As we age, we experience a loss of skin elasticity and often, descent and atrophy of our facial fat. That combined with the relentless pull of gravity and sun exposure create many of the manifestations that we attribute to aging. Our understanding of facial aging continues to evolve, and facelift techniques have been designed to address some of these issues.
Modern techniques not only address skin laxity, they aim to reshape and re-suspend fat to create a more natural, youthful appearance. Incisions are placed in inconspicuous areas, like natural skin folds and behind the ears. Overtime, these scars generally heal well and are often be imperceptible.
What are the types of Facelifts?
There are many variations of facelifts. The least durable of them is the skin-only facelift. This method relies on skin suspension only. The advantage is that these operations can be done with relative ease, often completed under local anesthesia, and usually take a shorter amount of time. Some patients, such as redo-facelift patients, and those desiring limited correction and/or tightening of their necks, can benefit from this type of procedure.
There are many other variations of facelifts including the SMAS (superficial musculoaponeurotic system) lift, the short scar facelift, and the endoscopic facelift. These different variations are utilized depending on the patient's age, degree of skin elasticity, amount of winkles, and patient preference. Dr. Mushin customizes his approach to each patient in his Memorial practice.
The neck is often addressed in a facelift, tackling that "turkey gobble" or double-chin. Here again there are many techniques used including skin-tightening, platysmal suturing, liposuction, an fat excision.
In addition to "tightening" the skin and subcutaneous tissues, filler or fat from other regions in the body can be utilized to combat facial volume loss. Fat has the advantages of being durable, and potentially long-lasting, and is a popular choice here in Houston, TX. This is often done at the same time as the facelift, and can be combined with a number of other procedures that address other areas of the face including the nose, eyes, and brows.
Above all, Dr. Mushin believes in striking a gentle balance between correction and over-correction to achieve to most elegant result possible.
Who is a good candidate?
The ideal facelift candidate is a man or a woman whose face is aging but is in otherwise good physical health. Patients should be non-smokers and be free of any wound-healing disorders. Ages for surgery can vary widely, with the majority conducted on individuals between 40 and 70 years old in Houston.
What is the recovery process like?
The length of recovery often varies with the type of facelift performed. At the time of your consultation, Dr. Mushin will outline your recovery process. In general, the process will follow a similar course:
Day of Procedure: You will likely have bandages on your face which will remain in place for the first day. A drain is often placed to help remove excess fluid. Pain and swelling are likely, and you will be prescribed pain medicine to help with discomfort.
Second Day: You will be seen in the office, and your dressings will be changed. The drain will usually be removed at this time.
First Week: You should avoid strenuous activities during your first week, slowly easing into lighter activity. Swelling and bruising are common. Stitches will generally be removed between days 5 and 7.
Subsequent Weeks: Many people will begin resuming activities by the second post-operative week, though heavy lifting and straining should still be avoided. As swelling subsides, you should start to see your long-term results begin to take hold!
Why choose us?
Houston-raised Dr. Oren Paul Mushin is a fully-trained, highly-skilled plastic surgeon whom you can trust with your care. Educated at Duke University, one of the top medical schools in the country, and trained in New York, he brings with him extensive knowledge of cosmetic surgery to Houston, TX. Above all, he is caring with his patients, and meticulous in his approach. Call us today to make an appointment. We look forward to hearing from you!