Cervico-facial lift
The neck begins to relax at the age of 40 years and neck surgery will correct this sagging skin, whether or not it is associated with excess fat under the chin and in the jowls.
For an isolated double chin, and if the skin there is of good quality and elastic, the surgeon can perform a simple liposuction for a harmonious retraction (Ici mettre lien vers le chapitre lipo)@. Local anaesthesia and sedation are used on an outpatient basis.
If there is significant sagging skin, a cervico-facial lift is necessary to rejuvenate both the neck, the lower third of the face and the cheeks.
The cervico-facial lift, or face and neck lift, corrects sagging skin and underlying structures, both in the neck and in the middle and lower third of the face. He will redraw the lower third of the face and the neck and chin angle.
The aim is not to change the shape and appearance of the face but, on the contrary, to give the face a rejuvenated, fresh and firm appearance as it was a few years earlier.
Operating procedure
This is an outpatient surgery under general anaesthetic that lasts between 1.5–2.5 hours, depending on the number of corrections required.
The very discreet scars are located in the scalp, and inside and behind the ear, where they are placed in the natural folds. They are also located at the level of the posterior scalp.
This intervention will replace tension the muscles and the structures under the skin. In addition, so that the skin will be redraped over the new curves, thanks to an effective and discreet surgical procedure. The skin then follows, without unnatural or excessive tension, over the “sub structure”. The result will be both natural and lasting.
Effective surgery will not only result in correcting the sagging, but also improve associated psychological distress the patient may have had pre-surgery.
If excess fat needs to be corrected, it will be treated at the same time with liposuction. However, if the face is emaciated, an injection of fat will remedy this.
Post operation
The patient will leave the operating room with a bandage around the head which should be kept for three days, until the follow-up appointment. During the first five post-operative days, the application of cold arnica gel and keeping the head raised at night, will help prevent and reduce bruising and inflammation. The bruises and swelling will disappear within about ten days.
During the first ten days, the patient must rest as much as possible and avoid any violent exertion. Sun exposure for two weeks and intense sport should be avoided.
After 1–3 months, the patient will get a good idea of the final result. However, the scars will still be slightly pink and hard, and they will not fade until about the sixth month.
Although complications from this operation are rare, the patient should be aware that a hematoma, skin pain, nerve damage or changes in sensitivity may occur.
This procedure can be completed at the same time or at a later date, with further treatment, such as dermabrasion, peeling, injections of hyaluronic acid, or injections of botulinum toxin, or surgery, such as a fat graft, blepharoplasty or mentoplasty (chin surgery). These will all improve the process of facial rejuvenation by acting on areas that a facelift cannot correct. If the patient’s wishes are realistic, then they should be very satisfied with the results.
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