The cervico-facial face lift

The purpose of this intervention is to correct the depression of tissues of the face and the neck (cheeks, jowls, contour of the face and neck) and to attenuate the wrinkles. This depression of tissues is due to the negotiable instrument of the age like to the various aggressions (prolonged exposure with the sun, tobacco, daily stress, and others). The skin distends and is refined, and the oval of the face loses its definition. The cervico-facial face lift acts on the skin which it gives in voltage, but also on the subjacent muscular level which is also sagging.
This double share makes it possible to obtain a more satisfactory and more durable result.
The existence of an accumulation of grease (double-chin, fatty neck, fat jowls) is corrected by an associated . The cervico-facial face lift perhaps associated with others possible gestures:

• a surgery of the eyelids ,
• a frontal face lift,
• processing of the wrinkles by a face scrub, an abrasion or with the laser.

The cervico-facial face lift makes it possible to often obtain results very Nets and the negotiable instrument of renovation as well on the physical level as psychological is manifest.

Best the indications of the cervico-facial face lift are:

• a depression of the skin, in particular of the oval of the face
• a neck wrinkled with a cutaneous and greasy excess,

The cervico-facial face lift is practiced at the woman as well as at the man and it is realizable when the signs of ageing appear.
The Middle Age of the patients is from 45 to 50 years, sometimes more precociously after a reducing for example, or later according to qualities of tissues and the way of life.

This consultation is very important because it makes it possible to determine your motivations well and to specify the technical possibilities.
The analysis of your face will make it possible as well as possible to define the quality of the tissues (texture and skin turgor, importance of the wrinkles, the quality of deep tissues and the structure of the bones of your face), which will direct the operational gesture.
The surgeon will seek by a meticulous medical history and surgical interrogation, in particular the concept of arterial hypertension, mailmen allergic or cicatricial problems.
Also the dietary habits, the way of life, the nicotinic mailman and the exposure to sun will be specified.
This consultation will end in the capture of photographs which will be used as a basis at the time of the intervention and for the evaluation of the post-operative results.

A consultation with a doctor anesthetist will be programmed before the intervention containing a general and cardiovascular clinical exam complete making use of tests of laboratories.
The doctor anesthetist will give you precise details on drinks, the fuel supply, the medicines to avoid or prohibited the previous days surgical operation.
If your hair is cut very short, perhaps you will prefer let them push so that they can hide skin incisions until the complete cicatrization.

Which type of anesthesia will be practiced?
Generally, and when that is possible, an neurolept-analgesia is practiced. It is about a sufficient anesthesia so that the intervention can take place under the best conditions, without requiring a general anesthesia obligatorily.
In certain cases, if the patient wishes it, a general anesthesia will be practiced.
It is possible also to carry out this intervention under local anesthesia according to the importance of the operational gesture and according to the degree of anxiety of the patient.
The mode of anesthesia, like the operational gesture, are thus adapted to each particular case.

Which is the duration of the intervention?
The cervico-facial face lift lasts on average two hours.
Of course, if additional gestures are provided for, the time of intervention will be prolonged of as much (surgery of the eyelids, processing of the wrinkles…).

Will there be visible cicatrices?
Skin incision is discrete.
- it starts in the temporal region in inside of the line of the hair.
- it is prolonged inside the ear, on the natural line.
- it circumvents the ear lobe to be prolonged behind.
The incisions thus are mainly hidden by the hair, and easily dissimulated.

How is held the intervention?
A of the neck is often carried out initially to make it possible to obtain the better definition of the angle and best given in voltage of the neck.
It corrects double-chin and , then the incision allows the cutaneous processing.
The handing-over in voltage of the subjacent plan will be adapted to each case to preserve a natural expression.
The joining is generally carried out by wire .

Which type of bandage will be used?
A slightly compressive bandage is set up to protect the cicatrices and the operated area. It is maintained during 1 or 2 days.

Which is the duration of the hospitalization?
It is in general of twenty-four at forty-eight hours.

Into post-operative, and in general the first week, there exists an edema and bruises on the level of the face. The continuations are in fact seldom painful but rather unpleasant. Of course, a processing will be prescribed to attenuate this facial edema.
In general, the second week is marked by the resorption of the edema and make-up and make-up foundation are possible as from 10 days after the operation (the man while letting push its beard allows to mask its post-operative disadvantages easily).
A normal activity of type social and professional is possible on average after three weeks. Regular controls will be carried out during which care will be given.
The wire used are in general spontaneously.

Like any surgical operation, the cervico-facial face lift can have some general complications: infection, hematoma or anesthetic complication. These complications are rare.
In a more specific way, it can occur of the cicatricial risks, in particular at the people with fragile skin, exposed to the sun, or who smoke. These risks appear by a more visible cicatrice, sometimes thick, in particular in the retro-auricular area (behind the ear).
Specific attention and personalized will be prescribed.
Enough often, the cutaneous sensitivity is attenuated and becomes again fine and precise in a few months.
Nervous complications on the level of the branches of the facial nerve are rare because the anatomical way of this nerve is deeper than the plan of the face lift.

The first week, a rest is advised. A progressive renewal of activity can be assured at the end of two to three weeks with consultings conversation and cutaneous hydration. It will be necessary to avoid an sports activity during the first month and to avoid exposing itself to the sun in both, three months which follows the operation (use of a total screen advised).
The mailmen which compromise cutaneous vitality will be to avoid, such as for example the tobacco, or the sun exposure.
The first shampoos are possible as of the fourth post-operative day and so of the care of coloring or dyeing are considered, they can the being at the end of three weeks.
The cicatrices, in general discrete will be masked by a make-up foundation or an artifice of hairstyle.
Several consultations will be programmed to follow the development, the cicatrization, and to give the consultings best adapted.

It is function of the quality of tissues and the care which is taken there. Also way of life and variations of weight.
The cervico-facial face lift lasts one effectiveness from 7 to 10 years when the gesture is adapted, carried out on the skin, the muscles, and lubricates it if necessary.

This intervention which profited from recent advances, makes it possible to often obtain a result very Net and the negotiable instrument of renovation is manifest as well on the physical level as psychological.
The duration of the result obtained depends on the quality of the skin and the care which is taken to him, the average duration being from seven to ten years.
Frequently, and after a preliminary preparation of the skin, it is practiced in partnership with a cervico-facial face lift, a surface face scrub which attenuates the little wrinkles of the face and contributes to improve quality of tissues.