Facelift and Mini Facelift Las Vegas
A facelift is one of the most common procedures done by plastic surgeons today and throughout time. A facelift is a procedure designed to reverse some of the changes that occur with time and gravity, aging, and muscle contraction. Through inconspicuous incisions around the ears, the tissues of the face can be accessed, re-positioned, and redundant tissues removed. By its very nature, facelifts only turn back the clock.
To click below to view real patient before and after images.
Doctor Parker will need to gather a thorough medical history to prepare for the facelift. He will be looking in detail at your history of smoking, weight, bleeding tendencies and underlying issues such as diabetes or high blood pressure.
A complete examination of all of your facial features is done, including upper face or brow, eyelids, cheeks, chin and neck. Doctor Parker will explain what he sees and how it relates to how aging has affected your appearance. Doctor Parker will then explain what might be done to improve each area surgically. You may not wish to take advantage of every avenue of treatment that is available for rejuvenation.
It is imperative that patients refrain from ingesting any medications or other substances that could potentially be the cause of surgical complications. A list of medications should be reviewed and discontinued at least two weeks prior to operation. Patients are seen just prior to their surgery date for a general physical examination to ensure that no underlying medical problems exist that may interfere with the safety of their surgery. Specifically, any infections that arise prior to operation, however seemingly trivial, should be reported to our office. Even an otherwise innocent infection can result in a surgical wound infection, and must be treated prior to surgery. If you have hypertension, this must be under very good control with your medications prior to surgery; you should plan to take your blood pressure medication right up to the time of your operation.
Cigarette smoking must be discontinued for one month prior to operation. Serious wound healing complications can occur in patients who are exposed to smoke, even passively.
Prophylactic antibiotics are prescribed prior to and for a few days after surgery to reduce the risk of surgical wound infection. A prescription for pain medication is also written, so that you have your pain pills when you return home from the operation.
Preoperative photographs are taken so that you can see the improvement from your surgery afterwards. We generally take postoperative photographs at 3 – 6 months after your procedure.
You will be asked to sign a surgical consent, which enumerates the risks of the procedure in detail. These risks have been explained here, but are also discussed at the consultation.You will need to arrange for an escort to drive you to and from our Surgical center. Patients cannot operate motor vehicles after surgery, and we will not place recently sedated patients into taxis for transport home. We can arrange for medical transportation in the event that you cannot find an escort. It is mandatory to have someone stay with you for at least 24 hours after surgery, for your comfort and safety.
The Facelift Procedure
Facelifts are very individualized procedures. Patients are under a local anesthetic with intravenous sedation. You will not feel the injections of local anesthetic, and you will be very drowsy throughout the procedure. Continuous monitoring of your vital signs is carried out throughout the operation.
Incisions are marked prior to taking you to the operating room. Your hair is gathered in rubber bands to keep it out of the incision lines. Minimal amounts of hair are clipped to provide exposure to do your surgery.
The procedure usually takes about three to four hours, depending on the extent of your particular procedure. Incisions are made around the ear and usually just beneath the chin to tighten muscles in the central neck area. Dr. Parker does a very thorough operation, and almost always tightens not only the skin, but also a layer of muscle and fascia just beneath the skin to give the best result with the greatest longevity. Fat pads are repositioned and secured. Excess skin is removed and the skin is then stitched with very fine suture material. Metal clips are sometimes used in scalp portions of the incision. A small drainage tube is placed just beneath the skin and is connected to a suction bulb to drain any small amounts of blood in the first 24 – 48 hours. A non-constricting bulky dressing is applied for comfort and to minimize swelling and bruising.
Following the surgery the patient’s face is wrapped in a garment to help prevent any excess bleeding which is worn for a few days. The patient will be kept overnight in the hospital for observation. The sutures are removed from around the ears at three to four days.
Remember that any surgical procedure requires a certain period of recovery. The body needs time to adjust to its new, younger look. Therefore, depending on the patient’s skin type and underlying health, it is possible (and normal) for the face to remain swollen and black and blue for up to two to three weeks. This doesn’t mean one has to stay home and hide from the public. Makeup can be worn to cover visible areas of bruising. However, the full effect of the surgery may not be accurately seen until that time.
You will need to have an escort to drive you home from the operation and to stay with you for the first 24 hours. You will also need someone to drive you to your first visit one day following your procedure. In the first day or so, it is best to do as little talking, chewing, or other movement of the face as possible in order to minimize swelling and reduce the risk of bleeding and/or bruising. You should maintain head elevation of at least 30 degrees from horizontal to keep the swelling down. There is usually only minimal discomfort following a facelift, and this is controlled with the pain medication that is prescribed. You will be advised to take an antibiotic for the five days around the day of your procedure.
The dressings will be removed on the first or second day after your surgery, and the drainage tube will be taken out. On the fourth or fifth day, most of the stitches will be removed. A couple of key stitches are left in until the ninth to tenth day.
Though you will be up and around in a day or two, you should plan to rest as much as possible for the first week. Most people take 10 –14 days off of work to recover. You should avoid vigorous activity, including sex, for two weeks after surgery (though walking and stretching are fine), avoid alcohol, steam baths, and saunas for four weeks after surgery. Sun exposure should be limited for the first several months. The face will be numb for weeks to months, and so heating pads and sun lamps are to be absolutely avoided. You should avoid bending over for three weeks.
Frequently Asked Questions
1. How long does a facelift usually last?
Depending on the patient’s age, health, smoking history and skin type, a facelift should last ten years.
2. Will a facelift help if I have a lot of facial wrinkles?
A facelift itself is not entirely effective against very fine facial lines. In addition to a facelift you might need laser resurfacing and/or botox / collagen injections.
3. Do men commonly get facelifts, and are there any special concerns?
Yes, a man’s face has more blood vessels than a woman because of the male beard. Therefore there can be a higher incidence of postoperative bleeding. Also the sideburns need to be accurately repositioned following surgery.