Facelift surgery is a type of plastic surgery performed to eliminate the deformation and sagging of the facial skin, facial bones and facial mimic muscles with aging.
With aging, the melting of the bones, especially in the jawbone, causes the skin to be abundant and thus sagging. Smoking and high exposure to sunlight are also among the factors that deepen and make skin wrinkles permanent.
In face lift surgeries performed for the treatment of sagging, wrinkles and clefts in the entire face and neck skin, first of all, the stretching procedure is performed for the muscles and connective tissues in the lower part of the skin, and the excess fat accumulated in the skin is removed at the next stage. After the excess fat accumulated on the skin is removed, the incisions made during the facelift surgery are closed.
After facelift surgeries, a light dressing treatment is applied to the operation area and the operation is completed. Some of the patients who have undergone surgery may feel mild pain after the surgery; Postoperative pain can be controlled using very low doses of painkillers. After the operations, the face is protected with a bandage so that the face is not affected by external factors.
Sutures on the face disappear completely within a maximum of 7 days after face lift surgeries. The scars and the feeling of tension on the face disappear after a certain period of time.
Facelift surgery can also be performed on patients who have undergone this surgery before. It is a fact that facial aging will continue after face lift surgeries; for this reason, facelift operations for the second time are applied to some patients.
What is Young Face?
As a result of reaching a certain age or with the sagging of the skin and subcutaneous tissues as a result of environmental and genetic factors in the early period, the appearance we call an old face appears in the person. While the cheekbones and cheek area of the young face form the fullest part of the face, the face begins to thin towards the chin. When viewed from the front, the young face looks like an isosceles triangle with a base up.
The young face is described as a triangle with the base on the cheekbones and the top in the chin area.
Due to the reasons I have mentioned before, this inverted triangle image gradually becomes a quadrilateral with the shifting of the skin and subcutaneous tissues towards the chin. The main reasons for all these situations are the displacement of subcutaneous tissues and adipose tissue towards the chin part of the face due to gravity, and the displacement of the tissues in and around the face, especially the cheekbones, towards the middle and lower parts of the face. At the same time, tissue subcutaneous tissue losses due to age can also cause this appearance.
What is Aged Face?
The skin and subcutaneous tissue on the aged face are displaced downwards, creating a square or rectangular image on the face.
Face Lift Surgeries
Face lift surgeries are very diverse. There are many techniques, such as stretching the SMAS tissue, starting only without stretching the skin.
What is SMAS?
SMAS is a structure that is roughly a mixture of muscle membrane or connective tissue located between the facial muscles and the skin, which plays the most important role in the downward sagging of the face, and is tightly attached to the skin.
SMAS Anatomical View
Image of SMAS anatomical structure between skin and mimic muscles. It is one of the main tissues that hang the skin on the facial bones.
This structure loosens over time and accordingly, the face sags downward on the skin. If only the skin is stretched without tightening this structure, facelift operations result in sagging of the face in the very early period. Therefore, SMAS stretching is required. In this stretching process, although partial SMAS stretching or only stretching with stitches without separating the SMAS tissue from the face stretches the face, in my opinion, it still provides a short-acting stretching.
In the technique I have done, SMAS is prepared at the maximum level that can be surgically performed (Extended High SMAS Technique). Thus, it provides the surgeon with considerable freedom to stretch the face and the face can be stretched to the maximum degree. However, there are some risks when applying this technique. While the SMAS is released so widely, it is very close to the facial nerves. Therefore, this surgery is performed successfully without these risks by surgeons who have microsurgery experience or who have mastered facial anatomy. I do it with special glasses and surgical instruments that enlarge the surgical field I use while performing microsurgery in facelift surgery. In this way, the risks I have counted are eliminated.
Some surgeons perform simpler SMAS stretching or partial lifting without taking these risks. However, in my opinion, these techniques do not provide the necessary tension on the face and provide a short-term tension.
My anatomical studies on facial anatomy and the experience I gained from face transplantation before my face transplant surgery provide me convenience when applying this technique. I also add neck lift surgery to my surgical procedure as an integral part of the same surgery. Because the surgical site is the same area.
In addition to being easy to reach the neck in this way, many patients need face and neck stretching together. In addition to the sagging of the neck, the tension of the platysma muscle can be achieved and the desired right angle in the neck can be achieved.
Since I consider the face as a whole in my face lift surgeries, I mostly add fat injections, upper eyelid aesthetics, forehead lift or eyebrow lift surgeries to facelift surgery. After the operation, patients return to their social life within approximately 10-15 days. I ask the patients to stop smoking at least 10 days before surgery. This type of surgery does not include an operation and post-operative process that will cause pain and distress.