17 May Different Types of Surgical Face-Lifts, 2016
The facelift (technical name rhytidectomy), has been around now for 100 years. Fortunately, the procedures and the end results have improved enormously since those early surgeries. A German surgeon called Erich Lexer performed the very first facelift, at least that’s what some records suggest. The date was 1916. The account goes something like this: Lexer lifted the sagging skin from the underlying fat of that first patient. He then drew it back, re-draping it, and then removed the excess. It all sounds very simple and logical but what of the instruments and anaesthesia. It doesn’t bare thinking about. This is certainly not the facelift Singapore surgeons would be familiar with today. Technology, expertise and equipment have come a long way since 1916, and we can all be grateful for that at least.
Fast Forward One Hundred Years
OK, if we fast forward by 100 years it’s clear to see how far we’ve come in terms of aesthetic practices. Because of the drop in costs and the improvements in technology and surgical skills, we consider a lot of these procedures as routine now. Last year (2015) Americans spent in excess of 13.5 billion dollars on combined surgical and non-surgical cosmetic procedures. Billions more were spent by millions of others looking to enhance their best features in other countries around the world.
The Ever Changing Face-lift
Whether it was 100 years ago or today, the aim of a rhytidectomy has always been to reshape and restructure the face by tightening the loose skin. Many of the earlier attempts went too far and the surgery was obvious. The skin-only lifts created what became the “wind-swept” look, and those who had them often became the target of ridicule. The cosmetic facial surgery of today looks far more natural, that’s as long as a skilled surgeon carries out the procedure. There are also many options and types of face lift, but here we will look at the four most popular:
1. Deep-plane face rhytidectomy or SMAS lift
2. Mid rhytidectomy
3. Mini rhytidectomy or ‘S’ lift
4. Thread rhytidectomy
The Deep Plane Face-Lift (SMAS)
This procedure has long-lasting benefits. The reason for its longevity is because it treats those underlying tissue layers and facial muscles. The end result of the SMAS should result like so:
- Improved nasolabial folds (nose to mouth lines)
- Better defined chin and jaw line
The downside to this procedure is that it’s the most invasive of them all. Understanding this “invasiveness” still doesn’t discourage those who are determined to change their looks. They also know that they will gain truly dramatic results if that’s what they want. It’s also comforting to patients to know that their new look can last from anywhere between ten to fifteen years in most cases. Despite newer, less invasive procedures, the deep plane face-lift is still the most popular. This is particularly so among older patients who have acute facial drooping and loss of elasticity.
The Mid Face-lift
This procedure is especially popular for people of middle age. Ideal candidates are anywhere between the ages of 40 and 50, though younger people will sometimes request this surgery. What happens to us, especially Caucasians around the mid-30s, is that the soft tissue which surrounds the cheek bones begins to sag somewhat. When this happens, it creates those unwanted nasolabial folds or smile lines. In women, this can flatten the area around her mid face to some degree. It’s a look that can make her appear less feminine and more masculine.
The process is a pretty standard procedure. The surgeon will make several tiny incisions alongside the hairline and also inside the patient’s mouth. They can then lift and reposition the fatty tissue layer(s) and sculpt the new, more youthful look.
Mini face-lift or ‘S’ lift
The S-lift, as we often call it, is the least invasive of all the surgical face-lifts. The downside is that the mini lift is a more temporary solution. The surgeon typically makes incisions on the front side of the person’s ear. This way they are able to hide the scars in the natural folds of the patient’s skin. This is a technique that the surgeon can often perform using an endoscope (a long, thin, flexible tube). The physician carefully repositions the skin to create the desired look and finishes off using tiny sutures or stitches. This kind of face-lift is popular with younger patients who are perhaps aging prematurely. The S-lift also needs less time to recover, which is appealing to people who have busy lives.
The Thread Lift
A thread lift (also called a feather lift) is a much less invasive procedure. It’s particularly popular with younger people between mid-to late 30s and early 40s. Obviously they are only seeking minimal improvements at that age. The thread lift is perfect for treating those early signs of ageing.
It works on the following areas:
- Sagging or laxity (slackness) around the eye areas
- Nasiolabial folds (smile lines)
Another attraction to this surgery is that the surgeon can perform it under local anaesthesia. We use something called a barb suture method. It’s a technique where barbs – that act as hooks – work with threads to gather the skin layers and pull them in an upward direction. This is what tightens the patient’s skin. The small barbs are what hold the facial skin in place. There is no actual skin cut away at all during this procedure. When done properly by a skilled pair of hands, the thread lift can last up to five years in a lot of cases.
As you can see, there are numerous types of surgical facelift to suit all kinds of people and face types. What is right for you all depends on your age, gender, skin type and expectations. If a face-lift is something that interests you, simply make an appointment with a reputable surgeon and explore all your options. You may be surprised as what treatments are available and at what costs.
Facelift – http://www.nuitmagazine.com/mag/the-lunch-time-face-lift/