above or under the eyelids (eyelid surgery).
-Restoration of young and round appearance of zygomatic bones.
-Wrinkles and superimpose excess skin on the cheeks and lower face.
– Improvement of smile wrinkles (parenthesis) around the mouth.
– Improvement or elimination of the cheeks, restoring a well-defined chin line.
-Superposition and softening of the skin of the neck, greatly improving the neck of a person.

Can Botox or fillings/injections replace a rhytidectomy?.
Injectables otherwise referred to as fillers (such as Restylane, Perlane, Juvederm, Radiesse, and Sculptra) and Botox is excellent tools used frequently to rejuvenate the face. They are VERY effective alone or in combination with a rhytidectomy. However, if a person has a lot of excess skin on the face or neck, no amount of Botox or injectables will improve that face and neck as well as a rhytidectomy. Therefore, we often use injectables and Botox to prevent or improve the signs of aging to some extent. This is when a person becomes a good candidate for a rhytidectomy.

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How do you do a rhytidectomy?.
A rhytidectomy is a procedure that lasts between two and four hours. We perform it through a delicate incision. That begins in the subtle fold right on the front of one of the ears and ends in the contour line behind the ear. (Once cured, these scars are usually imperceptible at a conversational distance)

There are three layers of soft tissue in a person’s face and they deal during a rhytidectomy. The deepest known as “SMAS” (superficial musculature). That is, a layer of thin but sturdy tissue that covers the muscles of a person’s facial expression. Like the skin, this layer becomes loose and collapsed with time. Absorbable suture wires are to superimpose and stretch this deep layer for a superior and long lasting result. The skin, the most superficial layer, spread and superimposed over the SMAS layer. Essentially bypassing the face again from the deepest layer to the most superficial layer.

The middle layer, which is the fatty tissue between the other two layers, is not only susceptible to collapse. But also tends to atrophy (or reduce in volume) with age. Using fat injectables (liposuction performed somewhere else in a person’s body). We can regenerate the volume and get a rejuvenated facial shape in these patients who are excellent candidates.



Rhytidectomy (Facial and Neck Lift Surgery)

After all these steps, the incisions are sutured using absorbable sutures (and small surgical staples in the area where there is the hair).  Moreover, a cotton dressing is placed over the incisions and the head is surrounded by a gauze to keep it in place. Afterward, the patient is brought to the recovery room. Where she is closely monitored until she wakes up and comfortable enough to return home.

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