Face Lift

A facial lifting clears the most visible signs of aging on the two lower thirds of the face, removing the lax skin and stretching the muscles and supporting structures to provide a rejuvenated look; it can also improve your self-image.

What are the indications for a face lift?

The most suitable candidates for facelifts are female patients with a degree of face and neck ptosis on the face and neck, but with somewhat elastic skin and a strong and well-defined bone structure. Most patients are between 40 and 60 years of age, but facelifts can be successful for those in their 70s and even in their 80s. If you are generally healthy and you have realistic expectations about the results, but suffer from any of the following conditions you may be a good candidate for the procedure: loss of skin elasticity or muscle tone on the face or neck; deep wrinkles on the face or neck; deep nasolabial creases; lax mandibular line; sagging or double chin. If you have early signs of aging, you may be a candidate for a non-surgical approach. Our physicians will also review the minimally-invasive treatment options to see if they fit your needs.

First consultation

During the first consultation, before planning your surgery, Dr. Sinescu will carefully evaluate your facial and neck structure, skin elasticity and the underlying muscle tone to establish the best therapeutic strategy. It is possible, for example, that the results you seek could require combining facelift with other interventions. We will discuss what you can expect from this surgery and we’ll review all the existing options. You will be given a detailed explanation of the procedure, steps to be followed before and after surgery, potential risks and complications, costs and payment methods. We will answer all your questions. We’ll ask for medical history, information on cigarette and alcohol consumption and a list of all the medicines you use, including the over the counter ones.

Surgical procedure

Surgery will take place in one of the ultramodern clinics where our surgeons work. If your facelift is extended or combined with other procedures such as blepharoplasty or brow lift, a 1-2 night hospitalization may be required.
The operation lasts 2-6 hours and can be done in general anesthesia or local anesthesia with sedation, depending on what you and your doctor prefer. With general anesthesia, you will be completely asleep throughout the procedure. With local anesthesia, you will be slightly sedated, and the face and neck area will be numb. You will be awake but you will be relaxed and you will not feel uncomfortable. The type of anesthesia used and the need for hospitalization will be discussed with you prior to surgery.
There are several techniques used for face-lifting, each with its own features and benefits:

In the traditional facelift, the incision extends from the temporal hairline downwards, in front and then behind the ear and then it is hidden at the occipital level. Excess skin is removed, the underlying skin and tissues are repositioned and incisions are sutured. This method is indicated in patients with significant excess of lax skin.

A mini-lift involves a small incision in front of each ear and the lifting of a limited surface area. This technique is particularly suited for 40-45 year-old patients because it solves the early signs of aging.

The central-face lift is an intervention that targets the middle third of the face, located between the lower eyelid and the mouth, where we see the first signs of aging. This procedure repositiones the cheekbones, creating a well-defined heart-shaped face, accentuating the eyes, improving the look of the eyebrows and bringing global changes to the look of the face. A quick test that we recommend to patients who are considering a mediofacial lifting is to lift the skin on the side of the face while looking in the mirror. If you are happy with the results of this exercise, you could be a good candidate.

“Weekend Facelift” eliminates chin excess fat with liposuction and uses lasers to stretch the surrounding tissue. This procedure works well for people who first want to remodel their mandibular and submandibular region.

Recovery after facial lifting

Removing drains – 1-2 days postoperatively
Removing the dressing – 1-5 days postoperatively
Body and hair shower – 3 days postoperatively
Suture removal – one week postoperatively
Return to work – 3-4 weeks postoperatively
Driving – as soon as you feel comfortable
Intense physical activity – 6 weeks postoperatively
Fading of scars – a few months to one year

What are the possible side effects or risks?

All surgical interventions have a certain degree of risk; however, major facelift complications are rare. During the first consultation, the individual risks will be evaluated and discussed. You can help reduce risks by carefully following the pre- and post-operative instructions provided. Our staff will be at your side at every step of the way to ensure a safe and aesthetic result.

The most likely side effects include the following:

– infection
– sensory or motor peripheral nerve injury
– hair loss
– facial asymmetries
– pathological scarring
– seroma
– hematoma
– delayed incision healing

How long do the results last?

Face-lift removes excess skin and repositions fat and muscles for a younger look. These results generally last between 5 and 10 years, even more in many cases. It is important to note that the effects of aging, gravity and environmental factors will continue to affect the elasticity and tone of the face and neck. Constant skincare is essential to maximize the efficacy and longevity of surgical results.

Frequently asked questions

Are there any procedures we might associate for an improved result?
A facelift is often performed in conjunction with a neck lift, a brow lift or a blepharoplasty for optimum results. Botulinum toxin type A injections are a non-surgical alternative that can temporarily reduce wrinkles on the face and neck.

Is my health insurance covering the costs of the surgery?
Facial lifting is considered cosmetic surgery and is therefore not covered by insurance. You are responsible for the full payment of the procedure. Cost and payment information will be fully discussed with you during the first consultations.

Are there alternatives to face-lifts?
Botulinum toxin type A injections may be a temporary, non-surgical alternative to lifting, combined with the use of fillers such as hyaluronic acid. These procedures can reduce or eliminate facial wrinkles and creases either by blocking the nerve impulses and temporarily paralyzing the involved muscles, or by adding volume. Minimally invasive treatments such as chemical peels, laser or non-ablative fractional radiofrequency can also improve skin tone, reduce discoloration and fade wrinkles, representing a less invasive alternative.

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