Facelift (Mini facelift, Neck lift, Thread lift)
Facelift is a cosmetic surgery (rhytidectomy) performed to rejuvenate the facial skin and to give a younger and aesthetic appearance. Facelift is performed to clear the smile lines, smooth the contour and tighten the neck so as to give you the look as younger as you feel.
MACS (Minimal Access Cranial Suspension) or mini facelift is a surgical procedure for the correction of sagging facial features. Unlike a normal facelift, the MACS lift is a new technique that offers the advantage of a short incision and a shorter recovery period. It is a natural facial rejuvenation often used for patients with sagging cheeks.
The procedure takes about 3 hours to complete and is performed under general or local anesthesia. During the procedure, your surgeon makes an incision in front of your ear. After making the incision, the tissues under the skin are tightened with permanent stitches. These sutures pass down to your neck, jowls and cheek fat pad. As the malar fat pad is elevated the lower eyelids are also raised, lid blepharoplasty can be done at the same time. Liposuction may also be performed to remove fatty tissue from your neck and free up more excess skin for re-draping. You need to wear a firm bulky bandage and a drain is placed behind the ears to drain extra fluids and blood.
The bandage along with the drains is removed the following day. Later on, a light chin-up bandage is worn for one week. There may be some residual bruising particularly around the eyes.
The MACS facelift is a short scar technique that gives you a fresh natural appearance. You can appear around eight to ten years younger after complete recovery. Based on your skin type and your lifestyle, the advantages of the MACS lift procedure will last for around ten years. In addition, your overall results are also affected by your diet, body weight and exposure to sunlight. Obviously, the skin will continue to age in a natural way.
Neck lift is a surgical procedure performed to improve the appearance of the neck and under the jaw line by reducing the loose sagging skin. Neck lift, also called cervicoplasty or neck lift with platysma plasty procedure is used to enhance the appearance of your neck. The procedure usually takes two to three hours, but the time may differ accordingly if other surgeries such as liposuction, facelift, brow lift are performed along with neck lift.
The procedure is performed under general or local anesthesia and a small incision is made under your chin in front and behind the ear to access the platysma (neck muscle) and tighten them as required. You doctor may also perform liposuction on the neck to remove excess fat deposits from the neck. Some excess skin is also removed through the incisions near the ears. After the muscles are tightened the skin is draped over the ear. The extra skin is then trimmed and the incisions are closed using sutures. A drain is placed on the neck to drain extra fluids to decrease the swelling and discomfort following the surgery.
Following the surgery, you will have a compression bandage to help decrease the swelling. Most patients are able to restore to normal activities after 10 to 14 days. Avoid participating in sports for at least 3 weeks.
Complications associated with neck lift include infection, swelling and bruising, tightness or tingling, burning or pulling sensation and numbness on the skin.
‘Face is an index of age’ and for women it is very concerning because ageing disfigures their charm, beauty and personality. Sagging of skin is a most common effect of ageing and women who wish to look younger than their age has various treatment options. Thread lift is one such aesthetic treatment that helps women look younger, fresh and appealing. A thread lift is a minimally invasive and safe procedure that confers permanent results for sagging skin. Aesthetician uses clear polypropylene threads with tiny barbs on it to pull the sagging facial skin on the cheeks, eye-brows and on the neck giving a smooth, fresh, rejuvenated and younger look.
Thread lift procedure is advantageous over surgical face lift in various factors:
- Minimally invasive procedure
- Minimal bruising and scarring and minimal recovery time
- Affordable procedure
- Short-duration procedure
- Minimal risk because of use of local anesthetic
- Permanent results
- appropriate for mild sagging tissue
- Totally reversible procedure
It is ideal for both men and women in the age group of 35 and 60 years. It can also be combined with other procedures such as wrinkle treatment, dermal fillers, thermage and liposuction of the neck for much better results. The results are permanent but new threads need to be added as one ages and skin sags further.
Thread lift is recommended in individuals with mild sagging. Individuals with excessive sagging are not ideal candidates instead they require surgical facelift and brow lift procedures. Also, those with thin skin and little facial fat are not considered for this procedure. A cosmetic surgeon assesses all the factors in first visit and suggests appropriate treatment for sagging skin. During the consultation, the surgeon also shows the results than can be expected. Surgeon also demonstrate how the sagging skin becomes firm and smooth by pulling skin gently, upwards with his/her hand near the hairline as the threads would do after the procedure.
The procedure is done under local anesthetic and in some cases mild sedation is required to relieve anxiety. The threads used for the procedure are safe as they are made of polypropylene which is also the material of choice for suture threads. These threads are not smooth but have tiny barbs evenly all along the length of the thread which help it to hold and lift the sub-dermal tissue when the threads are pulled. The surgeon inserts barbed threads through incision near the hair line below the skin along the lines marked on the face prior to the procedure. The threads are cut and knotted at the other end. Threads are pulled from one side to lift the skin and are fixed to the deeper and firmer tissue of the face. Threads are left in place permanently to maintain the lift. Collagen fibers naturally form along these threads and maintain the effect. Often, two threads are inserted on each side of the face for the facelift. The number of threads used depends on the severity of sagging. The procedure lasts for 30 to 60 minutes and is done as out-patient procedure so patients can go home soon after the procedure. However, duration of treatment varies with number of threads used to get the desired improvement. Significant improvement is seen with single session of treatment.
Mild bruising and swelling is normal after the procedure that subsides in few days. It is a safe procedure and the risks can be minimized when procedure is done by an experienced surgeon. The procedure is totally reversible and threads can be removed if desired results are not achieved.