Depending on the extent of the aging process, a facelift can be performed using various cutting techniques and methods.
The following surgical procedures are conceivable:
Conventional facelift
The incision begins at the hairline of the temples and extends behind the ear into the hairy area of the scalp. Fatty tissue can be shaped and redistributed in the face, cheeks and neck. The underlying tissue is repositioned, often deep tissue layers are tightened. After that, the excess skin is removed.
SMAS-Lift (Superficial Musculo Aponeurotic System-Lift)
Here, skin, superficial connective tissue layer (SMAS) and the underlying layers are detached from each other. The SMAS tissue is tightened and anchored again. Although this streamlining of the deeper connective tissue is a more complex process, it can be used to achieve very natural, lasting results. However, the method is not suitable for every type.
Mini-Lift, MACS-Lift (Minimal Access Cranial Suspension-Lift)
With the mini-lift, shorter incisions are made if the age changes are not significant. It is often possible to do without a tightening of deeper tissue layers, which results in a shorter scar. In a mini-lift, additional threads are inserted through a minimal incision, the face and neck tighten. Whether the MACS-Lift or Mini-Lift comes into question is determined in a personal interview after a careful examination.
Neck lift
Hanging jowls, loose skin on the neck and fat deposits under the chin can be corrected with a neck lift. The incision starts at the earlobe and extends behind the ear to the lower scalp. For corrections in the neck area, a second incision may need to be made under the chin.
Additional measures
In many cases, the methods described above are complemented by measures such as augmentation of the neck and cheeks, the re-transplantation of the fat gained in the zygomatic region (volume improvement) or surgical measures such as brow or forehead lift.
After Lifting
After the operation, you’ll need patience as the puffiness must recede. After a facelift, a bandage is worn around the head for a few days. During this time, excessive movements, especially of the facial muscles, should be avoided at all costs and the head should be elevated as high as possible. After approx. 10 days, the stitches are removed and after 3 weeks at the latest the swellings should have subsided to the extent that one can actively participate in social life again. Avoid wearing garments that must be pulled over your head. Lymph drainage is recommended as aftercare.