Facelift surgery is a commonly performed cosmetic procedure nowadays. With ageing, the skin of the face gets loose and the fat of the face is decreased. It gives an old look and the development of wrinkles on the face. A young person face is triangular-shaped but as the person gets aged his/her face gets changed to a quadrangular face and skin around the jaw become loose and jawline prominence gets finished and nasolabial folds/ laugh line becomes more obvious. Along with that he or she can have loose skin in the chin and neck area and around the eyes. These changes lead to an old look of patients and he or she loses his/her confidence as everyone wants to look young and attractive. For this concern, the trend of facelift procedures is increasing day by day.
Dr Abdul Malik is doing this surgery in Multan at Medicare Hospital Multan (0345-4492128).
Techniques of Face Lift Surgery
There are different techniques used for a facelift. These are non-surgical and surgical techniques. Non-surgical techniques are temporary and their effect is for 6-12 months and surgical techniques have long-lasting results for about 8-10 years usually.
1. Vampire facelift:
In which patients own blood is taken, processed and PRP is prepared and injected on the face. This PRP therapy gives help by doing remodelling of skin and skin tightening but it needs to have multiple sessions repeated every month for 4-5 sessions.
2. Facelift with thread lift procedure:
In which multiple different threads are used to lift the skin and its downtime is v minimal around 1-2 days but its results remain for 6-12 months.
3. MAC lift procedure:
Means short scar facelift surgery in which the cut is just in front of the ear.
4. Standard facelift procedure:
In which facelift incision is in front of the ear and little behind the ear.
5. Facelift with neck lift surgery:
In this technique, a facelift surgical procedure is performed with Neck Lift surgery.
Assessment and Preparation
The client/patient visits the clinic and Dr Abdul malik himself consult with the patient. During Consultation details about the history of the patient is inquired and any Comorbid condition or disease problem which patient is suffering is known as diabetes mellitus, blood pressure issue/hypertension, heart problem, hepatitis B, C and any medications patient is taking is inquired.
After the detailed history then detailed examination is done and the patients face is examined to check for wrinkles around eyelids and cheek, loose cheek skin, jawline and loose skin around the jawline, laugh lines or nasolabial folds, loose skin in front of the neck and prominent neck bands are assessed. Then concerns of patients are noted and different techniques of the facelift are discussed by Dr Abdul malik with the patient. Dr Abdul malik then explains the procedure details, their timing of surgery, post-operative care and recovery, outcome and any side effects/complications of the procedure. After that patient is advised for blood tests and ECG and chest X-ray for fitness for anaesthesia and is advised about control of sugar and blood pressure if the patient is suffering from diabetes or blood pressure issue and fitness from treating physician is taken before proceeding for surgery to avoid any complications.
Dr Abdul Malik Plastic Surgeon performs the procedure in both local anaesthesia or general anaesthesia depending upon the techniques of facelift surgery and comfort level of the patient after a detailed discussion with the patient during the consultation. After anaesthesia, the area is made sterilized with paint and draped to avoid infection. Then infiltration of the solution is done and after 7-10 minutes incision is given on a preoperatively marked incision. Then dissection is done and the skin flap is lifted. Then underlying muscle (SMAS) is assessed. If needed that SMAS muscle is resected mean part of the loose muscle is removed then the muscle is tightened or plicated to maintain the shape for the long term by using non-absorbable sutures. After that hemostasis is secured, the wound is washed and then extra skin is removed and the skin is stitched back. The same process is repeated on another side of the face. Then symmetry is checked and dressing is done.
Postoperative Care and Recovery
The patient is shifted to the recovery room after the surgery. The patient can be discharged on the same day if operated under local anaesthesia or can be kept in Hospital for 1 day if the procedure is done by general anaesthesia. The patient is advised to lay down or sleep straight and head side elevated with pillows for 2-3 days. If a patient is a smoker, he or she is advised to stop smoking 4 weeks before and 4 weeks after surgery or at least decrease the frequency of smoking to avoid delay in healing. The dressing is changed after 2 days and then Polyfax cream is applied over the stitches. Stitches are removed after 7 days and Steri strips are applied to keep the wound edges approximated. The patient is advised to massage to camouflage the scar and achieve symmetry on both sides. Swelling and bruising can occur which is usually settled in 7 to 10 days. The patient is advised to take a soft diet. Oedema is settled in about 2-month time and good results are achieved in about 2-3 months. After a week time patient can start his or her routine work back.
Benefits and Side Effects
Advise of Dr Abdul Malik is that always see before the procedure is performed that u are going to have the treatment done by an experienced and trained plastic surgeon.
Benefits of the procedure include:
- The youthful appearance of the patient
- 10-12 years younger look
- Increased confidence level
- Reduction in laugh line/improvement of a laugh line
- Jawline definition
- Regain of triangular shape back
- Symmetry of face
- Correction of wrinkles
- Correction of the loose neck and youthful neck shape
Side effects although which are part of the procedure and usually settle with time are:
- Hematoma formation/ blood collection
- Wound breakdown
- Nerve damage/ altered sensation for some time usually recover in 4-6 weeks
- Skin flap blood supply compromise
- The asymmetrical shape of the face
- Visible scar
- Scar hypertrophy
Cost Of Facelift Surgery
The cost of Facelift surgery in Pakistan is in the range of 85,000 to 1,50,000 Pakistani rupees.
Also, facelift surgery can be combined with different other procedures like eyelid/eyebags surgery or blepharoplasty, eyebrow lift surgery, Botox injection, fat injection to face or filler injection to face or lips. These procedures will have additional charges if done with a facelift surgery procedure.