Facelift

Facelift, technically called rhytidoplasty, is an advanced surgical procedure that aims to rejuvenate the face and neck by replacing facial tissues that have suffered ptosis (drooping) due to aging, gravity and loss of skin elasticity.

▲ Anatomical basis and facial aging:

Facial aging involves multiple components:

• Ptosis of the deep supporting structures (SMAS - Superficial Musculo-Aponeurotic System)

• Atrophy and displacement of facial fat compartments

• Loss of elasticity and skin thickness

• Reduction of underlying bone volume

• Changes in skin quality and texture

▲ Modern facial lifting techniques

• SMAS Plication: Suturing of the SMAS without extensive detachment, ideal for mild to moderate cases.

• SMAS Flap: Partial detachment and repositioning of the SMAS as a flap, a versatile technique for most patients.

• Deep Plane Lift: A deeper approach that releases specific facial ligaments, allowing natural vertical repositioning of tissues.

• Subperiosteal Lift: Elevation of tissues directly from the bone plane, useful for the upper third of the face.

• MACS Lift (Minimal Access Cranial Suspension): A less invasive technique with smaller incisions and faster recovery.

• Vertical lifting: Focuses on the vertical replacement of tissues, combating the natural tendency for lateral sagging.

▲ Frequently associated complementary procedures:

• Facial fat grafting for volumetric restoration

• Blepharoplasty (eyelid surgery)

• Frontal endoscopy (forehead lift)

• Surface treatments (laser, peels)

▲ Recovery and results:

• Edema and bruising persist for 2-3 weeks

• Sensation of tension and temporal numbness for 1-3 months

• Scars mature over 12 months

• Results last for 7-10 years, depending on genetics and lifestyle

• Natural appearance when performed by experienced surgeons, avoiding the undesirable "operated look"