What is a Facelift?
A facelift is a surgical procedure that rejuvenates the central and lower face and the neck. It smooths the creases between the cheeks and the upper lip and reduces the loose skin that develops between the cheek, chin, and jawline. It can also define the jawline and correct droopy or wrinkled neck skin. The procedure involves removing excess skin and tightening facial tissue to provide long-lasting results. Because facelifts can be performed alone or in conjunction with other facial enhancements, downtime depends on the extent of your procedure. There are many types of facelifts, but the best one is a customized approach that addresses your problem areas and concerns.
Who Is a Good Candidate for a Facelift?
Anyone who is in good health and has noticed sagging skin and tissue around the jowls, chin, and neck, may be a good candidate for a facelift surgery. There are different levels of facelifts, depending on the extent of lifting or tightening needed. Men and women from their early forties and beyond may be good candidates for this type of cosmetic procedure. Some may only need a “mini facelift” or even a non-surgical facelift. Others may need to combine a neck lift, brow lift or eye lift with a facelift to get the results they desire. Dr. Linkov at City Facial Plastics in Manhattan’s Upper East Side personalizes every facelift procedure with regard to the patient’s expectations and desired results.
What Is the History of a Facelift?
Facelift surgery originated in Europe in the early 1900s. It wasn’t until after World War I when soldiers suffered facial injuries, that plastic and reconstructive surgery became more well known. In the 1930s, surgeons started to apply these techniques for surgical treatment of the aging face, targeting wrinkles, cheeks, and the neck.
As time passed, with new developments in medicine and anesthesia, elective cosmetic surgery became more popular. With increased interest and demand came more research into facelift surgery, and evolution into the surgical techniques that are used today.
What Is the Anatomy of the Face?
To fully understand facelift surgery and what it can accomplish, it is important to be familiar with the basic facial anatomy of the different layers of the face and how each of these layers can be affected over time.
The skin is the outermost layer of the face and our body’s largest organ. Each person’s skin has its own color, thickness, texture, elasticity, scars, and other lesions. Wrinkles, or rhytids, form when the skin becomes more elastic and droopy, which is a part of the normal aging process. There are several factors that can accelerate this process, such as smoking and exposure to the sun and radiation.
Adipose tissue (fat)
Adipose tissue, also known as fat, is the layer just below the skin’s surface. Fat not only cushions and insulates our body, but also plays an important part in hormone regulation and energy storage. In the face, fat helps provide volume, which is often associated with a more youthful and healthy appearance.
The SMAS, or superficial musculoaponeurotic system, is a network of muscular and fibrous tissue that connects the muscles of the face to the skin. It helps coordinate the muscles of the face to allow for facial expression. In some types of facelift surgery, the SMAS is manipulated to achieve the aesthetic goal.
The face consists of various ligaments, which are bands of strong, fibrous connective tissue. These ligaments attach the skin and facial muscles such as the SMAS to the underlying, deeper connective tissue allowing for stabilization. During facelift surgery, these ligaments may need to be cut so that the SMAS can be released and repositioned.
The face is an extremely vascular part of the body, meaning there are a significant amount of blood vessels arranged in a very complex and intricate pattern. Blood vessels help supply blood rich with oxygen and nutrients to the skin, muscles, and ligaments. While it is necessary to cut some very small blood vessels during surgery, it is important to avoid damaging the major blood vessels to reduce the risk of bleeding and promote proper wound healing.
Even more intricate and delicate than the blood vessels of the face are the nerves. There are 12 main cranial nerves that originate directly from the brain and split off into hundreds of smaller nerve endings in the face. These nerves are responsible for all functions of the face, including controlling muscles of facial expression as well as the five senses (sight, hearing, smell, taste, and touch).
City Facial Plastics
635 Madison Ave #1402E,
New York, NY 10022
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Upper East Side | Lenox Hill | Hell's Kitchen | Midtown Manhattan | Murray Hill
10021, 10028, 10044, 10065, 10075, 10128 | 10019 | 10022, 10017 | 10016
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