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Rhytidectomy (a.k.a. Face Lift):

Facelift is a general term applied to diverse procedures to elevate the facial structures and tighten the facial skin, with the main objective of reducing wrinkles and giving an overall more youthful appearance.

The bony structure of the face, heredity factors and cutaneous texture all play important roles in the final outcome of the rhytidectomy.

The ‘face lift’ usually involves the area of the neck, ‘jowls’ or sagging skin of the jaw area, cheeks, perioral (area round the mouth), periorbital (area around the eyes) and forehead. Sometimes the adjustment of the area of the forehead and eyebrows must be done as separate procedures depending upon the existing skin turgor (or laxity).

Face lift incisions are made on the inside of the hairline, through the existing skin folds in front of the ears, continuing behind the ear and following the natural hairline. In many instances, the incisions are extended through subcutaneous tissues and into the muscular tissue. Flaccid muscles of the face are then sutured and “tightened”, as are the layers of skin and subcutaneous tissue. This gives the entire face an overall “firmer” appearance.

Following surgery, there is normally quite a bit of swelling and bruising, sensation of facial tenseness and possibly some sponginess of some areas of the face and neck. Within two to four weeks, these sensations will dissipate and the bruising will heal. Most of the scarring will be hidden within the natural hairline and normal skin folds around the ears. Scars behind the ears can be easily hidden with an appropriate hairstyle.

The patient should not expect to be able to wash or brush hair for quite some time…some surgeons advise waiting at least one month. It is also usually recommended that the patient avoid sun exposure and to use sunscreen and hydrating lotions to keep the skin moist.

It is no longer advised that a patient wait until 60 to 70 years of age before undergoing rhytidectomy. In fact, many surgeons recommend getting “mini- face lifts” starting as early as the 40’s.

Good results are much easier to achieve and maintain if smaller procedures are performed as “preventative measures”, before the face looses muscular turgor and the skin becomes thin and flaccid. It is much easier to maintain a youthful appearance than it is to regain a youthful appearance!

In expert hands, complications resulting from this procedure are very few and mostly transitory, i.e. hematomas, defects of healing, cutaneous injuries, loss of hair at scar areas, altered motility of eyebrows or lips, numbness, tingling and loss of sensation in the face, as well as local infection of the incision lines. Risks associated with the procedure are statistically rare, and are widely compensated by the positive result of the surgery.

CITATION: The preceding was an exerpt from
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  Featured Article

Plastic Surgery Goes Mainstream


By Lloyd M. Krieger, MD

Plastic surgery has historically been viewed as an exclusive and costly service only the rich and famous could afford to pursue. Not anymore.


With even the most dramatic and promising cosmetic surgery procedures becoming safer, more common and far less complicated than ever as well as a growing inventory of options now available for financing plastic surgery of all forms is becoming an increasingly popular life-enhancement choice for the middle class.

As a plastic surgeon in California I can say that our plastic surgery center in Beverly Hills is a good case in point. People in the entertainment industry seeking enhancement surgeries and other cosmetic reconstruction now share seats in our waiting room with mothers from the suburbs, college coeds and a growing number of men from a wide variety of ethnic backgrounds. At our center, we may have many clients from the entertainment industry, but we treat everybody like a celebrity.

There is a distinct demographic shift taking place today. Plastic surgery is becoming a growing phenomenon among the middle class because the perception that it is exclusively an option for rich white women is waning. We are seeing people from all walks of life seeking cosmetic surgery – people from a wide variety of age groups, ethnicities, family situations, and economic stations.

Rodeo Drive Plastic Surgery also offers our patients customized plastic surgery financing packages to cover individual procedures, such the "Rodeo Drive Mommy Makeover" a popular choice for large numbers of Latino women in their 20's and 30's. The mommy makeover includes a tummy tuck, breast lift and frequently a breast augmentation with a small breast implant. The procedure helps the moms get their body back to the way it was before they began having babies.

Financing plastic surgery is becoming a popular option for those who do not have cash set aside. Others are socking money away for a variety of procedures, much as they would for any luxury item or family vacation. A lot of people save up for the surgery, and others chose to do plastic surgery financing. They are shifting their views on the expenses involved and see surgery as an important investment and first step toward an enhancement plan for the rest of their lives.

Part of the change comes because today’s plastic surgery is performed using improved technology. This results in less expensive and safer procedures with less down time. So now people with responsibilities both at work and at home can take time out for procedures, removing plastic surgery from the exclusive provenance of the leisure class. 

We also are doing most cosmetic surgery procedures in outpatient plastic surgery centers which greatly improves the ease and convenience of procedures when compared to those done in the hospital setting.

About the Author: Lloyd M. Krieger, MD is a plastic surgeon in California and medical director of Rodeo Drive Plastic Surgery in Beverly Hills, which specializes in breast augmentation

Source: www.isnare.com

 

  Plastic Surgery News

Cosmetic Medicine / Plastic Surgery News From Medical News Today
Updated :

Few Consult Their GP Before Plumping For Cosmetic Surgery, Says Which? UK
Only around one in eight people consult their GP before deciding to have cosmetic surgery or treatments, shows new Which? research1. Although the cosmetic surgery industry will have increased 110 per cent by 20112, the lack of independent, user-friendly advice poses a serious problem, says the consumer champion - particularly if people don't think to consult their GP. [click link for full article]
Publ.Date : Sat, 19 May 2007 01:00:00 PDT

Physicians Converge On Washington D.C. To Explore Adding Aesthetic Procedures To Their Medical Practices
Oakstone Medical Publishing will be conducting an intensive two-day Aesthetic Laser Workshop for physicians in Washington D.C. on June 9-10, 2007. MedSurge Advances is the corporate grantor for the workshop. This month, physicians will gather at the Hyatt Regency Washington D.C. in Washington D.C. [click link for full article]
Publ.Date : Fri, 18 May 2007 12:00:00 PDT

AAFPRS Brings The Latest Developments In Facial Plastic Surgery To Boston
The Educational and Research Foundation for the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) will hold its Advances in Rhinoplasty Exhibit on June 28 - July 2, 2007, at the Westin Boston Waterfront in Boston. The conference is designed to enable facial plastic surgeons from around the globe to learn the latest rhinoplasty techniques while reinforcing skills and methods through focused panels and presentations of acknowledged rhinoplasty experts. [click link for full article]
Publ.Date : Fri, 18 May 2007 12:00:00 PDT

Death From Cosmetic Surgery Is Never Acceptable
Olivia Goldsmith, author of 'The First Wives' Club,' died having cosmetic surgery. This, as well as virtually every, reported death from cosmetic surgery was avoidable. With a 446% increase in cosmetic procedures since 1997, Friedberg's Anesthesia in Cosmetic Surgery from Cambridge University Press is a timely arrival. [click link for full article]
Publ.Date : Fri, 18 May 2007 12:00:00 PDT

Surgeons Rebuild Iraq War Veteran's Entire Nose Using His Own Body Parts
Technology, developed for surgery after nasal cancers, used in multiple reconstructive operations on 23-year-old whose face was disfigured. It took only seconds for the Humvee to flip over and crash on a highway near Camp Bucca in southern Iraq in August 2005. The force of impact was blunted by the body armor protecting Senior Airman Michael Fletcher. But his gear was not strong enough to stop the wreck from crushing the rest of him. [click link for full article]
Publ.Date : Wed, 16 May 2007 12:00:00 PDT

'Achieving Facial Harmony': Cosmetic Surgery Times Features Dr. Slupchynskyj's Patented S-implant In Recent Article
Cosmetic Surgery Times, a publishing industry leader in the cosmetic surgery arena, featured Dr. Oleh Slupchynskyj in a recent article on March 1st, 2007, "Achieving Facial Harmony: Novel S-implant addresses complexities of African-American rhinoplasty." The article subject, "Achieving Facial Harmony," is timely based on the steady increase in plastic surgery procedures among ethnic groups. [click link for full article]
Publ.Date : Tue, 15 May 2007 12:00:00 PDT

American Society For Aesthetic Plastic Surgery Warns Patients To Steer Clear Of Injection Fat Loss Treatments
The American Society for Aesthetic Plastic Surgery (ASAPS) released today a warning against the use of injection fat loss treatments. Patients are advised to avoid these procedures, which are commonly known as lipolysis, mesotherapy, or the brand names Lipodissolve and Lipostabil. Although marketed as fat loss treatments, these procedures are scientifically unproven, lacking any objective data on safety and efficacy. [click link for full article]
Publ.Date : Tue, 15 May 2007 00:00:00 PDT

Only 15 Percent Of Bariatric Patients Follow-up With Plastic Surgery, ASPS Report Says
Bariatric surgery to treat morbid obesity is poised to become the most prevalent major surgery in the United States. However, while most bariatric patients consider plastic surgery to re-contour their bodies after losing weight, less than 15 percent of patients will actually have it, according to a Safety and Efficacy Report in Plastic and Reconstructive Surgery(R), the official medical journal of the American Society of Plastic Surgeons (ASPS). [click link for full article]
Publ.Date : Tue, 15 May 2007 00:00:00 PDT

 
 
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