Each of these procedures pertains to different regions of the face, but they are all performed during a full facelift surgery.
The Cosmetic Surgery Procedure
- Anesthesia
Depending on the length and intricacy of the procedure, the patient may need to go under either local or general anesthesia. Local anesthesia will allow the patient some amount of consciousness-but he or she will sense no pain. A physician may require that the patient be anesthetized generally- meaning that the patient will be in a completely unconscious state.
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- Lower Lift
For the lower lift, the physician will make an incision with a scalpel in order to abstract any extra fat or skin. This incision is usually made in areas of the face that are either quick to heal, like the natural crease where the ear connects with the temple, or subtle areas where scars will be less noticeable, like just above the hairline. Most commonly, the incision will run from the ear to the back of the neck, following the hair line.
In a process referred to as undermining, muscle tissue located underneath the skin is separated from the outer layer, so that it may be tightened, ultimately leading to a younger appearance in the facial contours. Fat is abstracted continuously, most of it being taken from the areas around the jaw and under the chin -the regions specified for a lower face lift. This procedure will lead to a more defined jaw and neck, often hidden as one grows older.
The skin is suspended over the newly tightened muscles again, this time without the previously removed fat. It is reattached with staples, while the physician gradually removes the additional skin as needed.
- Blepharoplasty
The blepharoplasty, or eyelid surgery, is performed by making tiny incisions in the eyelid creases both above and below the eye. Fat tissue that causes the sagging and hinders the vision is abstracted. After raising the lids up and away from the eye, the physician will close the incisions with sutures, cutting away the additional skin.
- Brow Lift
The brow lift procedure is begun by an incision as well, beginning at the point where the ear connects to the cheek, but this time the slit is cut upward along the hair line towards the forehead. Working beneath skin, the physician will abstract tissue from the muscles that lie between the eyebrows. The forehead skin is then stretched so it lies snug against the muscles, without any gaps or folds. This will decrease the visibility of frown lines on the forehead. To seal the incision, the physician will staple the skin into its new position, and cut away the left over skin on the edges.