WEBVTT 1 00:00:00.940 --> 00:00:03.520 line:15% Welcome to your guide to face lift surgery. 2 00:00:03.520 --> 00:00:05.730 line:15% Take a few minutes to familiarize yourself 3 00:00:05.730 --> 00:00:07.710 line:15% with the procedure and what you can do 4 00:00:07.710 --> 00:00:10.360 line:15% to help improve your results. 5 00:00:10.360 --> 00:00:13.300 Remember, this presentation does not take the place 6 00:00:13.300 --> 00:00:15.650 of your consultation, and you should make sure 7 00:00:15.650 --> 00:00:19.340 to jot down any questions you may want to ask us later. 8 00:00:19.340 --> 00:00:21.340 A face lift, or rhytidectomy, 9 00:00:21.340 --> 00:00:24.110 is one of the most common facial procedures 10 00:00:24.110 --> 00:00:27.070 line:15% to help return a more youthful look to the face, 11 00:00:27.070 --> 00:00:31.240 line:15% performed on more than 110,000 men and women a year. 12 00:00:31.240 --> 00:00:33.470 line:15% A face lift addresses the concerns 13 00:00:33.470 --> 00:00:35.770 line:15% of the lower two thirds of your face. 14 00:00:35.770 --> 00:00:37.810 line:15% It removes lax facial skin, 15 00:00:37.810 --> 00:00:41.750 line:15% repositions and reduces underlying excess fat deposits, 16 00:00:41.750 --> 00:00:45.010 line:15% and tightens underlying muscles and deeper tissues, 17 00:00:45.010 --> 00:00:47.560 line:15% giving you a more rested, youthful look. 18 00:00:47.560 --> 00:00:50.900 line:15% Today's face lift is more effective, natural-looking, 19 00:00:50.900 --> 00:00:53.240 line:15% and longer lasting than ever before. 20 00:00:53.240 --> 00:00:57.420 line:15% Many patients can look as much as 10 to 15 years younger. 21 00:00:57.420 --> 00:01:00.830 line:15% It is often performed in conjunction with other procedures, 22 00:01:00.830 --> 00:01:03.450 line:15% such as a neck lift, eyelid surgery, 23 00:01:03.450 --> 00:01:05.240 line:15% brow lift, dermal fillers, 24 00:01:05.240 --> 00:01:07.603 line:15% fat grafting, and skin treatments. 25 00:01:08.490 --> 00:01:12.180 Procedure, how will your face lift be performed? 26 00:01:12.180 --> 00:01:14.060 There are a number of different options 27 00:01:14.060 --> 00:01:17.393 to help tailor your procedure to your specific needs. 28 00:01:18.300 --> 00:01:20.110 line:15% During the traditional face lift, 29 00:01:20.110 --> 00:01:22.910 line:15% the incisions usually start above the hairline, 30 00:01:22.910 --> 00:01:25.210 line:15% extend down in front of the ear, 31 00:01:25.210 --> 00:01:27.370 line:15% and circle back within the hairline. 32 00:01:27.370 --> 00:01:30.170 line:15% After the skin is released and raised from the face, 33 00:01:30.170 --> 00:01:32.620 line:15% a layer of tissue called the SMAS, 34 00:01:32.620 --> 00:01:36.490 line:15% superficial musculoaponeurotic system, is exposed. 35 00:01:36.490 --> 00:01:39.550 line:15% This layer is repositioned and/or tightened, 36 00:01:39.550 --> 00:01:41.110 line:15% excess skin removed, 37 00:01:41.110 --> 00:01:44.160 line:15% and the incisions are closed with very fine sutures. 38 00:01:44.160 --> 00:01:47.790 line:15% The Short Scar S-Lift is a type of mini-facelift 39 00:01:47.790 --> 00:01:50.900 line:15% that utilizes a small, S-shaped incision 40 00:01:50.900 --> 00:01:52.180 line:15% in front of the ears 41 00:01:52.180 --> 00:01:54.540 line:15% to work on the middle third of the face. 42 00:01:54.540 --> 00:01:57.250 line:15% It is designed to correct limited changes 43 00:01:57.250 --> 00:01:59.550 line:15% in the cheek and jawline areas. 44 00:01:59.550 --> 00:02:02.670 line:15% The MACS-lift is a variation on the S-Lift, 45 00:02:02.670 --> 00:02:04.890 line:15% and utilizes a permanent purse string 46 00:02:04.890 --> 00:02:06.680 line:15% muscle suture technique. 47 00:02:06.680 --> 00:02:08.830 A neck lift is commonly performed 48 00:02:08.830 --> 00:02:10.750 line:15% in conjunction with a facelift 49 00:02:10.750 --> 00:02:14.160 line:15% to eliminate hanging neck skin, muscular bands, 50 00:02:14.160 --> 00:02:16.240 line:15% and excess fat that masks smooth, 51 00:02:16.240 --> 00:02:18.570 line:15% defined neck and jaw contours. 52 00:02:18.570 --> 00:02:20.590 line:15% If only the neck lift is performed, 53 00:02:20.590 --> 00:02:23.460 line:15% incisions are confined to behind the ears 54 00:02:23.460 --> 00:02:25.590 line:15% or under the surface of the chin. 55 00:02:25.590 --> 00:02:27.610 line:15% Liposuction may be used as well 56 00:02:27.610 --> 00:02:30.410 line:15% to remove fat and tighten the skin. 57 00:02:30.410 --> 00:02:32.410 line:15% Together, we will select the technique 58 00:02:32.410 --> 00:02:34.830 line:15% that will provide the best result for you. 59 00:02:34.830 --> 00:02:36.810 line:15% When you meet with our patient coordinator, 60 00:02:36.810 --> 00:02:39.490 line:15% we will discuss fees and costs. 61 00:02:39.490 --> 00:02:42.660 line:15% Preparation, every person has a unique perspective 62 00:02:42.660 --> 00:02:44.640 line:15% on age and beauty, and your goals 63 00:02:44.640 --> 00:02:47.480 line:15% will affect the way your facelift is performed. 64 00:02:47.480 --> 00:02:49.797 line:15% It is important to discuss your desires 65 00:02:49.797 --> 00:02:52.750 line:15% and listen closely during the consultation, 66 00:02:52.750 --> 00:02:55.763 line:15% so that you can set realistic expectations. 67 00:02:57.530 --> 00:02:59.770 line:15% A great result can only be achieved 68 00:02:59.770 --> 00:03:02.200 when there is good communication between us. 69 00:03:02.200 --> 00:03:03.860 You also need to understand 70 00:03:03.860 --> 00:03:06.250 that the shape of your face before surgery 71 00:03:06.250 --> 00:03:09.490 will partially determine the shape you have after surgery. 72 00:03:09.490 --> 00:03:12.400 Some suggestions to help you prepare for surgery, 73 00:03:12.400 --> 00:03:14.220 your safety matters to us. 74 00:03:14.220 --> 00:03:15.640 You should be very open. 75 00:03:15.640 --> 00:03:18.790 line:15% Provide your medical history, drug allergies, 76 00:03:18.790 --> 00:03:21.510 line:15% list any previous surgeries, medications, 77 00:03:21.510 --> 00:03:24.450 line:15% diet pills, vitamins, and herbs you are taking, 78 00:03:24.450 --> 00:03:27.180 line:15% even if you don't think they're important. 79 00:03:27.180 --> 00:03:29.580 Also, don't be afraid to be frank with us 80 00:03:29.580 --> 00:03:31.710 about your lifestyle, smoking, 81 00:03:31.710 --> 00:03:34.100 the strenuousness of the work you perform, 82 00:03:34.100 --> 00:03:35.470 your exercise habits, 83 00:03:35.470 --> 00:03:38.200 and the importance of getting back to work. 84 00:03:38.200 --> 00:03:41.260 Here are some tips that may help you reduce scarring, 85 00:03:41.260 --> 00:03:42.910 shorten your recovery time, 86 00:03:42.910 --> 00:03:45.350 and decrease your chances of complications. 87 00:03:45.350 --> 00:03:49.410 Discontinue using Aspirin, Ibuprofen, Naprosyn, 88 00:03:49.410 --> 00:03:52.760 St. John's Wort, and Vitamin E for one week before 89 00:03:52.760 --> 00:03:55.080 and a few days after your procedure. 90 00:03:55.080 --> 00:03:56.630 These act as blood thinners 91 00:03:56.630 --> 00:03:59.013 and could cause problems with blood clotting. 92 00:04:01.000 --> 00:04:03.960 Stop smoking and drinking alcohol in excess 93 00:04:03.960 --> 00:04:06.010 well in advance of your facelift, 94 00:04:06.010 --> 00:04:08.750 and for one week after surgery. 95 00:04:08.750 --> 00:04:12.300 Drink lots of water in the days leading up to your facelift. 96 00:04:12.300 --> 00:04:14.880 Hydration will help you recover more quickly. 97 00:04:14.880 --> 00:04:17.940 To make your recovery easier and more comfortable, 98 00:04:17.940 --> 00:04:20.900 be sure to arrange for someone to take you home 99 00:04:20.900 --> 00:04:24.410 and take care of you for at least the first 24 hours. 100 00:04:24.410 --> 00:04:26.840 line:15% Fill your prescriptions prior to surgery 101 00:04:26.840 --> 00:04:28.600 line:15% and place them within easy reach 102 00:04:28.600 --> 00:04:30.420 line:15% of where you will be resting. 103 00:04:30.420 --> 00:04:33.030 line:15% Place plenty of pillows or a bed wedge nearby, 104 00:04:33.030 --> 00:04:36.470 line:15% so that you can keep your head elevated at all times. 105 00:04:36.470 --> 00:04:38.990 line:15% You may also want to allow your hair to grow out 106 00:04:38.990 --> 00:04:40.100 if it is short. 107 00:04:40.100 --> 00:04:42.880 This will help hide scars after surgery. 108 00:04:42.880 --> 00:04:46.200 Recovery, you should expect some bruising, swelling, 109 00:04:46.200 --> 00:04:47.790 and the feeling of tightness. 110 00:04:47.790 --> 00:04:49.130 While your face is swollen, 111 00:04:49.130 --> 00:04:51.930 it will probably look and feel strange to you. 112 00:04:51.930 --> 00:04:54.390 Stitches will come out or be absorbed on their own 113 00:04:54.390 --> 00:04:56.280 between a week and ten days. 114 00:04:56.280 --> 00:04:58.930 Bruising and swelling will subside significantly 115 00:04:58.930 --> 00:05:00.840 within a week to ten days. 116 00:05:00.840 --> 00:05:03.930 If you feel like you've lost sensation in the treated areas, 117 00:05:03.930 --> 00:05:05.110 don't be alarmed. 118 00:05:05.110 --> 00:05:07.110 As your nerves begin to regenerate, 119 00:05:07.110 --> 00:05:10.195 feeling and sensation should return to normal. 120 00:05:10.195 --> 00:05:12.660 Pain is moderate with this procedure, 121 00:05:12.660 --> 00:05:14.880 line:15% but a pain medication will be prescribed 122 00:05:14.880 --> 00:05:16.590 line:15% to control any discomfort. 123 00:05:16.590 --> 00:05:20.300 line:15% However, if you begin to have a sudden onset of pain 124 00:05:20.300 --> 00:05:24.320 line:15% or if your pain becomes severe, contact us immediately. 125 00:05:24.320 --> 00:05:27.170 line:15% The recovery process is different for everyone, 126 00:05:27.170 --> 00:05:29.050 line:15% but within a day of your face lift, 127 00:05:29.050 --> 00:05:31.200 line:15% you should be up and walking around. 128 00:05:31.200 --> 00:05:33.280 line:15% Keep your head elevated at all times 129 00:05:33.280 --> 00:05:35.280 line:15% for two weeks following surgery. 130 00:05:35.280 --> 00:05:37.610 line:15% You may also apply small ice packs 131 00:05:37.610 --> 00:05:40.020 line:15% to help reduce swelling and discomfort. 132 00:05:40.020 --> 00:05:41.550 line:15% Over the next couple of weeks, 133 00:05:41.550 --> 00:05:43.563 line:15% your face may be very sensitive, 134 00:05:47.580 --> 00:05:48.990 line:15% and you may want to consider 135 00:05:48.990 --> 00:05:51.863 using special camouflage make-up as you heal. 136 00:05:52.900 --> 00:05:54.110 For the first week or two, 137 00:05:54.110 --> 00:05:55.950 you should plan on being out of work 138 00:05:55.950 --> 00:05:58.120 and away from your usual activities. 139 00:05:58.120 --> 00:06:01.540 After this period, you may gradually return to activities, 140 00:06:01.540 --> 00:06:04.460 such as lifting, exercise, and sex. 141 00:06:04.460 --> 00:06:07.820 Avoid any high impact activities for about one month. 142 00:06:07.820 --> 00:06:10.210 Stay away from saunas for a few months, 143 00:06:10.210 --> 00:06:12.460 as the steam can affect healing. 144 00:06:12.460 --> 00:06:15.720 These precautions will help you avoid stress to your scars 145 00:06:15.720 --> 00:06:19.440 and allow time for your facial tissues to heal and recover. 146 00:06:19.440 --> 00:06:21.500 While there will be permanent scars, 147 00:06:21.500 --> 00:06:23.870 in most cases, they will be well hidden. 148 00:06:23.870 --> 00:06:26.960 The scars are usually small and become difficult to see 149 00:06:26.960 --> 00:06:28.750 as they heal over time. 150 00:06:28.750 --> 00:06:30.660 Your facial appearance should improve 151 00:06:30.660 --> 00:06:32.700 over a period of several months. 152 00:06:32.700 --> 00:06:35.280 line:15% What are the risks of facelift surgery? 153 00:06:35.280 --> 00:06:38.080 line:15% This information is not intended to frighten you, 154 00:06:38.080 --> 00:06:40.480 line:15% but to help you make an informed decision. 155 00:06:40.480 --> 00:06:43.870 line:15% No question or concern is silly or insignificant. 156 00:06:43.870 --> 00:06:46.070 line:15% We will be happy to discuss the full range 157 00:06:46.070 --> 00:06:49.210 line:15% of potential complications, and answer any questions 158 00:06:49.210 --> 00:06:51.440 line:15% you might have regarding this procedure. 159 00:06:51.440 --> 00:06:53.840 line:15% Thankfully, complications are infrequent 160 00:06:53.840 --> 00:06:56.860 line:15% in facelift surgeries, and many thousands of procedures 161 00:06:56.860 --> 00:06:59.210 line:15% are successfully performed each year, 162 00:06:59.210 --> 00:07:00.440 line:15% but they can occur. 163 00:07:00.440 --> 00:07:03.560 line:15% Complications can include, and are not limited to 164 00:07:03.560 --> 00:07:07.180 line:15% hematoma, infection, reaction to anesthesia, 165 00:07:07.180 --> 00:07:11.280 line:15% nerve damage, and damage to underlying facial structures. 166 00:07:11.280 --> 00:07:12.990 line:15% As with all medical procedures, 167 00:07:12.990 --> 00:07:15.470 be sure to choose your surgeon wisely. 168 00:07:15.470 --> 00:07:18.530 line:15% It is important to choose an experienced surgeon 169 00:07:18.530 --> 00:07:21.750 line:15% you can trust and develop a good rapport with, 170 00:07:21.750 --> 00:07:25.420 line:15% so you can openly discuss your concerns and particular needs 171 00:07:25.420 --> 00:07:27.750 line:15% throughout the process of consultation, 172 00:07:27.750 --> 00:07:29.770 line:15% surgery, and aftercare. 173 00:07:29.770 --> 00:07:32.490 line:15% Should you decide to move forward with your facelift, 174 00:07:32.490 --> 00:07:34.460 line:15% a surgery date will be scheduled. 175 00:07:34.460 --> 00:07:36.850 line:15% Prior to your surgery, you will be given 176 00:07:36.850 --> 00:07:39.940 line:15% complete preparation and recovery instructions. 177 00:07:39.940 --> 00:07:42.320 line:15% Remember to keep your follow-up visits, 178 00:07:42.320 --> 00:07:44.180 line:15% as we are here to help make this 179 00:07:44.180 --> 00:07:46.380 line:15% a wonderful experience for you. 180 00:07:46.380 --> 00:07:49.830 line:15% Feel free to review any part of this presentation you like, 181 00:07:49.830 --> 00:07:52.650 line:15% and be sure to take a look at our before and after gallery 182 00:07:52.650 --> 00:07:55.993 line:15% to get a better idea of the results you may achieve.