face lift surgery improves sagging facial skin, jowls and loose neck
skin by removing excess fat, tightening muscles and redraping the skin.
facelift (technically known as rhytidectomy) improves the most visible
signs of aging. A facelift can be done alone, or in conjunction with
other procedures such as a forehead lift, eyelid surgery, or nose
Incisions usually begin above the hairline at the temples, extend in a
natural line in front of the ear (or just inside the cartilage at the
front of your ear), and continue behind the earlobe to the lower scalp.
If the neck needs work, a small incision may also be made under the
skin is separated from the fat and muscle below. Fat may be trimmed from
around the neck and chin to improve the contour. The underlying muscles
and skin are pulled back.
your head elevated and as still as possible for a couple of days after
surgery, to keep the swelling down. Don't be surprised at the pale,
bruised, and puffy face you see, just keep in mind that in a few weeks
you'll be looking normal. Most of your stitches will be removed after
about five days.
should be up and about in a day or two, but plan on taking it easy for
the first week after surgery. Be especially gentle with your face and
hair, since your skin will be both tender and numb, and may not respond
normally at first.
strenuous activity, including sex and heavy housework, for at least two
weeks (walking and mild stretching are fine) avoid alcohol, steam baths,
and saunas for eight weeks; limit your exposure to sun for six months.
beginning, your face may look and feel rather strange. Your features may
be distorted from the swelling, your facial movements may be slightly
stiff, and you'll probably be self-conscious about your scars. Some
bruising may persist for two or three weeks, and you may tire easily.
It's not surprising that some patients are disappointed and depressed at
third week, you'll look and feel much better. Most patients are back at
work about ten days to two weeks after surgery. If you need it, special
camouflage makeup can mask most bruising that remains.
after the swelling and bruises are gone, the hair around your temples
may be thin and your skin may feel dry and rough for several months. Men
may find they have to shave in new places-behind the neck and ears-where
areas of beard growing skin have been repositioned.
have some scars from your facelift, but they're usually hidden by your
hair or natural creases of your face and ears.
must stay in Costa Rica at least 10 days after surgery
I recommend the Las Cumbres
Inn where you will receive personal attention, required medication and
transportation to and from surgery. I visit my patients at Las Cumbres
frequently following surgery to check on your recovery.
Complications are infrequent and usually minor. Still, individuals vary
greatly in their anatomy, their physical reactions, and their healing
abilities, and the outcome is never completely predictable.
Complications that can occur include hematoma (a collection of blood
under the skin that must be removed by the surgeon), injury to the
nerves that control facial muscles (usually temporary), infection, and
reactions to the anesthesia. Poor healing of the skin is most likely to
I prefer general
anesthesia. This is a surgery that takes several hours.