Facelifting


Your face always takes centre stage. If you meet other people, they will study your face first. Because we can all read faces like in a book. If someone looks relaxed, healthy, energetic and enterprising to us, it is almost without exception due to a face that looks youthfully firm and beautiful.

As we get older, our skin slackens. Wrinkles form, the cheeks become hollow, lose their elasticity and the facial proportions shift – for example because deep nasolabial wrinkles (“sorrow wrinkles”) develop. With a facelift (also called facelifting) you will regain your young, fresh appearance and – depending on the chosen method – you can also maintain it permanently.

ATTENTION: Everyone is unique. This means that the treatment process, planning and outcomes can be different for you. The information you see here is the averages encountered in a large sample size. For details please contact us via WhatsApp:  +90 542 475 41 10

Expert plastic surgeons naturally help you achieve a youthful appearance:

Surgical face lift (medical: “rhytidectomy”)

Suture lifting (minimally invasive surgery)

Face tightening by means of surgery
An operative facelift is always recommended when the main aging of the face has visibly progressed and there are pronounced wrinkles which can no longer be smoothed by cosmetic and other measures such as injections. Plastic-aesthetic surgeons will help your skin to regain its elasticity and compensate for volume losses on the forehead, cheek and neck with a face lift.

The choice of the surgical technique and the concrete goals to be achieved with the facelift are determined individually. The result, however, is always to restore the fresh and dynamic radiance of earlier years. A face lift is therefore ultimately also a face rejuvenation with which the skin appearance of the face can be reset by about 10 years.

Causes
In addition to the natural aging process, smoking, alcohol, stress, a lack of sleep and environmental influences such as UV radiation also lead to a facial skin that lacks elasticity. Diets and frequent weight loss also lead to excess skin tissue and thus to the formation of wrinkles. The changes in the face usually creep in only slowly and over years.

The sagging tissue leads to a shift of volume in individual parts of the face. New “cheeks” appear and deep furrows dig into the face at the same time. Its proportions sometimes change so much that those affected don’t like to look at themselves in the mirror any more. At the latest then it is time to find a new quality of life with a facelift.

Facelifting Techniques
Which technique and method of face lifting surgeons use always depends on the individual condition of the face. However, the principle is the same for all treatments: the face lift is performed in the depth of the subcutis. The relevant skin and muscle structures are tightened during the operation, excess skin is removed and the result is then anchored again and sutured inconspicuously.

Depending on where the face has lost elasticity, the facelift is differentiated according to the problem area:

Lower facelift – neck and chin lift
Medium facelift – the facelift corrects flabby cheeks and/or the nasolabial fold (a deep furrow between the nose and the corner of the mouth).
Upper facelift – here crow’s feet, wrinkles on the temples and forehead are smoothed out

Often these different lifting procedures are also performed in one operation. A combination with non-surgical treatments is also possible.

SMAS-Lift
Often the slackening of the face is caused by a sinking facial muscle. In these cases a SMAS lift is used. The abbreviation stands for the superficial musculoaponeurotic system and describes a fibre or tendon plate that connects the facial muscles with the skin. This connective tissue is lifted in the operation. It is accessed through an incision in the hairline and around the ear, which cannot be seen later. The SMAS lift is often referred to as a classic facelift.

The result of the SMAS lift is a fresh looking face which guarantees full mobility of the facial expression and therefore does not look like a mask. In the clinic, the SMAS-Lift is one of the standard operations that usually run without complications and promise maximum durability of the face lift.

Preparation for classic facelifting surgery (SMAS-Lift)
Before the facelift, a detailed consultation with the surgeon performing the surgery is essential. In this consultation, it is determined which problem areas should be corrected with which methods and techniques. The surgeon will inform you about the exact course of the incision as well as about all possible risks and complications of the operation.

In the preliminary consultation with the doctor, make sure to mention all previous illnesses, allergies, chronic diseases and medication that you regularly take. You should not smoke at least 2 weeks before the operation. Please also avoid taking medications that inhibit blood clotting such as aspirin, vitamin E or ginkgo biloba.

What has to be considered after the operation?
A SMAS lift is an operation that places a lot of strain on the skin, muscles and tissue.

In the days following the face lift, you must therefore expect swollen skin and tension in many areas, bruising and a feeling of numbness. However, these symptoms usually disappear within 2 weeks.
To drain off the wound water, small drains are sometimes placed, but these are removed the day after the operation.
A head bandage must be worn for a few days after the facelift. In addition, the head should initially be kept as still as possible.
The stitches are removed between the 6th and 10th day after the operation.
In the days following the facelift, pain often occurs, but can be easily controlled with painkillers.
Since it takes about 4 to 6 months for the skin to grow back completely, you should not engage in any contact sports during this time.
For about 3 months you should avoid longer sitting or even sunbathing.
Smoking should be strictly avoided for one month after the operation, otherwise the wound healing process will be impaired.

Risks of facelifting surgery
Since the operation is performed under general anesthesia, the associated risks cannot be ruled out. The anaesthesia is always performed and monitored by an experienced anaesthetist.

Other possible complications include postoperative bleeding, wound infections and wound edge necrosis. To avoid these, you should consult a doctor regularly for aftercare. In rare cases, hair growth at the interfaces of the operation may also be impaired.

Minilifting and/or pure skin tightening
Another method of face tightening is less complex, but has the disadvantage that the result lasts less long: The Minilift only tightens the skin. This method is particularly recommended for younger patients who already have sagging skin on their face. The procedure is performed through a small inconspicuous incision behind the ear and is performed on an outpatient basis with local anaesthesia. You can leave the clinic on the same day.
Thread lifting
Thread lifting is also a gentle and minimally invasive procedure. The surgeon makes small incisions in the hairy area of the head through which he can insert tiny needles with sutures under the skin. The sutures are equipped with tiny barbs that lift the tissue so that the facial skin can be brought into the desired shape in this way. The number of sutures required depends on the desired result. The suture lift is performed under local anaesthesia and is performed on an outpatient basis.
Advantage of suture lifting
Immediately after the thread lift you are ready for use again. Only in rare cases do haematomas occur at the injection sites, but they heal quickly. A further advantage of suture lifting is that sutures break down automatically in the body and release skin-tightening collagen. At the same time they stimulate the body’s own formation of collagen and thus contribute to a particularly natural skin rejuvenation. The result of this method of face tightening remains effective for up to 18 months. Depending on the type of sutures used, the effect can last much longer.