A facelift (technically called ‘rhytidectomy’) enables the signs of crono-aging (ptosis of the skin, ptosis and reabsorption of fat, ptosis of the muscles and ligaments) to be corrected. This correction is obtained through lifting and moving the fascia, muscles, fat and skin of the face and neck. Under general anaesthetic or local anaesthetic with medical sedation, an incision is made from the temporal area down to and around the ear. The incision then passes through the fold behind the ear and finishes in the temporal area inside the hairline. The skin is loosened from the deeper tissues (SMAS – superficial muscular aponeurotic system), which are pleated or partially removed and then firmly anchored higher up and/or further back. Excess skin is then removed so that the skin sutures are not under any tension. The scars are usually barely visible as they are hidden in areas out of sight.
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