The New York City Facelift is becoming one of the most popular facial rejuvenation procedures requested. Although in the past the over-corrected or "plastic" look was all too common, today, a skilled surgeon can produce beautiful, natural-looking results with meticulous attention to tightening and repositioning muscle and skin, in addition to sculpting and repositioning facial fat. Many patients look as many as 5-10 years younger.
Friends usually won't know about your facelift unless you tell them. They will recognize that you look better but they won't know why. They'll ask if you have been on vacation. Did you lose weight? What exercise program are you on? With today's new surgical techniques and technology, facelifts now last longer than ever before.
The basic idea behind a New York City Facelift is to remove excess skin that is loose and sagging on face and the neck, and to tighten the underlying tissue. The excess skin that is removed never returns, so you will always look younger than you would have without surgery. The skin does continue to age, however. When new sagging develops, you may, if you choose, have a minor "tuck-up" procedure to correct it.
It's important not to rush into the decision to have cosmetic surgery. Discuss your options with your GP, who may be able to recommend a reputable surgeon or advise you on how to choose a hospital to be treated in.
Before opting for a New York City Facelift, discuss with your surgeon what you are hoping to gain from the operation and the results you can realistically expect. A facelift will not affect the fine lines around your lips
What are the alternatives to The New York City Facelift surgery?
Other treatments may be used either as alternatives, or in combination with a facelift.
•Resurfacing techniques reduce surface wrinkles and can smooth the skin by removing damaged outer layers. Options include chemical peels and laser resurfacing.
•Pulsed light therapy stimulates the middle layer of the skin to produce more collagen, which plumps out fine lines and wrinkles.
•Tissue augmentation plumps out deep wrinkles with injections of collagen or other types of filler.
•Botulinum toxin injections can flatten out wrinkles that appear in your skin when you smile or frown. This is particularly suitable for forehead lines and wrinkles around your eyes.
•Creams, gels and beauty treatments may help tighten your skin. However, there is no scientific proof that these work.
Preparing for your operation
Your surgeon will explain how to prepare for your operation. For example, if you smoke you may be asked to quit, as smoking increases your risk of getting a chest or wound infection, which can slow your recovery. It also reduces circulation in your skin, which slows healing.
A New York City Face Lift typically requires an overnight stay in hospital. It's usually done under general anaesthesia. This means you will be asleep during the procedure. Typically, you must not eat or drink for about six hours before a general anaesthetic. However, some anaesthetists allow occasional sips of water until two hours beforehand.
At the hospital your nurse may do some tests such as checking your heart rate and blood pressure, and testing your urine. Your surgeon or other health professional will usually visit you to discuss the operation and ask you to sign a consent form. This confirms that you understand the risks, benefits and possible alternatives to the procedure and have given your permission for it to go ahead.
Your surgeon will examine your face and may take photographs so that the results of surgery can be compared with your original appearance.
About the operation
The operation can take up to six hours. There are several different facelift techniques. Your surgeon will explain the options available to you.
Traditional facelift
In a traditional facelift, your surgeon will make a surgical cut in your hairline, down past the front of your ears and then up into the hairline again behind the ears. Cuts may also be made under your chin if you want to lift a sagging jaw line.
Your skin is carefully separated from the underlying tissues. The surgeons will then remove or reposition the excess fat, or tighten the muscles or surrounding tissues in your face. He or she will finally lift your skin, pull it back and trim off any excess.
Your skin is then stitched back to the line where the cut was initially made.
Afterwards, your face is wrapped in bandages. Depending on the exact procedure, these may run under your chin, around your ears and/or over your head. They are usually taken off after a day or two, before you go home.
Fine plastic drainage tubes may be left in the wounds, usually behind your ears, for a day or two afterwards. These allow blood and fluids to drain into a bag.
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