Austin Facelift & Necklift plastic surgery
Facial aging involves loosening and sagging of skin and fat soft tissues. The malar fat pad and overlying skin literally slide down off of the upper cheek bone structures and comes to rest on the lower cheek and over the jaw bone in the form a jowl. Additionally, as time passes on the face loses volume in the process of fat atrophy. The aforementioned tissue descent and volume depletion contribute to the formation of course facial creases and folds. Finer wrinkles also develop as the skin is depleted of collagen in response to intrinsic “wear and tear” and in response to sun damage.
The neck is the pedestal of the face. It too changes with age. Vertical bands as muscles pull away from the deeper structures. Horizontal folds result for the drapery effect of losing skin staking up on top of itself as it descends onto lower portions of the neck. The angle between the face and neck becomes more oblique culminating with the loss of a true anatomic distinction between the two; the face blends into the neck.
A well planned and well executed cervicofacial rhytidectomy (face/neck lift) is designed to reverse and correct the manifold problems of face and neck aging discussed above. I discuss these procedures together because in my opinion it is rare for a patient to need a face lift and note need a neck lift too and likewise a patient who desires a neck lift also will have facial aging that should be treated at the same time. Face and neck lifts are synergistic in terms of the results they provide and they each enhance one another. I believe they are essentially one procedure, not two.
The face lift procedure addresses the tissues between the eyes and the jaw line. While it does not directly deal with the lower eyelids a facelift repositions the malar fat pad just beneath them. A face lift brings that fat pad off of the jaw line thus treating jowls and the fat pad elevation softens the nasolabial fold. The corners of the mouth can also be repositioned superiorly in order reduce downturned orientation.The neck lift portion of the procedure enhances the anatomic distinction of the neck from the face so that they are perceived as the two different structures they are. The vertical bands are addresses by repositioning the plastysmal muscles to a position of youth. Excess fat is sculpted away precisely to enhance a defined form.
The face/neck lift is frequently combined with fat grafting to restore facial volume and with procedures of the lids and brows. Read more about these procedures in their respective sections.
- Extended SMAS/Platysma flap repositions the malar fat pad with power and precision.
- With attention to repositioning of the underlying soft tissues no harsh pulling of the overlying skin is employed
- A natural look with the retention of personal facial identity is sought
- Improved treatment of the mid face with reduced distortion or contour irregularities in the lateral face
- Scar quality is emphasized with precise and delicate technique.
- Hair line is respected and minimally altered if at all
- Inflammation and bruising control diet
- Surgery by a surgeon who completed two advanced cosmetic surgery fellowships and has written book chapters on neck lift
Generally minimal pain is experienced. Swelling and bruising are generally minimal. Return to social activities and work can occur as early as 7 days. Return to strenuous activity can occur at 3 wks.