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Endoscopic Facelift

There are several variations of a facelift procedure, or rhytidectomy, each tailored to meet specific skin needs and desired results. After assessing your skin and determining your unique needs, your surgeon will recommend a procedure that will address your individual concerns. The goal of each facelift technique is to essentially “lift up” portions of the face and neck that are showing unwanted signs of aging.

What it is

A surgical procedure to correct sagging of the forehead skin, eyebrows, and upper eyelids. It may also improve the look of wrinkles in the forehead and between the eyes.

What It Does

 

A forehead lift removes or changes the muscles and skin that cause signs of aging as drooping eyebrows, "hooding" eyelids, forehead furrows, and frown lines.

​Solution for

 

  • Deep furrows between the eyes

  • Horizontal wrinkles on the forehead

  • Nose that does not work properly

  • Sagging brows

  • Tissue that hangs down at the outer part of the eyelids

Cost

The procedure itself costs between $6,000-$10,000.

Preparing for Your Surgery


After your consultation and decision about surgery, we will give you pre-operative information that explains everything you should do and know before your procedure. Your surgeon will instruct you on how to prepare. You should arrange for someone to drive you home after your surgery. You also may want to make arrangements for someone to help you for a day or two while you heal.

Your surgeon will insert an endoscope (a tubular probe fitted with a tiny camera and bright light) through a small incision. This lets the surgeon view the body's internal structures on a viewing screen while moving the tube of the endoscope through the surgical area. The surgeon will insert additional surgical instruments such as scalpels, scissors, or forceps through different incisions to perform the operation.

Anesthesia


You'll remain comfortable throughout the entire procedure. In most cases, we use general anesthetic so that you will sleep throughout the procedure, although local anesthesia with intravenous sedation is also an option for some patients.

Recovery


It’s very important that you follow your surgeon's instructions. This will promote healing and improve progress towards your new physical appearance. Also, it is important that you attend all follow-up appointments so that your surgeon can assess your long-term results and answer your questions or concerns.

After the Procedure

Initial wound healing may take 10 to 14 days. Sutures or clips will be removed when it is appropriate. You should be ready to return to work and normal activity after 10-14 days.

Cosmetics can help camouflage any bruising.

Even though you will look presentable to the public, you will find that the healing will continue for several weeks, as the swelling dissipates and incision lines refine and fade. It may take several months for your complete recovery.

Following your physician's instructions is essential to the success of your surgery.

It's important that the surgical incisions are not subjected to excessive force, swelling, abrasion or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.

Risks

  • Anesthesia risks

  • Bleeding

  • Loss of hair around the incisions

  • Elevated hairline

  • Eye irritation or dryness

  • Facial asymmetry

  • Facial nerve injury with weakness or paralysis

  • Fluid accumulation

  • Infection

  • Numbness or other changes in skin sensation or intense itching

  • Pain, which may persist

  • Poor wound healing

  • Possibility of revision surgery

  • Skin loss

  • Unfavorable scarring

Rare risk of deep venous thrombosis (blood clots) that can result in pulmonary embolism with chest pain, shortness of breath
These risks and others will be fully discussed prior to your consent. It's important that you address all your questions directly with your plastic surgeon.

What Could Go Wrong

  • a collection of blood underneath the skin (haematoma)

  • nerve injury and loss of sensation or movement in the face

  • asymmetrical facial features  – including the position of the earlobe 

  • hair loss or a small but permanent reduction in hair growth around the scars

  • thick, obvious scars developing

  • Any type of operation also carries a small risk of:

  • excessive bleeding

  • developing a blood clot in a vein

  • infection

  • an allergic reaction to the anaesthetic


The surgeon should explain how likely these risks and complications are, and how they would be treated if they occurred.

 

Occasionally, patients find the desired effect wasn't achieved and feel they need another operation. You should check how this would be funded with your surgeon.

Results

Results from this type of procedure typically last about 5-10 years, although results are obvious immediately.