The face lift operation may be divided into three parts: the forehead or eyebrow lift (the upper one-third), the cheek lift (the middle one-third), and the neck-jowl lift (the lower one-third). Most people require all three components but occasionally only one or two portions are recommended. Your plastic surgeon will advise you in your particular situa,tion. Most people seeking ,neck lifts, require some lifting of the cheeks in order to avoid ,puckering, of the skin around the ears.

Face lift may be done for one or two reasons: to help prevent the advancement of aging, i.e., to help relatively young indi,viduals (about 50 or less) to appear to stay young. The second reason is to assist one who is already wrinkled or whose skin sags to appear younger, fresher and more rested,to help one recapture the appear,ance once enjoyed.
Naturally, everyone contemplating the operation is interested in how much improvement they can expect, and for what duration. The amount of improve,ment depends on the degree of wrinkling and sagging present; if it is excessive, the results may be dramatic; if sagging is occurring prematurely and the operation is being done to attempt to keep the patient looking young, the improvement may be more subtle. Remarks may be made that the skin appears ,less tired, and the face ,looks more alive, rested and fresher., Some people look as though they have ,lost weight, because the heaviness along the jaw-line and in the neck is improved.

How Long Does Face Lift Last,
The duration of the results achieved with a face and neck lift cannot always be accurately predicted. If wrinkling and/or sagging are severe it will obviously take years before the condition becomes as bad as it was before surgery. If the natural degenerative process in the skin is occur,ring rapidly, wrinkling and sagging will also accumulate more rapidly. This is pre,cisely when tuck-up procedures are helpful.
Liposuction can remove unwanted fat from the neck and jaw-line. When com,bined with tightening sagging muscles and skin in patients undergoing facial plastic surgery liposuction can improve the results. A face that is simply ,fat, however, may be improved, but for a short time.
In ideal cases, however, the duration of improvement following face lift is often from five (5) to ten (10) years. No opera,tion can permanently prevent aging but the individual should never appear as old as (s)he might have if the operation had not been done.
Any sagging noticed after a face lift is a result of the continuation of the aging pro,cess. When sagging becomes a problem again, a ,tuck-up, procedure can be done which may provide dramatic and long-lasting improvement. For the best results every patient should be evaluated within a year or two following surgery, a ,tuck-up, may or may not be considered at this time. Claims that some surgeon,s face lifts, ,last longer, should be viewed with skepti,cism. ,Over-doing, surgery in an attempt to have a ,tight, appearance for a longer time is fraught with problems. On the same token, there are physicians that deceptively use the phrase ,face lift, to advertise procedures that deviate from the main concept and techniques of proven traditional face lift. Procedures like ,liquid face lift,, non-surgical face lift, thread lifts utilize completely different technique than traditional face lift and their longevity and results are not anything like face lift done by a skilled plastic surgeon.
A face lift simply removes the slack which occurred due to the breaking down of the elastic tissues in the skin as part of the aging process; however, like any mate,rial that has elasticity, a second tightening may be helpful. The foundation created by the initial face lift creates the desired situ,ation for a ,tuck-up., It is not necessary however, to have additional cosmetic surgery. The ,tuck-up, becomes simply part of a ,maintenance program.,

About the Face Lift Surgery
Technically, the face lift operation con,sists of repositioning and supporting the sagging skin and the underlying tissues of the face and removing the excess skin and fat.
A skilled face lift plastic surgeon camouflages the incisions with the adja,cent hair or by the natural creases and folds of the ears. During preparation for surgery, it is not necessary to shave the hair in the temporal and forehead regions or behind the ear.
A turban-type head bandage is worn the night following surgery but it is gen,erally removed the next morning. The face may be swollen and some discol,oration may be present. This discol,oration usually fades away within about 7-14 days. Patients can return to most of their ,normal routine, within one or two weeks. But the face and neck may feel ,tight, and movement will be restricted. This is to be expected as long as the tis,sues are swollen. The patient returns in about a week to have the sutures and clips removed. Makeup may be worn by seven (7) to ten (10 days and (s)he should be able to return to work and carefully drive an automobile in about one or two weeks

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