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As you get older, you can see different signs of aging on the face. It differs from person to person, when it happens and to what extent.
In the 30s, wrinkles begin to form, in the 40s the skin becomes looser and loses elasticity, and around the age of 50, more classic signs of aging are seen with cheek bags, looser skin above the jawline and loose skin and fat deposits on the neck. The way we look plays a very special role in our dealings with other people and affects us both mentally and socially.
Various factors play a role in how quickly aging sets in. Smoking and sun exposure are the two most significant factors that accelerate facial aging. But hereditary factors in the individual are also important.
It is a good idea that you have read the information here on the website before the preliminary examination and that you write down the questions that arise while you are reading and bring these with you to the preliminary examination.
During the preliminary examination, you talk to the plastic surgeon about your wishes, and you will be examined so that it can be decided which treatment can be offered. You will then receive thorough information about the operation and the aftermath.
It is important that you are well prepared for the operation. Your weight should be as close to a normal BMI of 25 as possible. Smoking is the main cause of complications such as infection and tissue death, and you must therefore stop smoking at least 4 weeks before the operation and must start again no earlier than 4 weeks after the operation.
Different kinds of medicine can affect the operation and especially cause bleeding problems. You will therefore, in connection with the preliminary examination, talk to the specialist about how you should deal with the medication you may be taking.
Most are best suited in the 50s, but it depends on the individual’s starting point. In the 30s and 40s, early age changes can be treated well with minor surgical interventions such as correction of eyelids/eyebrows and bags under the eyes. In addition, non-surgical treatments such as filler, laser and other wrinkle treatments can be effective.
The classic face lift (High-SMAS), which we perform at the Amalie Clinic, aims in particular to lift the face, so that the skin on the neck and jaw line is smoothed out as much as possible. In addition, the technique will create a lift in the mid-face above the cheeks and a lift in the temple region. If you want a real lift of the eyebrows and eyelids , it can be done in connection with the operation.
In some cases, a face lift must also be combined with liposuction of the neck and possibly tightening of the neck muscles via an access under the chin.
In order to achieve a good durability of the operation, it is important that the underlying tissue containing the mimic muscles of the face is simultaneously tightened during the operation.
It is our opinion that the less extensive alternatives to a classic face lift, where thread lifts are used, have an unacceptably short shelf life, and we have therefore chosen not to offer this type of treatment. We also do not use terms such as “half-facelift” and “mini-lift”, as we do not believe that half-solutions benefit the patient, because it will not give the best cosmetically possible and natural result.
Complications are generally very rare with facelifts. Minor bleeding in the hours following surgery may occur and may necessitate surgery, which can be performed under local anesthesia, but full anesthesia may be necessary.
Infection is very rare, but can occur and will require treatment with antibiotics. If infection occurs, it is typically seen after 1-2 weeks and the signs are redness and swelling as well as increasing pain and fever. If you are in doubt, it is best that we see it in the clinic.
The nerves to the mimic muscles of the face can be affected by the operation, and this can cause loss of function of some of the muscles, especially the muscle that lifts the forehead and the muscle that pulls down the corner of the mouth. Fortunately, this loss is often temporary, but in rare cases it can be permanent. The sensation to the outer ear can also be affected by the operation. Overall, the risk of nerve damage is less than 1% in experienced surgeons.
This is the traditional facelift where you put the incisions in the scalp over the ears and back of the neck as well as around the ears. The skin is loosened and underlying muscle membranes are lifted and tightened. Then the skin surplus is removed. There are many different techniques used in a traditional facelift. The surgeon’s expertise and the technique used are crucial to the result you achieve. This applies to everything from where the scars are laid, how far forward in the face you go, how the soft parts are lifted and fastened and what direction the skin is tightened. A « facelift» is thus not necessarily a full facelift.
This is an operation that lifts the softeners to the cheeks, in the area under the eyes. A traditional facelift will have little effect on this area. A mid-face lift, on the other hand, can be performed simultaneously with a traditional facelift if you want to lift this area in addition to tightening the skin along the jaw comb and the rest of the face.
Bruising is common, but bleeding that requires reoperation is rare – in women at around 2%, in men somewhat higher.
It is important to stop smoking completely before a face lift , as smoking reduces blood circulation to the skin that has been loosened. In the worst case, you can then get a rejection reaction from the skin that causes an open wound in front of or behind the ear. The wound must then heal by itself, which causes wide scars.
Everyone experiences reduced sensation in the skin, but the sensation returns after a few months. Damage to the nerves that control the facial muscles is very rare, less than 0.5% worldwide. Should one still be unlucky enough to suffer such an injury, the nerve will in most cases repair itself. If this still does not lead to progress, there is the possibility of sewing the nerves back together. With liposuction on the neck , we can see that some people cannot pull the lower lip down, this is due to the nerve being stretched and “knocked out”. It recovers within 1-3 weeks.
It is very important to be aware that no face is symmetrical. Nor will they be after an operation. Often there is more fullness on one side than the other. Furthermore, it is important to be aware that some people have salivary glands on the neck which may appear more visible after the skin above them has been tightened. The ear lobes can also be experienced as slightly asymmetrical after surgery.