The evolution of the facelift:
The original facelift was predominantly a skin tightening procedure. We have learned, however, that tightening only the skin is not the best way to rejuvenate a face. In order to create a natural appearance to the lifted face, surgery must restore the position and volume of the drooping deeper tissues of the face. By directly addressing the drooping fat in the mid-face, jowl and neck, a deeper suspension may be performed. This creates a very natural appearance to the lifted face, avoiding a “stretched” look that many of the original facelifts have. A successful facelift may dramatically improve the nasolabial fold or groove between the nose and corner of the mouth. Jowls may be dramatically reduced and a firm jaw line may be established. Muscles may be tightened under the neck and fat may be removed and re-contoured. Loose folds of skin underneath the neck may be significantly tightened.
An important point to realize is that there is no single standard facelift operation. Each patient presents a different anatomic picture and requires a different set of tools for an optimal, natural rejuvenation. Dr. Nabil Fakih will individualize your treatment to your particular needs.
Beware the Hype!
The media is replete with advertisements for procedures with catchy names that promise facelift results with no downtime. Some are done with surgery, others with lasers or machines or even threads. All of them promised dramatic results with minimal risk minimal down time or minimal costs. But we all know, you never get something for nothing. With Dr. Nabil Fakih, you will never get a “one size fits all” treatment. Each patient is different and will require a different variety of treatments. At times, a smaller procedure with less downtime is appropriate. Usually, effective, durable solutions require more aggressive surgery. Here, you will never be oversold into a procedure that is not right for you and your specific concerns. We will offer time and scientifically proven treatments to most effectively address your individual concerns.
Who is a candidate for a Facelift?
Most women become candidates for a facelift sometime after forty-five and men about ten years later. Jowl formation and loose neck skin are the most common indications for surgery. The decision to operate depends not only on the severity of the problem but the individual’s reaction to it. Early aging signs may be insignificant to some but enough for others to consider surgery. Facelifts are not performed on a preventive basis however. There must be enough aging changes present to warrant the procedure. That said, results are generally better in younger patients with good skin quality.
What should I expect from my consultation?
During your consultation, you will learn about the surgery, its limitations and risks, and discuss your needs and concerns. This will help Dr. Nabil Fakih understand your expectations and determine whether they realistically can be achieved. Dr. Nabil Fakih will carefully examine your face to assess the shape and the asymmetries to determine what type of procedure would best maximize your result.
After your consultation we will take photographs for your medical record and we will discuss the surgery fees and scheduling dates. You should come to the consultation prepared to discuss your medical history. Also provide information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries and medications that you currently take. It is important for you to provide complete information. All our patient are prepared by Dr. Paula Martin-Marfil with the Pre / Post surgical preparation program to enhance a quick recovery.
The NF Facelift Technique :
Dr. Nabil Fakih has developed a modified technique called the NF facelift technique, leaving the faces as natural as possible, customizing and individualizing every facelift to your particular needs. The NF technique lets you get the most Natural Face adapting for your specific concerns.
What to avoid before surgery?
It is vitally important to avoid all blood thinning medications/supplements for 2 weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve and Advil). It is generally fine to be take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E including multi vitamins, omega 3 fatty acids such as fish oil and flax seed oil. All of these medications can contribute to bleeding problems following surgery and can increase the amount of bruising.
Facelifts are usually done in our private surgery suite under intravenous sedation or general anesthesia. All our patient are prepared by Dr. Paula Martin-Marfil with the Pre / Post surgical preparation program to enhance a quick recovery. This allows a painless surgical procedure that patients sleep through. We recommend to stay in the hospital overnight. Although a facelift is generally a very safe procedure, complications may occur with any surgery. There are several things you can do to minimize the risks for complications. Any smoking may seriously impede wound healing and dramatically raise the risk for scarring. Please be candid with your surgeon if you are a smoker, as the procedure itself may need to be modified for you. All smoking must be stopped for at least two weeks before and two weeks after any facelift procedure.
Following surgery, patients wear a large fluffy dressing for one to two days. After this is removed, patients may wash their face and hair gently. Sutures and staples are removed between one and two weeks. It is important to minimize activity following surgery and to keep the head elevated as much as possible. Ice packs are helpful for the first twenty-four hours.
Bruising and swelling are typical and may be dramatic after surgery. This resolves in varying amounts of time, generally within ten days, and much of the bruising may be concealed with makeup at one week following surgery. Pain is surprisingly minimal following surgery, and the cheeks and ears may feel numb for several weeks.