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The face is structurally composed of 3 different regions. upper face; consists of temples, forehead and eyebrows. Interventions made in this area are called upper face lift. The middle face includes the under-eye and cheek regions. Interventions made in this area are called mid-face lift. It covers the lower face, chin and neck area, and is called a neck or lower face lift. Surgical intervention can be applied to these areas individually or at once. 

What Causes Deformities on the face?

Aging, genetic predisposition, beginning to see the effects of gravity, intense direct contact with harmful sun rays, smoking and losing weight frequently, besides all these, stressful work and lifestyle, excessive use of mimics and being at the computer all the time can affect the aesthetic appearance of the face. one of the factors that cause deterioration. 

Who is A Good Candidate for Face Lift Surgery?

The ideal candidates for this surgery are those whose face and neck skin has started to sag, but their skin still has not lost its elasticity and has no other serious health issues. There is no age limit for facelift surgery as long as the general health condition does not prevent the surgery. It is generally to male and female patients over the age of 40. A facelift surgery can also be performed combined with nose and eyelid aesthetics to make the face look younger. Injections or fillers (fat, hyaluronic acid, etc.) can be performed as well.  

Before Face Lift Surgery

Expectations and desires from a facelift surgery should be discussed in detail with the doctor and the results that can be obtained should be evaluated. The doctor should be informed about the drugs used or the diseases that are used before the surgery. Since the blood thinner-derived drugs used may cause bleeding problems during and after the surgery, it should be interrupted at least 5 days before the doctor's control.

There is no age limit for facelift surgery, but it is generally recommended for patients over the age of 50.

It is recommended to stop smoking in order to avoid possible problems during the post-operative recovery period. 

What Are The Methods for Facelift And Face Aesthetics?

There are several different methods used for face lift surgeries. The suitable method is preffered taking into account of the patient's health status, smoking, age, gender, the severity of sagging of the face, the condition of the skin and the structure of the facial bones.First of all, the deformed areas of the person's skin and the surgical technique are determined. The main technique for facelift surgery is to lift the sagging skin upwards and bring it back to its original position.For this reason, the technique and incision sites in face lift surgery vary according to the degree and locations of sagging. 

1. Classical Face Lift 

During classical facelift surgery, the incision starts from the front of the ear and proceeds into the scalp behind the ear. By entering from this area, the skin tissue is removed, the sagging skin, muscle and connective tissues under the skin, that is, the downwardly sagging connective tissues, are stretched upwards. Excess skin is removed and the procedure is terminated. In this way, the drooping of the cheeks, temples and chin is eliminated.

Apart from this, surgical intervention must be combined with other procedures. For example, if there is a decrease in adipose tissue, the missing parts of that area are completed with the adipose tissue itself or some chemicals. Which is the most used today, can also be added to the process in order to prevent wrinkles caused by excessive movement of those muscles from time to time in facial rejuvenation. 

2. Full Face Lift 

Full face lift aesthetics is performed by combining it with a few extra different procedures as well as covering the classic face lift. These;

  • Blepharoplasty (Eyelid aesthetics)
  • Permanent or temporary eyebrow lifting
  • Fat injection to the face
  • Fillers

These are the procedures performed in combination with the classical facelift procedure under the name of full face lift. 

3. Medium Face Lift 

During the mid-face lift procedure, the scar remains under the eye at the base of the eyelashes. With the incision made here, the middle part of the face, that is, the cheekbones, is pulled upwards. In this way, a more youthful and natural appearance can be achieved. 

Which Aesthetic Surgery Can Be Combined With Face Lift Surgery?

Depending on the condition of the patient, face lift surgeries can be combined with other plastic operations such as filling, blepharoplasty in order to obtain better results. In addition, there is no problem to undergo a facelift surgery combined with body aesthetic operations. 

After Face Lift Surgery

After the operation, the face swells for about 1 week and subsides gradually at the end of the first week. Applying ice is recommended for the first few days to relieve swelling and edema more easily and quickly. At the end of the first month, the swelling of the face almost disappears.

As after every surgery, it is recommended not to smoke after facelift surgery, because smoking can adversely affect the healing of wounds.

In the first 2 months, the face should be protected agains direct exposure to the sun.

Bandages should be used very carefully to minimize the risk of subcutaneous bleeding after surgery. The surgeon decides the lenght of the bandages to stay, which is generally an average of 3 weeks.  


What is the facelift surgery’s goal?

Facelift (rhytidectomy) surgery’s goal is improving the general appearance of the face and jaw.Facelift (rhytidectomy) surgery can help to reduce the harmful effects of time and environmental effects. 

Who is a good candidate for facelift (rhytidectomy)?

There is no set age or profile for those who should consider a facelift. Facelifts can and should be individualized, considering factors including age, body type and size. 

How long does facelift surgery take?

Time will depend upon the extent of the procedure. For some patients, mini-facelifts can be done in under two hours.

Standard facelifts usually take three to four hours and may take up to six when combined with eyelid or brow surgery.

What is the recovery time after facelift surgery?

Some swelling and bruising is normal after the facelift surgery, and the surgeon may suggest patient to use cold compresses to keep swelling to a minimum.

In general, noticeable swelling will go down within 2 weeks and patient can return to work in 2 weeks.

How will I look different?

Most patients report looking refreshed. A good facelift makes patients look younger rather than “different” or “operated on.” The best facelifts (rhytidectomy) look natural.

The best way to make sure you will still look like yourself is to choose your surgeon carefully.

How long will the effects of a facelift last?

Real facelift (rhytidectomy) results will last for years, though the longevity depends on several factors including skin quality, significant weight changes and environmental factors such as excessive sun exposure. 

When is the return to daily life after lifting surgery?

Patients with face stretching surgery can continue to their normal lives within a minimum of 1 or 2 days, but the patient needs rest for 7-10 days to remove the bruises and swelling of the coils. 

Which techniques are used in face lift surgery?

Generally, a facelift is performed using two techniques. The first method is Lifting of subcutaneous tissue called skin and SMAS, secondly, the Lifting of facial skin from the outside with the help of ropes. This method is not very permanent but it can respond to short-term requests. Surgically, it is possible to lift the face area by the operations performed from the front and back of the ear. If necessary, removal of the cheekbones and cheeks of the middle face can be done in the procedure. Finally, the forehead region is lifted up with an operation made from the ta-haired region, in which case it is lifted up in the eyebrows.

Is there an alternative to non-surgical methods for rejuvenation?

There are some chemicals used to increase facial tension, and face tension can also be increased with external threads. However, they are not as permanent and effective as surgical methods. 

Are there any procedures combined with the operation?

Depending on the condition of the person, some combined procedures can be performed in facelifts. For example, in the cases of aging, the situation that we call fat atrophy occurs, and the fat injections in these areas during the face lifting process are affected. and the wrinkles on the skin are minimized. 

Will there be permanent and disturbing traces after the Lifting operation?

Depending on the procedure performed at each surgical operation, a large or small trace remains. The most important point here is to make cuts in the least visible and invisible points. Our greatest advantage in this regard is that the cuts made from the front and back of the ear cannot be seen unless carefully examined. 

What are the causes of skin aging?

Skin aging appears on the large organs of the human body more than other organs, Because the skin is more affected by external factors.

Scientific researches shows that environmental factors are the most factors that lead to aging skin.

Also factory fumes, gases from environmental waste, busy work and inactive life leads to skin aging, therefore skin aging is more frequent in people who lives in big cities than people who lives in villages and natural environment.

Genetic factors also affect skin aging, The average age of skin aging can be estimated by looking at the family skin structure.

What are the ways to delay skin aging?

Even though it is not possible to prevent skin aging but it can be delayed. The ways to delay skin aging are the following:

  • Protection from sunlight
  • Eating foods that contain antioxidants
  • Skin moisturization
  • Drinking a lot of water
  • Stay away from smoking and drinking alcohols.
  • using natural products
  • Smiling and keeping stres out of your lifes.

What is the best age for skin face lift surgery?

Facial aging starts at different times and progresses with different speed for each person therefore, there is no best age for face lifting surgery but the recommended lower age limit is 30 years. 

Is face lift surgery a permanent solution?

Even though face lifting is the most effective way to rejuvenate the skin, but its effect do not last forever. wrinkles and deformities may start to show again due to aging Therefore, face lifting can be performed again, depending on the patient's desire. 

Is it possible to fill slim faces during face lifting surgery?

Slim faces can be filled by injecting fat into the areas that the patient complain about. 

Which areas are corrected with face lifting?

The following areas can be corrected by face lift surgery:

  • forehead region
  • brow area
  • around the eyes
  • face temples
  • cheeks
  • çene
  • jaw

Is it possible to have a face lift surgery more than one time?

Facelift surgery can be repeated after the first time due to aging and skin sagging, but because of the thinness and the very sensitive structures of the skin, the second surgery will be more risky than the first one. 

Is face lift surgery a risky operation? Can abnormal conditions occur during surgery?

Because of facelift surgeries are mostly performed at an old age and most of old people have heart problems that make them take blood-thinner medicines, these medicines lead to bleeding issues during or after the surgery so taking these medicines must be taken under the supervision of the doctor and the patient must stop taking them before a certain time from the surgery. Also smoking is highly not recommended in the pre-operative period because its adversely affect skin nutrition. 

What should be considered before and after face lift surgery?

It is necessary to use bandages very carefully to minimize the risk of subcutaneous bleeding after surgery. Other than that, sun protection creams should be used when going out under the sunlight for 3 months after surgery. 

Is there any pain after face lift surgery?

Pain is an expected situation after facelift operations. But this pain can be controlled by taking the Analgesics recommended by your doctor. 

How much face lift makes me look younger?

The rejuvenation of facial appearance after facelift operations differs depending on the technique used during the operation and the face situation before the operation. However, the average expected rejuvenation is between five and ten years. 

Does facelift surgery removes facial expressions?

The goal of facelift surgery is not to remove facial expressions, but in case of excessive lifting during the operaton facial expressions may be partially wiped out, but the main goal is to lift the face and keep its expressions at the same time. 

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© Prof. Dr. Bekir Atik, MD. All Rights Reserved.

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