Facelift

REJUVENATE YOUR APPEARANCE

Face Lift (Rhytidectomy) is a cosmetic surgery procedure designed to help men and women achieve a more youthful facial appearance. As we age, our skin loses its elasticity and begins to sag. This process can leave your face looking tired and worn, with deep wrinkles, hollow cheeks, jowls and loose skin in the lower face and neck. Face Lift can address all of these issues and help you look possibly many years younger.

Depending on your age, or if you have had previous facial work… read carefully below the description of how our surgeon achieves marvelous natural results with the SMAS Face Lift and Round Lift technique.

Our surgeon’s technique (for OVER 20 years) for treating facial ageing consists in the TREATMENT of ALL facial tissue.

Dr Koelliker specializes in the “SMAS“ FaceLift and the “Round Lift“

Enabling the natural repositioning, leaving very little if ANY signs of surgery, with this natural technique called “ROUND LIFTING”. After surgery, the full balance of the FACE is achieved… SEE photos on www.faceliftmexico.com, for further proof of results of this natural technique!

Several face lift variations are available that differ in their degree of invasiveness (as well as their corresponding costs). The most commonly performed lifts include the superficial musculoaponeurotic system (SMAS) lift.

After the skin incision is made the skin is separated from the deeper tissues with a scalpel or scissors over the cheeks and neck, the skin is then re-draped. The excess skin is then removed.

SMAS Procedure

THE FACE LIFT PROCEDURE

Despite their variations, most face lift procedures share certain elements. First, you will be provided with usually local anesthesia combined with IV sedation. You usually will not hear, feel or remember anything.

Your surgeon then will create incisions along your hairline and around your ears following the squiggly line of the ear cartilage, (NEVER straight down in front of the ear) possibly extending into your scalp. Your surgeon then will lift your skin away from your face, rearrange the underlying tissue in a higher position and remove excess skin. He or she may also remove fat with liposuction. Lastly, your surgeon will re-drape your skin over your face and close the incisions with sutures.

1. Incisions usually begin above the hairline at the temples, follow the natural line of the ear cartilage, curve behind the earlobe into the crease behind the ear, and into or along the lower scalp.

2. Facial, neck tissue and muscle may be separated; fat may be trimmed or suctioned and underlying muscle may be tightened.

3. After deep tissues are tightened, the excess skin is pulled up and back, trimmed and sutured into place.

4. Most of the scars will be hidden within your hair and in the normal creases of your skin. Your new face will emerge soon after.

DR. KOELLIKER’S – SMAS FACE LIFT

One FaceLift is not like the other. There are various surgical procedures called Facelift. Some Surgeons do ONLY ONE procedure and attempt to adjust it to the Patient’s needs. Other Surgeons take advatnage of a variety of facelifts to maximize the results.

SMAS Face Lift differs from the traditional face lift in that it lifts the deeper layer of the face. SMAS – or superficial musculo-aponeurotic system – is composed of multiple fibrous extensions that attach through the subcutaneous fat to the superficial epidermal-dermal layer of the skin, and these connections cause the three layers of the facial skin to “move together” as a unit. The SMAS attachment is particularly noticeable at the nasolabial folds. The SMAS membrane continues as a layer of smooth fibrous tissue that reaches to the cheekbone below the eye and attaches to the bone as it extends in front of the ear area. A gliding plane, between the SMAS and the underlying structures of the face, allows free movement of the skin unit to create facial expressions. These movements are produced by the superficial muscles of expression.

As facial skin ages, there is gradual loss of elasticity in the epidermal layer of the skin as well as in the SMAS membrane. Gravity produces sagging of the cheek skin unit along the jaw bone – creating those fleshy jowls and often a double chin. This drooping of the fatty portion of the lax skin unit along the jaw area occurs while cheek fat sags forward to increase the prominence of the nasolabial fold. This then descends downward below the mouth to the chin – to become a jowl. The sagging of the SMAS membrane contributes as much to the aging face as does loss of elasticity in the superficial dermal layer. The classic or traditional face lift surgery addresses only the superficial dermal skin unit – and usually results in a “too tight” or pinched look.

FACE LIFT MEXICO COMBOS AND ALTERNATIVES

A face lift can produce remarkable results. However, the procedure only targets certain parts of the face — namely, the mid-face, lower face and jawline. You may find that other areas of your face require attention in addition to or instead of those areas that can be addressed with a face lift. In this case, your surgeon may recommend additional or alternative procedures which encompass the full face lift procedure:

• Neck lifts are often combined with face lifts. These procedures are used to remove fat and excess skin to eliminate wrinkles and bands and create a smoother, tighter neck appearance.

• Eyelid surgery is performed to address droopy upper eyelids and puffy lower eyelids, which can cause you to appear older and more tired than you feel.

• Temporal lift (forehead lift) possibly enhances the eye area .

• Facial implants are made of silicone and can be placed in your chin, cheek or jaw to improve your overall facial symmetry and proportion.

• Chin surgery may enlarge the chin with implants.

• Rhinoplasty (nose reshaping surgery) can help bring your nose into better proportion with your face by making it larger or smaller. Your surgeon can also remove a hump from your nose or a dip from the bridge of your nose, or otherwise improve your nasal profile.

• Otoplasty (ear surgery) is performed to reduce the appearance of excessively protrusive ears. This is one of the few plastic surgery procedures most often performed on young children.

LESS INVASIVE FACIAL PROCEDURES

Other treatments that can be used in combination with — or instead of — a face lift include facial injectables and fillers. Facial injectables include Botox, Dysport and Xeomin, which paralyze wrinkle-producing muscles. Fillers such as Juvederm and Restylane can add volume to sunken cheeks and minimize facial folds. However, these treatments provide temporary results and cannot address severe sagging and jowls the way that a face lift can.

Stem cell face lift is another alternative treatment. Despite its name, a stem-cell face lift is not a face lift. When performing this procedure, your surgeon will remove fat cells from somewhere in your body, process them to activate the stem cells, and re-inject them into your face to add volume and generate new skin cells. Fat transplants may be injected into the upper and lower lips to add a nice plump youthful look. Never over done!

Dermabrasion on the upper and lower lips may be performed with the facelift to achieve a more youthful look

SMAS procedure is the minute lifting of the muscles under the skin (please read the info above). It creates a natural look and can last for 10 years.

MALE FACE LIFT SURGERY

A face lift is typically thought of as a procedure for women. However, male face lift surgery is fairly common, with men making up about 20 percent of face lift patients.

While some men may fear that a face lift will make them appear more feminine, this is not the case. A skilled plastic surgeon can enhance rather than minimize the masculine features of a man’s face.

Patient Kim after surgery

Patient Amy

Full Facelift

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Patient Karen after surgery

Patient Karen

Full Facelift

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Patient Michele after surgery

Patient Michelle

Facelift

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Patient Karen after surgery

Patient Kathy

Facelift Tune-up

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