There are many variations of facelift surgery. You should ask your doctor about facelift variations, which may include the deep plane lift or composite lift, SMAS lift, subperiosteal lift, skin lift, mid facelift, and feather or thread lift.
Facelift plastic surgery is usually performed by making an incision at the temples right behind the hairline. The incision typically extends downwards along the natural creases in the skin, in front or on the edge of the ear, in the crease of the ear lobe, and behind the ear. Making the incision in the natural creases helps hide scarring after surgery. The surgeon then separates the skin and muscles of the face from the deeper facial tissues.
In some cases the skin is removed, in others the skin and muscle tissues are merely reshaped. The underlying muscle may be tightened with the skin or separately. After the tightening or removal of excess skin, the skin is re-draped and sutured or stapled in place.
General anesthesia is typically used during facelift surgery. The time in surgery is approximately 90 to 120 minutes. In some cases drainage tubes are left in place under certain areas of the skin for several days to reduce post-surgical swelling. Depending upon the extent of the procedure, a facelift may be performed under local anesthesia?while you are numbed and sedated, but awake, or a light general anesthetic, where you are sleeping lightly. You should discuss anesthesia options with your plastic surgeon and the anesthesiologist.
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