| Traditional Facelift (Rhytdectomy)
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As part of the natural aging process, the skin and muscles of the lower face and neck lose elasticity, resulting in jowls and a poor neck contour. Facelifts restore a more youthful appearance to the lower two-thirds of the face, from below the eyes down to the upper part of the neck. Facelifts work by removing the excess skin and tightening the underlying neck and facial muscles. Excess fat and skin are removed through inconspicuous incisions placed behind the hairline and within the natural curves of the ears. Usually performed on an outpatient basis facelifts are performed under local anesthesias with twilight sedation, and healing occurs in about two weeks.
Visually, the human face is divided into two ovals, the inner oval, or circle, involves the central cheeks, mouth and paranasal lines.and the outer oval involves the neck, outer cheeks and areas in front of the ears. Surgeons must address both of these areas to give the best result. The skin and outer muscles may need tightening or additional midface endoscopic lifting may be required to thoroughly rejuvenate the appearance. Facelift and endoscopic mid facelift are often performed together or each procedure can be performed in a sequence separated by months to years.
After surgery, some swelling and bruising is expected this swelling normally subsides within several weeks. Most sutures are removed after seven to ten days, and residual bruising can be covered by makeup. There may be some discomfort after the surgery, which is usually controlled by medications prescribed by Dr. Apesos.
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