Face and neck lifting offer several alternatives


FACE AND NECK LIFTING

(Cervicofacial Rhytidectomy)

Face and neck lifting offer several alternatives because you are dealing with multiple components. Common procedures include tightening under the chin or about the neck, sculpting the jawline and cheeks, or removal of jowls. While individual procedures may vary somewhat, certain standards apply in all cases. Certain features of face and neck lifting are visible to the trained eye. The following includes information on incisions, and tips on evaluation of the work on the neck and jawline.

Face-lift techniques of the past often left vertical, wide incision-scars with "railroad tie" cross-hatchings. These were poorly placed in front of the ear, onto the cheek, and were visible unless camouflaged by hairstyle. Contemporary surgeons now fashion two incisions in two different locations. The first, a single, curving incision above the ear, permits access so that the forehead, brow, cheeks, jawline and neck can be tightened.

Location and pattern of incisions differ somewhat by gender. For females, it begins within the hairline of the temple, then continues downward within the various creases and curves of the ear. That nasty, straight-line, vertical, white and widened scar visible well in front of the ear mentioned earlier, is avoided using this pattern. The incision continues behind the earlobe, into the groove behind the ear, and then terminates horizontally within the hairline.

After my face and neck lift, I can now button my collar, without my face falling over the collar. Before, I had to gather up my neck.

- Michael, actor, California

The male incision also begins within the temple hairline, hugs the back edge of the sideburn and then continues downward to just below the earlobe. It is important that the incision''s slightly bowed, vertical portion in front of the ear, be precisely placed at the junction of the back edge of the sideburn, and the hairless strip of skin, just in front of the ear.

This natural boundary is the best location to camouflage the incision. Were the male incisions identical to that of the female hidden in the folds and contours of the ear shaving would be a challenge.

More experienced surgeons generally required less time to perform a face lift.

-National Plastic Surgery Survey journal Plastic and Reconstructive Surgery, October 2000

Further, with the beard growing at the ear canal opening, an unnatural appearance will be unforgivingly permanent. The male''s incision hidden behind the ear and in the hairline is identical to the female''s.

Patients who heal satisfactorily can expect their incisions to be completely hidden or obscured. The fully healed wound should become a fine, nearly imperceptible line, particularly in that portion that hugs the ear. In patients with very thin, fair skin, the incision may be completely invisible. Today, because of better-placed incisions, women can wear their hair "up," baring their ears without fear of revealing telltale incisions. Even for men, with fewer hairstyle options, incisions are well concealed and acceptable.

The second incision is used to remove the double chin and correct the hanging, vertical platysma muscle bands in the neck (the so-called "turkey neck"). This horizontal, fine-line incision is well hidden where chin meets neck and is almost always, ultimately, invisible. As desired, a chin implant (see Chin Augmentation) can be placed through this incision, to further accentuate the new jawline.

The objective of face and neck lifting is to restore a youthful appearance to the face and neck. From the front, erasing the jowls and removing the hanging, often floppy vertical muscle bands reverses those telltale signs of aging evidenced in the mirror.

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This article was sent to us by: Andrew Nidder at 09112010

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