Face-lifting has advanced tremendously over the last few decades. This procedure no longer depends upon unnatural skin pulling. Through incisions that are mostly hidden in the hair and within the ear, the skin is lifted and the facial muscles and fat are re-suspended to where they were when you were younger.
Generally, fat removal of the jowl areas and cheeks is avoided in most cases. Older people have hollow cheeks, younger ones have fuller cheeks. In many people, the hanging jowls and deep cheek folds are actually mid-cheek skin and fat that has fallen down. If they are brought back up to where they once were, the result is a longer-lasting and more natural look.
The face and neck are usually lifted together. A small incision is made under the chin to tighten the neck muscles and fix the neck bands if they are present.
Face-lifting typically takes about 3 hours (although special circumstances may require more time or multiple procedures) and is performed either while the patient is asleep or sedated by IV. Patients are usually fully mobile the same day and back to most activities within 5 days, albeit with makeup to cover residual bruising. Pain is very minimal, though most patients note a feeling of tightness that can last for a few days to weeks following the procedure. Many patients combine face-lifting with an eyelift or brow lift for complete facial rejuvenation.
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