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Facelift is a surgical procedure designed to smooth the loose skin on the facial skin, jowls, and neck in both men and women. Candidates for a facelift include those with deep lines or folds (nasolabial folds) running from the corner of the nose to the corner of the mouth, loss of a well-defined jawline, deep wrinkles in the cheeks, and loose skin, wrinkles, and "cords" or excess fat in the neck. In this procedure, underlying tissues are tightened, excess fat is removed, and the skin is gracefully re-draped for a natural and more youthful appearance. I prefer endoscopic three dimensional facelift procedure and if necessary plus classical facelift to main procedure. 
A facelift (technically known as rhytidectomy) can't stop the aging process. What it can do is "set back the clock," improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck. A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping The operation is usually performed with general anesthesia or local anaesthesia and sedation. The incisions are made inside the hair line wherever possible but the hair is not cut before the operation. The hair, though, should be shampooed thoroughly before entering the hospital. Infrequently there may be some thinning of the hair for a short distance on each side of the incision line. If this occurs, the thin area can be covered by combing the adjacent hair over it. The site of the incisions will be discussed during the preoperative visit. There is little pain and discomfort following the operation. Remember that the swelling and discolourations are temporary, as are minor changes in the configuration of the hair line which may occur and are usually unnoticed by the observers or even by the patients. There may be some areas of numbness particularly around the ear which improve to a great extent within three to six months. Some patches of numbness may persist indefinitely.A note on smoking Smoking can significantly affect the outcome of your procedure. Please be aware that the long term effects of smoking cause a narrowing of the small arterial blood vessels that traverse the skin. This decreases the circulation of the tissues of the skin and makes it necessary for the surgeon to be more conservative in any plastic surgery procedure. Smoking near the time of surgery causes a further acute narrowing of the blood vessels which may cause ischemia of the tissue, poor healing, bad scars, or actual loss of tissue |
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