Face and neck lifting
 
What is the aesthetical surgery for?
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Increasing age of a person brings inevitable, sometimes slower, sometimes faster, changes of the whole organism. On one side we collect experiences and knowledge, on the other our body wears out. The best is to preserve a person in its full physical and mental capability for as long as possible, because even balanced person is resentful to signs of ageing. The goal of the aesthetical surgery is to correct and minimize the body abnormalities.

 

 
When is the time for the surgery?
 

Generally it is around the 40th year of life, but in reality it is very individual and depending on many factors. Some of the big factors are inheritability, way of living, workload and presence of stress in one's life. Part of ones look or appearance is also created by eating habits, regularity of skin care and health in general. Aging is very individual process, which demonstrates itself with drying up of skin, loss of its elasticity and slack skin in certain body parts. Skin folds and wrinkles start to form. And this is the moment when it is still possible to put off the signs of aging through the plastic surgery. The upper age limit for plastic surgery is determined by the overall health condition of the patient.
Face and neck lifting is quite big and serious surgery. It requires good health condition and therefore one must undergo internal pre-surgical check-up. It must be pointed out that above the age of 70 years is the surgery more risky and the healing process slower even when the person is in good general condition.

 

 
What can be expected from the surgery?
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During the surgery, the skin in the areas of temples, cheeks, neck and lower jawbone is stretched. We cannot generally say that after the surgery the patient will look 10 years younger. In case of narrow face and neck is the final effect stronger than in case of patients with thick Iayer of hypodermic fat. The skin quality also matters: it should be tensile, not too fragile, movable against the base and not too dry and thin. All these factors create the result of the surgery.
Anotlier problem are the wrinkles, especially the "nose-to-lip" lines around mouth, on the cheeks and in the area of the external eye corners. The wrinkle in the skin actually means the skin is broken, the same way you fold a sheet of paper. The surgery can reduce this problem, but cannot remove it entirely. If the skin is stretched too much, the mimic muscles will be put out of function and the face would become a mask, in its negative meaning. Another question are the mimic wrinkles, which are formed as the result of the motion of mimic muscles. These wrinkles reappear even after the bigger stretch of a skin, because the facial expressions cannot be put out of function. In a social life, the individuals without distinctive facial expressions are usually not too successful, because the face loses its character. Therefore the consultation with the plastic surgeon is very important prior to this surgery. The goal of this surgery is to remove sigvs of aging and preserve the natural look of the person.

 

 
How long do the results last?
  The surgery's effect is permanent, because not only the skin of face and neck is stretched, but also the hypoderm and muscle structures, which age together with the skin. Unfortunately the process of aging continues and probably after certain time from the surgery the patient will look the same way he or she looked before the surgery. In case all the conditions for the surgery are fulfilled again, the surgery can be repeated. The time after which the surgery should be repeated is different and depends on the skin quality, thickness of hypoderm layer, way of living and the care one dedicates to himself.

 
The consultation with the plastic surgeon:
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The consultation with experienced plastic surgeon is the first step before the decision to undergo the surgery. Generally speaking, very important is the motivation of the patient, which leads him to undergo the surgery. It goes without saying that necessary qualification to undergo this surgery is good health condition of the patient.

 
Pre-surgical instructions:

1 ) After the consultation with the plastic surgeon and determining the date of surgery the patient gets the recommendation for the internal pre-surgical check-up, which cannot be older than 1 month before the surgery. This check-up will confirm patient's good health, only in this case the surgery is possible.
2) Patient must count with 2 weeks off in terms of terms of the workdays. 3) Please consult the surgeon if you use any drugs.
4) The patient cannot suffer from any virus-based or any other diseases or undergo convalescence (recovery).
5) Please leave all your jewellery (earrings, necklaces, rings) at home. 6) Ladies, please come without your make-up on.
7) Starting the midnight of the day of the surgery the patient cannot eat, drink nor smoke. 8) At least one month prior to the surgery the patient cannot use any drugs containing acetylsalicylic acid (which reduces the blood coagulation), for example Acylpyrin, Acylkoffin, Aspro, Alnagon. The usage of these drugs highly increases the risk of heavy bleeding during and after the surgery; such patient cannot undergo the surgery! !
9) The surgery is paid for on the day of the surgery. The patient will receive a receipt for the amount paid.
10) The patient leaves after complete awakening, preferably accompanied.
11 ) The bandage redressing follows the next day.

 

 
The surgery itself and the post-surgical period:
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The surgery is carried out on a specialized site with experienced anesthetist combining intravenous and local anesthesia. The surgery takes on average 2 hours. The incision is carried out from the hair part of the head above the ear auricle downward, tightly around the auricle and ear lobe, through the line behind the ear and from here to the hair. The compression bandage is applied after the surgery. The bandage redressing follows the next day. It is in the best interest of the patient to follow the surgeon's instructions. The surgeon will determine the frequency of post-surgical checkups. The healing process is individual and the stitches are removed between the 10th and 14th day after the surgery, always depending on the healing progress. The 3rd day after the surgery the bandage is usually removed, the hair is washed and the patient leaves without the bandage on. We do not shave the hair before the surgery; we only adjust the hair parting in the area of the incision.
Please note that after the bandage is removed it can seem that lot of hair falls off, but this is the hair that piled up under the bandage during several days and can be normally combed out. In the areas where the skin was made loose from its base (in order to be stretched), there is impaired sensitivity for several weeks, but this should go back to normal (with possible exception in the ear lobe area).
For the period of one month after the surgery we do not recommend hair coloring and permanent waves, because certain products used for such purposes are highly concentrated and the skin and hair are much more sensitive after the surgery. We also do not recommend the face massage, because it loosens skin and muscles, thus decreases the skin tension. Also please revise the sunbathing, because the sun rays dry out the skin, which then gets thinner and the wrinkles appear much faster.

 

 
Surgery risks:
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In case of face and neck lifting it is mainly post-surgical bleeding, which we try to eliminate as much as possible. Therefore the thorough internal check-up is necessary prior to the surgery.
It must be made very clear that one month prior to the surgery the patient is forbidden to use any drugs containing acetylsalicylic acid, not even one pill! ! The blood bruises on the cheeks and neck are not considered as a risk and can occur after the surgery. Their occurrence is individual and they disappear after 2 to 3 weeks. The damage to zygomatic (facial) nerve we know only from the literature, because it means huge ignorance to surgical technique and anatomy. Impaired sensitivity in the area of the ear lobe, which can rarely become permanent, also belongs to the risks of this surgery. The scar quality depends on the individual healing process.