Face Lift
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Men and women who areself-conscious about the look of their aging face and feel that aging isnegatively affecting their career or personal relationships.
Best MACS Face Lift surgery in India
Men and women who are self-conscious about the look of their aging face and feel that aging is negatively affecting their career or personal relationships; men and women who are mirror conscious and do not identify with their reflection and feel that their face makes them look much older than they feel- are perfect candidates for facelift surgery. They experience better self-confidence with a young and energetic vibe after the surgery.
What is a facelift?
A facelift is a surgical procedure that lifts the aging face. It helps men and women look like a younger version of themselves. A facelift works miraculously well and helps to turn back the clock. With this procedure, the disturbing anatomy of the face is rebuilt to its former glory. Facelift counteracts the effect of increasing age and gravity and restores the youthful appearance that you had years ago.
How does facelift works?
Facelift surgery not only lifts the sagging face but also tightens it, removes excess loose skin and wrinkles, redistributes the facial fat to regions where it should be, and smoothens folds around the mouth.
What is the Triangle of youth and how does it get affected by aging?
A youthful face has cheeks that are full and high with a well-defined jaw line. This is also called the triangle of youth with the base of the triangle at the cheeks and the tip of the triangle pointed towards the chin. With age, we start to experience facial bone loss and sagging of skin making our face more oblong, cheeks flatten, develop wrinkles and jowls prominent giving an appearance of the inverted triangle or aging triangle. There is a variety of factors that contribute to the loss of youthful contours like gravity, sun exposure, loss of facial fat, smoking, excess alcohol intake, and stress.
What can you expect from a facelift?
A Face Lift or Rhytidectomy improves the visible signs of aging in the area of face and neck, like:
- Sagging skin and fat
- Excess skin and fat over jawline and chin as jowls and double chin
- Loss of volume (fat) over cheek and temple region
- Wrinkled cheeks and deep fold lines between the nose and corner of the mouth
- Dull, thin and inelastic quality of skin
Can you pair Facelift with other procedures?
Face Lift surgery is very commonly a part of "surgical rejuvenation of the aging face" and is usually combined with other procedures such as brow lift, blepharoplasty, upper lip lift, fat transfer to face and with correction of wrinkles on face in single stage or in different stages. Nano fat transfer is also done for improving the quality and texture of skin and making facial skin glow, shiny and elastic. Sometimes fillers or fat is used to replace the lost volume on the face.
But Face lift cannot stop the process of aging or your basic appearance. This is a surgical procedure and gives desired results which cannot be achieved by non-surgical procedures, though they can help in delaying the surgical procedure and when done after the surgery, they enhance the results of surgery.
Dr Amit Agarwal practices and specializes in Minimal Access Cranial Suspension Face Lift (MACS Face Lift) which is the best technique for facelift amongst all other techniques done across the world. MACS Face Lift is less invasive, quicker, gives long lasting result and has faster recovery rate. It is a short scar surgery with fewer and shorter incisions leading to lesser downtime and minimum complication rates.
Discussions during Facelift consultation should include
- About what exact look are you expecting after the surgery.
- About your facial profile with respect to the surgery
- Any previous surgeries.
- Any drug allergies
- Current medical conditions, any supplements or medications.
- Alcohol, tobacco intake.
- Any other surgery if required along with necklift for better results.
A candidate opting for Facelift or Rhytidectomy should fill up these criteria for better results
- Aging men and women with sagging face who are self-conscious and mirror conscious and do not feel the way they look.
- A healthy person with no or controlled medical conditions.
- Individuals interested in improving their facial profile.
- You preferably should be a non-smoker.
- You should be confident and positive about your looks to achieve the improvement of your appearance.
- You should be motivated enough to undergo the procedure.
- You should have realistic expectations.
Dr Amit Agarwals focus during consultation
- Step 1 - Examine your facial profile.
- Step 2 - Evaluate your face for quality of skin, skin sagging, volume fat loss, wrinkles, effect on jawline.
- Step 3 - Access your general health status and present medical condition, if any.
- Step 4 - Take photographs.
- Step 5 - Discuss the risks and complications of the surgery.
- Step 6 - Discuss the options of surgery for you.
- Inform and discuss if any other surgery is required like brow lift, neck lift, blepharoplasty, upper lip lift, fat transfer to face and with correction of wrinkles on facein single stage or in different stages for 'surgical rejuvenation of the aging face'.
- Step 7 - Discuss about how the outcomes of the surgery will be.
Questions to be asked with your surgeon about your surgery
- Am I a good candidate for face lift?
- How long do I have to stay in the hospital?
- What is the procedure?
- Will there be scars post-surgery?
- How long is the recovery period?
- When can I return to work and daily routines?
- What is expected of me to change in my lifestyle to get better results?
What are the Preparations to be done for the surgery
Get the tests prescribed by Dr. Amit Agarwal. All pre-surgical workup investigations should be shown to the operating surgeon and the anesthetist, and we will evaluate your fitness for the surgery. You will be given a date for the surgery only after you are declared fit for the procedure
How to get fit a facelift?
- Monitor your current medications after discussing them with your doctor.
- Stop smoking at least 4 weeks before surgery.
- Do not take any anti-inflammatory drugs, aspirin, or any herbal supplements as they can aggravate bleeding.
Other preparations
- Admission will be done on the same day at the center.
- A written consent form will be signed explaining the procedure after the admission.
- Meeting with the anesthetist for Pre Anaesthetic check-up (PAC) before the surgery.
- Nil per oral for a minimum of 5-6 hours before the planned procedure.
- Markings will be done before the surgery.
MACS Facelift procedure includes
MACS facelift is antigravity vertical lifting of deeper tissues of the face. This surgery is usually done under general anaesthesia to avoiddiscomfort associated with lifting and pulling of the face muscles. The procedure can also be done under local anaesthesia in few selected cases. The best choice of anaesthesia will be recommended by Dr Amit Agarwal to you.
MACS Facelift incisions are then made after infiltration of tumescent solution under the skin flaps to ease dissection and control bleeding. The length of the incision is decided on thetargeted areas of aging and the degree of lifting required.
The incision usually begins in the hairline at the temple region, continues downup to the inner curvature of the front of theear only. In cases with severe sagging, the incision curves around the lobule to be carried behind to the side of the scalp. Dissection is done deeper to the skin above the muscles and fat. Depending on the requirement, sutures are woven into the muscle to restore tightness and lift them in a more vertical direction.
Difference between a Simple MACS and an Extended MACS
Simple MACS Lift is when two sutures are woven to rejuvenate sagging of the neck and lower face and if a third suture is woven to tighten the mid-face and the lower eyelid, it is called extended MACS Lift. Skin is redraped over the uplifted areas and the excess skin is trimmed near the ear and hairline. Skin is closed with sutures and glue over a drain. The incision lines are finely concealed inside the hairline and within the natural contours of the ear. The final scar blends with the hairline rendering it almost unnoticeable.
The visible results of the surgery are seen after the swelling and bruising subsides.
Other procedures to further enhance the outcomes
There are other procedures which can further enhance the outcomes of a MACS facelift procedure, such as
- Fat transfer to face for volume replacement
- To improve the tone and texture, nano fat resurfacing
- Correction of wrinkles by injecting fat
- Blepharoplasty, brow lift and upper lip lift
- Recovery after the surgery:
Post Surgery
After the surgery, dressings are applied to the surgical area. You will be discharged the next day of the surgery after the drains are removed followed by the weekly visits or as suggested by Dr. Amit Agarwal. We may send you home with a drain if there is excess fluid in the body. It might be preferable to remove the drain at a follow-up visit. You will be made to walk a few hours post-surgery or the very following day, depending on your will and wish.
How much time does it take to Recover?
There can be substantial swelling and bruising of the face region which usually subsides in a week or two.
Sutures are non-absorbable, they would be removed after a week. Dr. Amit Agarwal does not prefer to use absorbable sutures for closing facelift incisions as in a few cases granuloma might be formed delaying the healing process.
What to do for faster Recovery?
- There should be no vigorous exercises after the surgery until the surgeon recommends.
- Always keep your head elevated over pillows while lying down on bed or preferably by placing a folded mattress or quilt under the bedding.
- Incision and bandage must be kept dry and specific instructions should be followed about bathing and washing.
- Ice fomentation can be done but not too much as this can compromise the blood flow and result in skin death.
- In the days following surgery, there will be pain which can be subsided by the pain killers given by Dr Amit Agarwal.
When can you return back to routine activities?
- Soreness might last for few weeks.
- You can start exercising after 6 weekspost-surgery.
- You can return to work depending on your will power and the type of work required after 2-3 weeks.
- You can return to your normal lifestyle after 3-4 weeks of surgery.
There will be some specific instructions given to you by Dr Amit Agarwal which includes
- How to apply creams and ointments after the surgery.
- How to take medications, orally or applicable which can help in faster healing and recovery, reducing the risk of recovery.
- Instructions about how to take care of the surgical site and when to follow up
Risk and complications post-surgery
The risks and complication, if any considering your medical conditions will be discussed with you prior surgery. Still if you have any other question in your mind, never hesitate to ask it with Dr Amit Agarwal.
The Risks related to general anaesthesia are very rare. General Anaesthesia is very safe in present times and with best machines and a qualified anaesthetist, chances of encountering any complication is less than 0.1 percent in a healthy individual. We at Kayakriti Plastic Surgery and Dental Centre centre are equipped with world class anaesthesia workstation, other equipments and two very qualified intensivists for the surgical procedures to be very safe and smooth
- Seroma formation or fluid accumulationcan occur which subsides with time.
- Distorted earlobules and rarest chances of injury to the facial nerve or one of its branches (muscles which control the movements of face).
- There will be faintly visible scars present along the incision which might hypertrophy only if you are prone for it
- Rare chance of loss of hair at the incision site.
- Facial asymmetry which might require revision surgery
- In men requiring major correction, if the sideburns are pulled backward and upward, this can look odd.
- Altered skin sensation or numbness
- Rare chances of Infection which usually subsides with good antibiotics.
- There can be persistent swelling and bruising, tightness and discomfort in the face which reduces with time.
- If you have a poor blood supply, the healing can be poor giving rise to wound healing problems (seen more in smokers, diabetes, hypothyroidism and in persons with multiple diseases).
- Rare chances of wound dehiscence, scar abnormalities. So do not request your doctor for more than appropriate skin removal during the planning session.
- Rare chances of bleeding can occur in persons with undiagnosed bleeding tendencies, on blood thinner medications, herbal supplements for weight loss. So, consult your doctor immediately if it happens in your case. The doctor will drain the blood out of the area after removing a single suture.
How to make your facelift last longer?
These are the risks and possible complications which should be discussed by you with Dr Amit Agarwal before the procedure.
Usually face Lift surgery results can take time upto 3-4 weeks for swelling to fully subside and it takes up to six months for the incision lines to mature.
Results are long-lasting and will age naturally with the individual.
Permanent and continuous use of sun block and a healthy change in your lifestyle will extend the results of the surgery and gives you more youthful appearance.
Do's and don't
- You should always discuss any previous surgery or medical condition without hesitation.
- You should immediately consult your doctor if you have any complication.
- You should always maintain a healthy lifestyle for best and prolonged results.
- You should not get into surgery if you are having any major chronic illness and you should not hide it with your doctor.
Frequently Asked Questions
Aging men and women who are self-conscious and mirror conscious and do not feel the way they lookwith sagging face (jowls, neck, cheeks),prominent lines running between the nose and mouth, wrinkles near the cheek bones are perfect candidates for face lift.
The visibility of scars will fade with time but they will be permanent and they will be hidden finely under the hairline and in the natural contours of the ear.
You can get discharged on second day after the surgery after your drain is removed.
The results of this procedure are completely visible after the swelling and bruising subsides.
If you follow doctor's instructions, and maintain a healthy lifestyle, the percentage of risks and complications involved is 3 to 5%.
Quitting smoking is a perfect solution even without surgery as it involves many health risks, but it's totally up to you wish that you want to quit or not. But you should surely stop smoking at least 4 weeks before the surgery.
A face lift does not last forever. Gravity and aging will always effect the body and face but the changing process will be very slow and time consuming.
Shaping dreams through
Know your surgeon better
Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
MS, DNB (General Surgery) MCh, DNB (Plastic Surgery),
MNAMS, FACS, FICS, FRCS (Edinburgh, UK)
His Credentials
Three pillars of kayakriti
Privacy
We believe your experience with us should be comfortable and hassle-free to make it one of your best lifetime experiences for yours. We, here at the clinic, take full precautions to maintain your privacy in any manner. We also provide a staff who will receive you from the gate and take you to the chamber directly if you demand.
Trust
Our Surgeon is highly qualified and internationally certified with a team of skilled staff to perform any surgical or non-surgical treatment on your body.
Safety
When you plan to undergo any surgery you should always keep in mind that it's your body and it's a surgery. We, here always keep your safety a priority and will never recommend you to undergo any such procedure which is not safe for you. We also provide you with a detailed description of the complications which may occur after the surgery during the consultation as it's a surgical procedure so there may be some complications depending on the way your body reacts.
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Frequently Asked Questions
If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
Kayakriti Plastic Surgery & Dental Center
D-43, Near Punjab National Bank, Rajajipuram, Lucknow, Uttar Pradesh - 226017, India
Phone No. +919695940009, +919695940006
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