A Facelift is a surgical procedure designed to restore youth and beauty to the face. When it is performed by a surgeon who does it with skill, that youthful appearance is created without the tell-tale evidence of surgery.
“One shows his finesse as a surgeon when performing a Facelift” says Dr Rastogi. “It’s all about meticulous attention to detail.”
The aim is to produce a youthful tone to the skin and a youthful appearance to the neck, jaw line, cheeks and eye area, in such a natural way that one has no inkling that surgery has been involved.
As we progress through the years, loss of collagen and elastin from the skin, muscles and fat pads of our face (aided by gravity) cause our face to sag.
This ageing process is accelerated in Australia because of the very destructive and ageing effect of our harsh sun. Other factors such as smoking, alcohol, weight loss, stress and genetics also play their part.
Cosmetic injections such as anti-wrinkle treatments and dermal fillers are a very effective way to remove lines and wrinkles and treat the early appearance of facial sag. However, once the skin of the neck loosens and the jowls start to become a problem, it is time to consider a Facelift in Sydney with Dr Rastogi.
Firstly, when a Facelift is performed at a younger age there is more collagen and elastin in the tissues and therefore the lift will last much longer.
Secondly today women in their 40’s and 50’s feel like they did in their 30’s. Physiologically this is their reality, and they dress and live a lifestyle that reflects this. However their facial appearance does not keep up with the way they feel. This is why the Facelifts are performed at this time, to restore their appearance to match the way they feel and while they are still enjoying their prime.
Thirdly, because modern Facelifts are so much better and last much longer, many women feel it makes less sense for them to wait until they look older in order to look young again. They would rather have a seamless maintenance of their appearance over time, than a more obvious dramatic change later.
The answer to this question is NO. Dr Rastogi has very gentle and precise hands and this means that his Facelifts have very little swelling and usually little or no bruising at all.
Discomfort is mild, usually requiring no more than Panadol and there are no heavy bandages. This is because Dr Rastogi allows very little bleeding to occur during surgery and therefore no blood leaks into the tissues during or after surgery to cause bruising or to require drains or heavy bandages.
Consequently Dr Rastogis’ patients are usually presentable in public after 3-4 days and can return to work and be around friends after 10 days.
Dr Rastogi will tailor the surgery to suit the facial appearance of each patient. However in general a muscle or “SMAS” lift is performed in order to lift and firm the face.
Tightening being performed at the muscle level, allows the still attached overlying skin to be lifted as well but without any direct pull being imposed upon it. This produces a very natural appearance with firm skin but without any signs of skin pull.
The muscle is a much stronger layer than the skin and this means that the lift will last much longer, even though the procedure is far less invasive.
The incisions are hidden in the skin creases and on the edge of the hair line where they are imperceivable.
A Facelift is permanent, that is the lifting sutures holding up the lift will never come undone. However the skin and deeper layers continue to loose collagen and elastin as the ageing process progresses and the tissues will eventually begin to sag.
The rate at which the tissues will relax depends on a number of factors, but in particular lifestyle factors such as smoking, alcohol, sun damage and recurrent weight gain / loss will cause the tissues to relax faster.
The age at which the lift is performed is also an important factor, younger skin (40’s and early 50’s) has much more collagen and will hold the lift longer than lifts performed later.
Looking after your skin is the best answer to maintaining the longevity of your lift. Proper skin care, and by that I mean clinically proven cosmeceuticals, containing antioxidants, retinoid’s, niacinamide, alpha and beta hydroxyacids, fibroblast growth factors as well a good moisturiser and sun block (see Skincare) will maintain the buoyancy, tensile strength and elasticity of the skin by improving skin health bolstering collagen content, hence extending the life of the lift.
A rough rule of thumb is between 5 and 15 years depending on your lifestyle and skin characteristics.
Modern Facelifts such as Dr Rastogi’s are a safe and intelligent way of treating facial sag, they do not encounter the same complication profile as older style facelifts. This is because extensive skin undermining has been replaced by less invasive muscle lifts. The incision lines are not under tension and facial nerves are a long way from the surgical field.
Dr Rastogi and his staff will take you through a comprehensive discussion on this topic at your consultation.