Face Lift Pensacola, FL

In 2013, face lift was the 7th most commonly performed cosmetic surgical procedure in the United States.*

Typical Timing/Age Over 50 years old.
In 2013, face lift was the most common cosmetic surgery procedure among people over the age of 65.*
Problem Facial aging is multifactorial. Facial aging can be broken down into three basic problems: ptosis (falling or sagging of tissues), atrophy (decreased volume and loss of tissue) and decreased skin quality. A face lift only corrects one of those problems – “ptosis (falling or sagging of tissues).” The addition of fat grafting to treat areas of volume loss and skin resurfacing to improve skin quality can dramatically improve the final result after a “face lift.” The face lift portion of a facial rejuvenation serves to move the facial soft tissues back into a higher and more aesthetically pleasing location thereby treating jowls and improving facial contour.
Procedure Drs. Butler and Leveque perform most face-lifts in 4 layers (two on each side). The deep layer is called the “SMAS” it is a stronger, more supportive layer than the skin and its movement can be more vertical in nature, typically parallel to the smile muscle of the face (zygomaticus major). The most superficial layer is the skin. Using the SMAS layer to “lift” the face leaves the skin free to do its job as a “covering” layer, not a supporting/lifting layer. Drs. Butler and Leveque believe this technique prevents creating a flattened, tight, windblown appearance, reduces wound-healing complications and improves scar quality – since there is less stress on the skin layer. The procedure is done through facelift incisions in front of and around each ear. After the incisions are made, the skin is carefully elevated from the SMAS layer below. Once the skin layer had been appropriately elevated, the deeper SMAS layer is elevated from the facial muscles underneath it. Once the SMAS layer has been adequately elevated on each side the SMAS is lifted parallel to the smile muscle (zygomaticis major) to achieve the desired amount of lift. The SMAS is then held in place with sutures. The skin is then re-draped and any excess or redundant skin is removed from the face-lift incisions in front of and around the ears.
Goal To improve the appearance of the face and jawline.
Facility Office/Clinic, Surgery Center or Hospital
Preparation Patients should have well-controlled blood pressure, be at a stable weight and should not be using any nicotine containing products.
Anesthesia Local anesthesia in the office/clinic. Or if you prefer we can also perform the procedure under IV sedation at a Surgery Center or Hospital; or general anesthesia at a surgery center or hospital.
Recovery
Hospital stay Some patients go home after surgery and some choose to spend a night in the hospital.
Positioning After a face-lift you should sleep with your neck extended (head tilted back) for 2 weeks. This means no pillows. You may roll up a small towel and place it behind your neck (not your head).
Assistance You will be able to walk around, feed and bathe yourself. Depending on your pain medication requirements, you may not be able to drive or care for others. You will not be allowed to drive until you can quickly move your head without pain.
Walking You are encouraged to walk around as much as possible to help reduce the risk of DVT and thromboembolism.
Showering Most patients shower 1-2 days after surgery.
Exercise Do not lift anything heavier than the sunday paper for 2 weeks after surgery. Light exercise such as jogging at 3 weeks. No restrictions after 6 weeks.
Sex Wait 2 weeks because you don’t want to increase your blood pressure during the early healing period.
Work Light office work and casual social events by 10 days. Wait 6 weeks before any major events. 3 months before any important photographs.
Swelling Swelling is usually worst around 3 days and then subsides. May take about 9 months for the numbness and firm sensation to go away. 9-12 months for “full” healing.
Bruising Usually subsides by 1-2 weeks.
Follow-up Appointments 1-3 days after surgery for drain removal, 5-7 days for some suture removal, 7-10 days for remaining suture removal. 4 weeks, 6 months, 1 year.
Risks & Complications Hematoma, contour irregularities, infection, prolonged swelling, delayed wound healing poor scarring, hairline irregularity, nerve injury, need for revision, complications related to anesthesia.
Performed by: Dr. Butler, Dr. Leveque

 

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*Cosmetic Surgery National Data Bank: Statistics 2013. (2014). Aesthetic Surgery Journal / the American Society for Aesthetic Plastic Surgery, 34(1 suppl), 1S-22S.doi:10.1177/1090820X14542571

Gulf Coast Plastic Surgery is the only plastic surgery office in the area offering Canfield Vectra 3-D Imaging and Breast Sculptor software.