A traditional facelift was our only option years ago, but with all the new advancements in medicine and technology, face-lifting procedures have become more individualized and now allow patients more options for facial rejuvenation. Here we will discuss the traditional full facelift. However, a consultation with one of Premier’s Board Certified Facial Plastic Surgeons is paramount in deciding if a full facelift is optimal for you.
A traditional full facelift (rhytidectomy) will not stop the aging process, but it can set back your clock by improving the most visible signs of aging. Removing excess fat, tightening underlying muscles, and re-draping the skin of your face and neck will take you back 10 to 20 years. A facelift can be done alone or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping.
Doctor DeJoseph has extensive experience performing facelifts in Atlanta. He begins the incision in the area of the temple hair above the ear. This provides more lift to the cheek area, restoring what gravity has pulled down, and gives a more natural appearance rather than a pulled or stretched look. The incision continues down in a natural line in front of the ear (or just inside the cartilage at the front of the ear), and then continues around the earlobe, circling behind but remaining in the crease of the ear, and finally sweeps back into the hairline.
The tiny suture material combined with the experienced hands and advanced techniques of Dr DeJoseph allow for a completely camouflaged suture line. “Much of the suturing is done inside,” says Dr. DeJoseph “This provides for longevity of the facelift and allows us to individualize the lift according to the patient’s needs.”
The amount of undermining naturally varies from patient to patient. Many patients think you go from the consultation to the operating room, but this is not the case at Premier Image Cosmetic & Laser Surgery. Even though the consultation is in-depth with careful evaluation and diagnosis provided, the patient will return for a second evaluation or what we call the preoperative appointment. This is done to review the patient’s history, medications, EKG and blood work. “It’s what we call an ‘H & P’, or History and Physical,” says Dr. DeJoseph. “Safety is top of mind, and it gives us an opportunity to sit down and review the ‘Video Imaging’ that was done during the initial consultation. It also allows the patient to ask more questions about the procedure and address any concerns.”
The morning of surgery and during the preoperative preparation, Doctor DeJoseph marks the face with a marking pen. The exact design of the planned incisions will vary with each patient according to the amount of skin excision, direction of pull, and so forth.
“We review the patient’s photographs the evening prior to the surgery for planning, but the morning of surgery, during the preoperative preparation, the patient is marked while he/she is sitting up,” says Dr. DeJoseph. “The patient will be supine or lying down during the surgery; however our exact design will still be in place.”
“The goal here is to restore a very natural look,” says Dr. DeJoseph. “The direction of pull depends on the deformity that is to be corrected in the individual patient. Planning of the surgery begins at the consultation and continues through the pre-operative appointment, to the night before the procedure, and finally, the morning of the surgery.”
The traditional full facelifts are usually performed under general anesthesia, and an MD of anesthesia will be with you during your entire procedure. At Premier Image Cosmetic & Laser Surgery, we pride ourselves on using only board certified doctors of anesthesia and a nursing staff not only chosen for their expertise and certifications, but for their caring attitudes as well. On campus is our state-of-the-art, triple AAA accredited outpatient surgery center which is owned and operated by Northside Hospital with exclusive use by Premier Image to provide safe, yet personalized care.
Doctor DeJoseph applies a dressing to protect the entire area where the incisions have been made. This will be removed on the morning following your facelift.
Typically there is very little, if any, discomfort after surgery; however medications are prescribed by your surgeon to ensure that your comfort is maintained. Some numbness of the skin is quite normal and will disappear in a few weeks.
Be sure to follow your surgeon’s instructions after surgery. He will give you more specific guidelines for gradually resuming your normal activities. Please avoid strenuous activity for at least two weeks. Do not use curling iron or hair dryers (set on cool is okay), and avoid steam baths and saunas for at least 2 months. For helpful tips to prepare for any cosmetic procedure, visit our “Surgery Education” page or click here.
For more information on Face-lifting procedures, click here
Call 770-457-6303 or toll free 888-455-FACE