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Facelift

  What is Facelift Surgery?

Technically known as Rhytidectomy, a facelift is a cosmetic procedure to improve visible signs of aging in the face and neck. It can help fix these following problems; sagging in the mid-face, fat that has fallen or is displaced, loss of muscle tone in the lower face which may create jowls or the loose skin or folds of fatty flesh under the chin and around the cheeks or lower jaw, loose skin and excess fatty deposits under the chin and jaw.

 

However, a facelift does not change your fundamental appearance and cannot stop the aging process. Also, facelifts are not capable of producing dramatic results and make you look like someone else, and the amount of change they can achieve in each unique individual is limited. People who are not a strong candidate for a facelift can still take cosmetic procedure called Botox instead.

 

  Price & Packages 

 

  PROCEDURE   PRICE (THB)   Type
  Forehead Lift   85,000 THB   with 1 night stay
  Mid-Facelift   100,000 THB   with 2 nights stay
  Neck Lift   80,000 THB   with 1 night stay

 

  Preparation for a Facelift

Before the surgery, It’s very important to discuss the options available for facelift as well as risks and possible complications associated with the procedure and likely outcomes. The topics include:

 

  • Why you want the surgery, your expectations and desired outcome
  • Medical conditions, drug allergies and medical treatments
  • Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
  • Previous surgeries
  • Type of anesthesia used in the surgery

 

The surgeon will evaluate your general health status and any pre-existing health conditions or risk factors, examine and measure your face, take photographs for your medical record before providing a list of instructions on what to do before the surgery. These will cover such areas as smoking, medications, what to bring with you to the hospital and when to have your last meal before surgery. It is of utmost importance that you follow these instructions, and the ones you will be given after your surgery, which include the Post-operative care and follow-up.

 

  • For smokers: STOP smoking two weeks before surgery. You will need another two weeks after surgery to start smoking. Smoking increases the risks of complications. Chemicals present in smoke act as free radicals that interferes with the healing process. Prolonged healing may result in the formation of large, noticeable scars. If your surgeon finds out that you are still smoking, he will not perform the surgery.
  • Stop drinking alcoholic beverages a week before your surgery.
  • The day before your surgery. Make sure you do not eat or drink anything at least six hours before your operation.
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

 

  Procedure

The incision usually begins above the hairline at the temples, extends to the front of the ear, and continues behind the earlobe to the lower scalp. If the neck needs work, a small incision is made under the chin.

  1. The surgeon separates the fat from the muscle below.
  2. Fat may be trimmed or suctioned to improve contour.
  3. The underlying muscles and membranes are tightened, the skin is pulled back and excess skin is removed.
  4. Stitches are used to secure the tissue layers and close the incision. Metal clips may be used on the scalp.
  5. A small drain is positioned under the skin behind the ear. The head is wrapped loosely in bandages to minimize bruising and swelling.
  6. The surgery will last about 1-2 hours per area and is performed under general anesthesiaใ
  7. The visible improvements of a facelift appear as swelling and bruising subside. Your final result should not only restore a more youthful and rested appearance, but also help you feel more confident about yourself.

 

 

 

  Facelift Risks

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Infection
  • Poor wound healing
  • Anesthesia risks
  • Correctable hair loss at the incisions
  • Facial nerve injury with weakness
  • Facial asymmetry
  • Skin loss
  • Numbness or other changes in skin sensation
  • Fatty tissue found deep in the skin might die (fat necrosis)
  • Fluid accumulation
  • Pain, which may persist
  • Skin contour irregularities
  • Skin discoloration, sensitivity or swelling
  • Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
  • Unsatisfactory results may include asymmetry, unsatisfactory surgical scar location, unacceptable visible deformities at the ends of the incisions (It may be necessary to perform additional surgery to improve your results)
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revisional surgery

 

  After Facelift Surgery

When your procedure is completed, a bandage could gently be placed around your face to minimize post facelift swelling and bruising. A thin tube may be present to drain any excess blood or fluid that may collect under the skin. It may take several months for swelling to fully dissipate and up to 6 months for incision lines to mature.

 

It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Avoid wearing any clothing that must go over your head. Your doctor will give you specific instructions on how to care for yourself: how to care for the surgical site, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in overall health, and when to follow up with your plastic surgeon.

 

Post-Operative Care for Facelift

  • Apply cold compress around the area for 2 days.
  • Elevate head at all times. Always turn head and shoulders together.
  • Avoid lifting heavy loads or bending for about 2 weeks.
  • 3 days post-op hair may be washed with mild shampoo after bandages are removed.
  • Normal activities can be resumed after 2-3 weeks.
  • Exercise and strenuous activities can be resumed after 4 weeks.
  • Hair coloring and hair dying should be avoided for about 6 weeks.
  • Follow-up check and removal of stitches will be 7-10 days after surgery.
  • Numbness in the scalp is expected and will subside in about 6-8 weeks.

 

 FAQs

 

Q1: How do I know if I’m eligible for surgery?

A1: If you are 45 years or older, physically fit, and would like to freshen up your look, you may be a candidate for surgical facelift. Visit us or send your pictures for a free virtual evaluation.

 

Q2: Will I be asleep during the surgery?

A2: You will be asleep under general anesthesia.

 

Q3: How long will I be in the operating room?

A3: The surgery usually takes 1-2 hours for each area.

 

Q4: How many days should I stay near Bangkok?

A4: Allot at least 10-14 days for consultation, surgery and follow-up.

 

Q5: Will the scars be visible?

A5: Forehead lift incision is on the coronal area so the scar will be covered with hair. People with hair loss will have to consider the benefits of forehead lift against having a visible scar across the top of the head. Mid-facelift incision is behind the hairline of the temporal area except for an inch in front of each ear. If a neck left is done simultaneously, a small incision may or may not be made under the chin.

 

Q6: What activities should I avoid after surgery?

A6: Avoid swimming and getting to much sun for about 2 weeks, exercise and lifting loads for 2-3 weeks. Avoid applying hair dye for about 6 weeks.

 

Q7: What could go wrong?

A7: Some risks of surgery include bleeding, adverse response to anesthesia, infection, delayed healing, nerve injury with numbness and weakness, asymmetry, correctable hair loss on the incision site, keloid formation, and need for revision surgery.

 

Q8: How do I prepare for surgery?

A8: To avoid complications and reduce risk factors, your skin must be free from acne and infection. Two weeks before your schedule, you need to stop smoking, drinking alcoholic beverages, taking hormonal pills, herbal supplements, and medicines other than those that your doctor allows you to continue. People with diseases need surgical clearance from their medical specialist.

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