Before and After
As a result of aging, sun damage or weight loss the face develops an aging and often tired appearance. The skin and deep tissue and muscles lose their elasticity. The face develops laxity and sagging. This results in a loss of definition of the cheekbones and jowls of the lower cheeks. There is loss of a well-defined jaw line and deep folds and lining of the lower cheeks and mouth. A Face Lift removes excess and sagging skin and elevates and tightens muscles and deep tissue laxity. Dr. Williams can counteract the effects of time and gravity and help restore you to a more youthful and natural appearance.
Your Consultation with Dr. Williams
Dr. Williams feels that the most important part of the consultation is to listen to you and understand what you want to achieve. During your consultation, Dr. Williams will discuss with you and explain the procedure and your expected results. Each of the possible options for the surgery will also be explained. Depending upon your goals, alternatives, as well as additional procedures, may be recommended. The goal is for you to be fully informed so that you are confident that the choice you make is the right one to give you the result you want.
Candidates for a Facelift
- You don’t like to see photos of yourself or you look in the mirror because of the sagging and or aging appearance of your face or neck.
- You have jowls of the lower face and notice your jawline blends into your neck.
- You have deep folds and creases of the lower cheeks and mouth
- There is a loss of definition of the cheekbones with sagging of the face
- Your face is making you look tired.
There are many options for Face Lift surgery. The type of procedure will depend upon the condition of the individual patient and the goals that are wanted to be achieved. The new and advanced techniques of Face Lift focus on the elevation and fixation of the deep tissue and muscles of the face, rather than pulling on the skin. It is known that the skin is attached to the deep facial tissue and muscle. When this deep tissue is suspended and tightened the skin is elevated with it without pulling or tension. Patients who have Face-Lifts with only pulling and tightening of the skin look like they have been out in a wind storm. The new type of Face Lift strives for a natural rejuvenation of the face.
Types of Face Lifts
The SMAS is the fibrous layer over the deep tissue and muscles of the face. The skin is attached to the SMAS. The SMAS is partially elevated from the deep tissue and muscle of the face. The laxity of the face is corrected by suturing the lower portion of the SMAS to the more superior portion of the SMAS. The skin is elevated with the suspension of the SMAS. The incisions for this are usually in the temple scalp, around the ear and into the scalp behind the ear.
MACS Face Lift ( Minimal Access Cranial Suspension).
This is one of the newest Face Lift procedures originally developed in Europe and used by Dr. Williams. This technique places multiple sutures in the SMAS without separating the SMAS from the deep tissue. The SMAS with the attached skin is then elevated and sutured to the Temple Fascia and Cranial bone. This technique gives a very stable fixation for a long-lasting and natural Face Lift. The incision for this procedure is called “short scar”. The incision stops at the lower earlobe instead of extending behind the ear.
Mini Face Lift- Week End Lift S-Lift
The elevation and suspension of the deep tissue are mostly in the mid cheek. The skin removed is limited to the lateral cheek in front of the ears. This procedure is for patients with early sagging and laxity. It is for patients that do not need improvement of the jawline or neck. The incision for this is the “short scar”
Neck Lift Surgery- Platysmaplasty
With aging and weight loss there is laxity of the muscles and skin of the neck. Vertical Bands are seen from below the chin. With sagging, there is a loss of a defined jawline. A neck lift is often done in combination with the Face Lift. The procedure tightens the muscle of the neck to create a corset that defines the chin and jawline. The skin is re-draped behind the ear and the excess skin removed. A Neck Lift defines facial rejuvenation.
Often with aging and weight loss, there is a loss of soft tissue fullness in different areas of the face. This loss gives a tired and unhealthy appearance. This soft tissue loss and depression are often seen along the jawline just lateral to the chin. There is often a loss of fullness or a hollow appearance of the cheeks and lower eyelids. Fat grafting f these areas is often done with the Face Lift to create a softer and more youthful look.
Recovery after Face Lift
There will be swelling and bruising. This is decreased by keeping the head elevated and applying cold compresses to the face. Anti swelling medication is given to decrease the swelling. Skin glue is applied to the incisions so the patient can shower the day after surgery. Normal activity can be resumed between 1-2 weeks after surgery. Strenuous activity should be avoided for 4-5 weeks.
Planning Your Procedure
The procedure is performed at the Plastic Surgery Center. This is performed in a nationally accredited (AAAASF) surgical facility. This ensures that the surgery is done in complete privacy and that it is done with the highest quality of patient safety standards for ambulatory surgery. Prior to surgery, all cases are reviewed in conjunction with Dr. Williams and Anesthesia. Depending upon your present health and the type of procedure planned it may be necessary to have lab work done prior to surgery.
Dr. Williams will discuss with you and give you instructions for before and after your surgery. The surgery is outpatient surgery. That means that you will be able to go home after the surgery. It will be necessary for you to have a caregiver with you for 24 hours after your surgery. This is to ensure your safety and that all necessary post-operative instruction are followed. If you do not have a caregiver, arrangements can be made for this. Dr. Williams understands that patients and their caregivers often have anxiety, concerns, and questions after surgery. Dr. Williams is always available 24 hours a day to respond to you. Every effort is made throughout to make certain that you have a great experience and that you obtain your best possible desired result.