First of all, explaining exactly meaning of the face lift will be the most accurate. The reason for this is that as the known anatomy of the face increases, the facial region is divided into specific compartments, and in the evaluation of the patients, changes in age, sometimes sometimes and sometimes sometimes in all compartments, have been observed. For example, until recently, the mid-face region has been accepted as part of the standard face lift surgery, but today this area has sometimes been described as an independent operating area. Hence, in today’s sense, face lift surgery is actually the operation of an area containing the lower and side parts of the face. The problems in this region are clinically manifesting the appearance of a dangling appearance that loosens in and out of the laughing lines on the both sides of the mouth, and that the jaw line loses its lines in such a way that it cannot be separated from the neck region.
Is facelift the operation of rejuvenating the whole face?
Yes, about 30-40 years ago the facial central anatomy is known for a standard facelift surgery to remove excess layers from the skin that is loose and loose in all areas of the face. But a lot has changed since then. First of all, the results of such operations were neither natural nor long lasting. Since a very traumatic operation was mentioned in a very wide area, the postoperative periods were much more troublesome and longer than the average patient could accept today.
The scars were quite disturbing again according to today’s standards. Because of these problems, surgical techniques for facial rejuvenation are one of the most active areas in the last 10-20 years of plastic surgery. Today, there are surgeons who perform these operations with the methods that can be considered as primitive 30-40 years ago. But in the modern sense, facial surgery has been a very long time even for the last 10 years.
Today it is almost impossible to find a patient who can stay home for 1 month or accept an artificial face after surgery. The increase in patient expectations naturally necessitated the need to increase the quality of the services to be given in terms of the quality of the results of the operations as well as the postoperative loss of time and job. There is not even a discussion after 5 years. Therefore, today, as a practical basic approach, when evaluating a patient, we have to determine which facial region or regions are problematic and provide the youngest most naturalest lasting effect in this region with the least traumatic operation possible. The days when every patient with signs of aging on his/her face would undergo a standard operation, with the whole face changing almost completely, are now over. We have to detect the main problematic area in the patient and make it compatible with the youngest part of the face of the face while effectively preserving the general expression of the face, but without preserving its naturalness.
Should a patient with mid-face problem have face lift surgery?
Although the patients say that they face the face of this process will be the face of the face lift. Today we mean the lower and outer parts of the face with face lift. The forehead, the middle face, the neck are outside this definition. Of course, these procedures are also added to the facelift in patients who are required. However, as a definition today, the face is divided into sub-regions with very definite limits. And each region can be operated independently from other regions. The most noticeable result of this is that almost no age limit or generalization can be performed for the patients who are operated on the face. In the past, a group of 45 to 50 years old or older could be mentioned for facelift surgery. As one of the earliest signs of aging in the face area today, it is very natural that you perform mid-face operations at the age of 30 years. No one needs to wait 50 years for the operation.
What are the issues that are corrected by the facelift operation?
The lower part of the face below the lines of laughter shows a sagging down from the rims. The jaw line loses its sharpness as a whole or in part in the neck area. Often this is accompanied by an agglomeration above the line of sagging and laughing in the middle part of the face. The main problem here is the structure of the skin, which is called SMAS at the bottom of the skin, with the contact with the deeper layers of the face. Understanding what the problem is is very important for comparing facial rejuvenation operations and understanding the effectiveness and limitations of non-surgical procedures.
Facelift operation is the process of removing the two most superficial layers of the face from one layer to the next and re-leveling to the previous level. At this point, it will be necessary to clarify the most common and important issue. Facelift is not a leather stretching process. Or, with a more accurate expression, the facelift should not only be the top layer of the skin stretching process. Faceliftin such applications have been made until the 70s and due to problems such as artificial appearance, excessive scar formation and loss of activity after a while no longer apply today. Each technique that will provide an effective natural look must first remove and detect the skin and SMAS layer together.
Another important point is the suspension techniques that claim to be an alternative to the facelift. Although very limited surgical practice, the result of the operation was immediately seen and only 1-2 days after the procedure was sufficient, both the surgeons and the patients were very well accepted. To make it easier to understand, the dangling structures of our faces are like a quilt and a blanket. If you assume that the outermost layer, ie the blanket is our skin quilt and SMAS, an accurate facelift operation can be defined as the lifting and placement of both covers together. Strap techniques are based on the principle of fixing these structures to the upper parts of the face from specific points with special sewing materials. Lifting, that is, lifting at certain points cannot create an equal and effective lifting effect. The change over time of sewing materials and attachment points leads to asymmetrical appearance and reduced effect.
In a correct surgical technique these two layers are separated from the substrates and moved to a higher level. The fact that the relationship between the skin and the underlying layer does not deteriorate does not change the shape and effectiveness of the muscles that determine our facial expression in mimic muscles. In this technique, if the neck area is to be operated from the anterior part of the ear, the skin and SMAS are removed with the incisions made through the natural wrinkle lines towards the back of the ear and moved up and to the sides. The difficulty of surgery starts with the necessity of experience and knowledge about such operations. The operation is technically sensitive and requires careful study. The operation is completed in about 4-5 hours. However, this period may be prolonged if the simultaneous operation of the middle face or neck region is required.
What patients should know about the operation?
First of all, it is not a painful or discomforting operation. Especially in patients with thick and dark skin structure and in male patients swelling may be a little more. However, it can be said that swelling will decrease significantly between 10 days and 2 weeks. Approximately 5-7 days later, the patient may return to normal life. There is no need for special care after the first two days. The effect of surgery can only be seen after 3-4 weeks. In the first 2 weeks, you should never smoke.
A correct face lift operation is expected to be effective enough not to repeat. The success of surgery means not only the absence of complications, but also a natural and permanent appearance.