Drooping jowls, sagging facial skin, and wrinkles add years to your appearance. Facelift, or rhytidectomy, is commonly performed at Quintessa to help reverse the signs of aging and drastically improve the appearance of the face and jaw. During a facelift, Dr. Andrew Campbell uses advanced techniques to restore a more youthful appearance to the face without creating the traditional tell-tale signs of surgery.
By elevating the tissue in a deeper plane than traditional facelifts, and paying particular attention to the muscles and fat under the chin, a more significant and more natural-appearing rejuvenation occurs. Patients frequently return home the same day after their facelift, though an overnight stay at the outpatient surgical center may be necessary if the facelift is performed with other procedures, especially laser resurfacing. Mini-facelift patients are treated in the office setting using local anesthetic and return home immediately after the procedure.
ARE YOU A CANDIDATE?
While most patients are between the ages of 40 and 70, Dr. Campbell suggests that patients have a facelift at the first signs of aging while the facial tissue still has significant elasticity. This allows the results of a facelift to last longer.
During your consultation, Dr. Campbell will examine your face, paying close attention to the degree of sagging, as well as your skin texture, elasticity, and overall facial esthetics. He will visualize the final result and discuss beneficial adjuvant treatments as well as any limitations of rejuvenation, if any. A plan will then be discussed on how best to achieve the desired results. Commonly, multiple different treatments will be combined to give the patient the rejuvenation of their dreams.
THE TRADITIONAL FACELIFT PROCEDURE
Dr. Campbell does not perform the traditional facelift procedure. He feels that the direction of the lift is not natural, and too much tension is placed on the skin causing widened scars and pulled earlobes. He feels that traditional facelifts often leaves patients with an operated or unnatural appearance, and the longevity is limited.
Facelift surgery is performed in an outpatient surgical center. During the surgery, Dr. Campbell makes incisions in front of and behind the ears, and along the hairline. These type of incisions are made to prevent changes in the hairline and to minimize any visible scars. Another incision is made under the chin and is used to tighten the underlying platysma facial muscle. The deeper layer of the face, called the SMAS (superficial musculoaponeurotic system), is released from its attachments, then elevated and secured in a more aesthetically pleasing position.
Due to the SMAS being released from the ligamentous attachments and secured in such a position, the lift can be performed in a very natural direction. If the SMAS is not separated from these ligaments, the lift is compromised and the direction of pull is limited. This lifting tension occurs on the deeper SMAS layer of the skin. This allows for extremely thin and inconspicuous scars. Furthermore, the lift is more upward, and less “sweeping” than a traditional facelift, allowing for a very natural appearance. This creates an impressive rejuvenation of the face without creating a stretched or operated look. The facelift procedure typically takes several hours to complete.
Revision Facelifts are performed on patients who have previously undergone a facelift and are either unhappy with the results or time has passed and they are ready for another. Dr. Campbell’s advanced surgical techniques previously described give him the ability to perform revision facelifts with the same degree of rejuvenation and natural appearance as his primary facelifts. He feels there is no other technique that can provide a natural look for revision facelift patients. In fact, his surgical techniques enable him to reverse some of the telltale signs or “surgical look” of other previous, less sophisticated procedures.
After the facelift, the double chin vanishes, the jowls disappear, and the lines in the cheek area are diminished, all adding to a more youthful appearance.
Patients frequently go home the same day after facelift surgery. However, some facelift patients may spend the night of their surgery at the outpatient surgical center where they receive individualized, one-on-one care from a private registered nurse. A spouse or significant other can even stay the night with the patient, sleeping in a custom, pull-out single bed. Overnight stays are most often needed when the facelift is combined with other procedures, such as laser resurfacing. Most patients will have a small drain behind the ear to remove excess fluid from under the skin. This drain is removed the following day. Pain medication and sleeping aids are provided to assure comfort during recovery. Any discomfort is typically minimal.
The majority of our facelift patients are up and about the day after surgery. Sutures are able to be removed six days after surgery. However, bruising and swelling may take up to two weeks to resolve. Makeup is commonly worn to hide bruising that may occur. Quintessa carries specialized make-up specifically designed to cover bruising, and our trained experts can advise you on the best camouflage techniques and which products to use.
Facelift results last a lifetime, but the face will continue to age. After 10 to 20 years, you may develop excess skin and facial laxity again. Also, a facelift only affects the lower portion of the face and does not address the eye, brow or forehead areas. Furthermore, it does not change the texture of the skin. However, other procedures may be combined with a facelift to accommodate these areas that have not yet been treated.
To improve skin texture, a laser resurfacing procedure is frequently performed at the same setting. Other procedures, such as a browlift and eyelift, may be combined with a facelift for a more complete treatment and overall improvement. This comprehensive approach to facial rejuvenation provides for a more harmonious effect, and prevents the facial disharmony some individual treatments can cause. Due to the harmonious effect comprehensive rejuvenation provides, Dr. Campbell prefers and most commonly performs this technique on his patients requesting facial rejuvenation.