Surgery involves drying off the excess skin and fat from the face and neck, tightening the muscles and connective tissue.
This procedure can be performed individually or in combination with other facial surgeries, such as brow lift surgery when they have fallen below the orbital rim and if necessary placing them back in position, correction of the forehead, eyelid surgery (blepharoplasty ) when there is the presence of fat pads and / or excess skin, chin surgery, liposuction and nose surgery (rhinoplasty).
At your first consultation we evaluate your overall health, existing fat deposits, loss of tone and elasticity of the skin and craniofacial fall; the benefits and limitations of the results depending on the degree of facial deterioration of the patient. It is important to know if you smoke or have a disease of the respiratory tract that usually delays healing, in which case you will be asked to stop smoking before the procedure time; not take aspirin or its derivatives two weeks before and after surgery, as well as vitamin E and omega. Laboratory studies, preoperative cardiovascular assessment and, if necessary, respiratory function tests will be indicated; you will be provided indications of preoperative preparations.
This procedure is performed under local anesthesia with sedation or general anesthesia.
Incisions are individualized for each patient, usually starting in the temporal area into the scalp, continuing inside the ear lobe passing under the hair and continuing to follow the natural folds of the ear on its back. A small incision is made in some cases under the chin to access the middle neck region, complementing the final appearance of the results. Once the peel of the skin is done, excess fat is removed, muscles and connective tissues are tightened and excess skin is dried up. Sutures are placed in natural lines that will cause scars to be less and less noticeable until the end of the healing process where they will be hidden to the fullest. Regularly we drain for 1-2 days behind the ears on the scalp to prevent the collection of fluid under the skin, and place a cold padded bandage and indicate a hospital stay 1-2 days.
At discharge the patient must fully comply a series of recommendations for their speedy recovery, such as not taking aspirin or its derivatives for 2 weeks to decrease the risk of postoperative bleeding, not looking down or flexing the head to avoid skin suffering and breaking of the skin sutures, no physical exertion, sleep semi-sitting and place extra pillows on the shoulders thus promoting faster loss of swelling, avoid the act of whistling, kissing and eating foods that require a continuous and rigorous chewing the early days ,as well as the use of moderate compression bandage the first week. You can wash your hair and face with water periodically with drinking water and take medication as prescribed. Walk moderatly, avoid excessive heat, including hairdryer as there are normal areas temporarily without sensitivity that could result in serious burns.
The removal of sutures next at about 4 days postoperatively and ends at about 10 days depending on the healing of the person.
Avoid direct sunlight during the healing process, and continuously use sunscreen during this time.
There are new therapies and additional scientific and technological advances that promote recovery and aesthetic improvement in your face and neck after the surgery which will be explained by Dr. Schimensky in follow-up visits in the office.
In 2-3 weeks the patient can start his/her daily life routine.