The face and neck skin sagging is removed by face lifting surgery, if there is fat under the chin, it is eliminated.
The ideal candidates for face lift surgery are those whose face and neck skin began to sag, but the skin still has not lost full elasticity, and there are no other serious health problems. Usually, this surgery is applied to men and women over 40 years old. Besides the face lift surgery, to make the face look more beautiful and younger, nose and eyelid aesthetics, forehead lift, muscle lifting, skin resurfacing with laser can be added. Injection of fillers (oil, hyalurinic acid etc.) or peeling (mechanical, chemical, laser) can be done for slight wrinkles.
Classical face lift surgery is performed in hospital conditions, under the supervision of anesthesiologist, in the operating room. As well as general anesthesia, local anesthesia and intravenous sedation can be applied. Normally it takes 2-2.5 hours. It is possible to go home on the same day. If additional procedures (nose, eyelid, etc.) are performed, surgery may be prolonged. In this case, stay in the hospital is for 1 night. Face lift surgery is a surgery that leaves a mark. However, this trace is not clear. The scars are hidden in the scalp in the temporal area, in front of and behind the ears. If the fat under the chin are removed, a scar of 3 - 5 mm remains in the unseen area under the chin, and if the eyelid and forehead stretching are added, additional scars remain on the eyelids and forehead. However, in general, these marks are unclear and concealable.
The early postoperative period is usually comfortable. The face may have a general feeling of bumps and bruising, drowsiness and tension. During the surgery, facial nerves may be slightly affected by anesthesia, so there may be slight asymmetries on the face. They spontaneously pass within 3-5 days. Head gauze is applied, leaving eyes, nose and mouth open.
Rarely, a pipe called a drain can be placed to prevent blood congestion. Since male patients have a rich blood supply to the face skin, it may be necessary to insert a drain because bleeding and blood clots are more common. Drains are removed within 2 days at the latest. The dressing opens after 2 days. General inspection and dressing change is made. The hair is washed and, if necessary, the dressing is put back in. Sutures are removed after 5-7 days.
Surgery gives good results. Rarely, second corrections may be necessary. The patient may return to work and put on make up after 1 week. It is recommended to avoid heavy exercises and excessive sunlight for 2 months and to protect against external impacts. In male patients, the distance between the back of the ear and the scalp narrows. Therefore, they should pay attention when shaving. If necessary, there may be a need to epilate this area. Male patients are advised not to have a beard shave for 2-3 weeks. Since the shape given to the skin of the face and neck will be affected in years due to gravity, it is sometimes 5-10 years and sometimes permanent for the body.
There are transverse lines on the forehead, which normally vary in depth from person to person. These lines become vertical between the muscles. Forehead skin, as in facial skin, begins to get loose, sags and the existing lines deepen in parallel with the progress of age. Over time, the muscles go down and a tired-looking facial expression appears. Poor nutrition, smoking, unregulated lifestyle, stress, air pollution, poor or no skin care, gravitational effects and facial expressions make this aesthetically uncomfortable result easier.
This surgery is generally performed on male and female patients over 40 years of age with no other health problems. The forehead stretching operation minimizes the lines on the forehead. The muscles hanging over the eye are lifted and brought to the place where they should be, and the person is given a fresh look and at the same time, some of the lines near the eyes can be removed to some extent. If there is a large amount of sagging and the skin needs to be removed, the classic forehead stretching method is applied. In the classical method, a crown-like scar remains 4 to 5 cm behind the hairline but is hidden in the scalp. However, when this method is applied, there is a long time temporary loss of sensation in the scalp. Muscle lifting surgery performed to put the muscles in their normal position is an operation intertwined with forehead stretching surgery. There is no need for another muscle lifting surgery. Stretching muscles and partially stretching the forehead by entering only from the temporal region is not a preferred method.
Forehead stretching surgery can be performed by endoscopic method recently. In patients who do not need to remove excess tissue, the same result can be obtained with 3 or 4 2 cm incisions in the scalp behind the hair line. This method is used in most of the patients. In this method, it is more comfortable after surgery, there is no loss of sensation in the scalp or it is minimal. Surgery is performed in the operating room under hospital conditions, under the supervision of the anesthesiologist. As well as general anesthesia, local anesthesia and intravenous sedation can be applied. It takes about 1.5-2 hours. It is possible to go home on the same day. It can be applied at the same time with other aesthetic surgeries as necessary. Then the duration of surgery and hospital stay is prolonged.
The early postoperative period is usually comfortable. There may be general swelling and bruising on the forehead and around the eyes. There may be drowsiness and a feeling of tension. These are spontaneous within 2 weeks. Head gauze is applied, leaving eyes, nose and mouth open. The dressing opens after 2 days. General inspection and dressing change is made. The hair is washed and, if necessary, the wrap is put back in. Sutures are removed after 5-7 days.
Surgery gives good results. Rarely retouching may be necessary. The person can go back to work after 2 weeks and put on make up. It is recommended to avoid heavy exercises and sun for 2 months and to protect against external impacts. The shape given to the forehead and muscles is affected by gravity and sometimes lasts for 5-10 years and sometimes for life.
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