A facelift can reduce sagging skin on the face and neck, helping these areas to appear firmer and fresher. Your bone structure, heredity and skin texture all play a role in how many "years" a facelift can "remove" and, to some extent, influence how long it will last.

     Through incisions placed inconspicuously behind the ear, in the hairline, and behind the tragus in front of the ear, Dr. Lamb dissects across the areas of dense attachment to underlying structures to allow the skin and SMAS (a layer of tissue creating facial support) to allow the mobility necessary to result in a long lasting and youthful resuspension of the facial and neck tissues. When necessary excess fatty deposits within the neck are removed and modifications are made to the superficial neck muscles to prevent the reoccurrence of neckbands.

     Facelift incisions will be designed to minimize any shift in hairline and to afford maximum concealment of incision scars. Facelift operation has its greatest effect within the cheeks and neck. A complimentary and frequently performed procedure with facelifting is temple and browlifting. These are typically done endoscopically through small incisions within the hair-bearing scalp. Through these small incisions, small changes can be made within muscles predominantly used to frown and a pleasant resuspension of the brow and a normal resting and non-startled location is achieved. Eyelid and eyelid-approach cheek lifting are also frequently done at the time of facelift surgery, depending upon anatomic concerns.

     Recommendations for any ancillary procedures such as these and others, including enhancement of the lips with microfat grafting, will be discussed with Dr. Lamb and a recommendation made to achieve a very harmonious appearance without an "operated" look. After facelift surgery, you will experience temporary skin discoloration from bruising and some tightness or numbness in the face and neck. Although swelling will not look conspicuous to others as early as ten days following your results, you should expect some gradual change as the residual swelling resolves over the next few months. Since your skin will remain somewhat sensitive for a few months, protection from the sun, including daily use of a sunblock, is essential. You can wear cosmetics shortly after surgery (once all sutures have been removed).

     The modern facelift techniques are quite powerful and employ a dissection in a layer of tissue just shallow to nerves that resulting in facial expression, injury to these nerves of expression is exceedingly rare. Due to the extent of dissection required to achieve a natural appearance and harmonious result, possibility of bleeding is a concern. Avoidance of aspirin and other non-steroidal anti-inflammatories, as well as several supplements and other fluids, this risk of bleeding is minimized.

 

Dr. Jerome Lamb, M.D.
Board Certified in Plastic Surgery

4820 South Arrowhead Drive
Independence, Missouri 64055

(816) 795-5262
(816) 795-8979 fax