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Facelift Beverly Hills

As one ages, the skin of one’s face and neck loosens and, gradually, we begin to see wrinkling around the eyelids, face and neck. These changes are the result of the aging process (loss of facial volume), heredity and gravity. These changes can be accelerated by skin abuse, overexposure to sun, alcohol, smoking, and poor nutrition. Cosmetic facial surgery can minimize many of these problems. The term “facelift” is really a misnomer as the operation combines lifting of the face and neck all in one procedure. In some patients, liposuction under the chin and/or muscle tightening in the neck may be performed in conjunction with a facelift to improve the sagging fat or folds under the chin. A facelift can be combined with eyelid and forehead surgery, if needed.

The incision for the facelift operation begins in the temple hair above and infront of the ear. It extends down just infront of the ear, around the earlobe, up behind the ear, and then backward into the hair of the scalp. Through this incision, the skin is elevated out into the temples, cheeks and neck. The connective tissues are repositioned and the excess skin is removed. Sometimes fat is removed and/or the muscles under the chin are tied up so there may be a small incision under the chin to help with the correction. Then the skin edges are secured with appropriate suture material. The facelift operation usually takes between 3 to 4 hours. When completed, a bulky dressing is applied. The patient is monitored in recovery for about 1 to 2 hours. Dr. Joseph requires that the patient stay the first night after surgery in an aftercare facility or arrange for a registered nurse to monitor the patient for the first 24 hours.

Face Only

Also known as rhytidectomy, a facelift is a surgical procedure to improve visible signs of aging in the face and neck. Incisions are generally made in the area of the temple hair, just above and inside the ear. Next it continues under the earlobe and follows the back of the ear and blends into the hairline. The skin is gently lifted and repositioned tightening the underlying muscle and connective tissue. Some fat may be removed, as well as excess skin. For men, the incision is aligned to accommodate the natural beard lines. In all cases, the incisions are placed where they will fall in a natural crease of the skin for camouflage. After trimming the excess skin, the incisions are closed with fine sutures. Depending on the extent of the surgery, the process can take from two to four hours. When the procedure is performed with a combination of mild sedatives, local anesthesia, and a mild intravenous anesthesia their will be little discomfort. Following the surgery, a dressing is applied to protect the entire area where the incisions have been made.

Lower Face/Neck

Sagging jowls, loose neck skin and fat accumulation under the chin may be corrected with a neck lift. Sometimes the work can be done through a small incision beneath the chin, but most often the incision begins at the ear lobe and wraps around behind the ear, ending in the lower scalp. This procedure can improve the neck and jawline without any incisions at all. Selecting the right procedure to fit the individual need is a matter of judgment and experience.