Facial Rejuvenation – Lifting
The regions of facial rejuvenation can be divided into the upper face or brow, the mid-face, the lower face (jowl and marionette folds), the neck, and the eyes. Many patients choose to have several regions rejuvenated at the same time. However, some patients may only need one region corrected. Often, patients will also have volume restoration performed at the same time as a facelift procedure to produce a very natural, vital appearance.
Aging in the Face
Three factors contribute to the aging changes that are seen in the face: loss of volume, sagging of the skin and underlying tissues, and wrinkling in the skin.
If you look at young people, their faces are very full and usually are larger than those who have reached middle age. In the younger face, the facial fat pads and facial bones are very full. As we age, the facial fat pads begin to shrink, and some of the facial bones and jawbones begin to be resorbed (shrink).
Thus, as we hit our late 30’s and 40’s, our faces become less round and more angular. As we hit our 40’s and 50’s our faces may start to become more hollow. This loss of volume eventually leads to the sagging of the outer skin that has not shrunk with the underlying tissues.
Lifting procedures (facelift, browlift, necklift) are designed to elevate and reposition the tissues that have fallen. Many different types of facelifts exist. Dr. Schneider prefers a facelift approach that lifts and repositions the sagging muscle, tissues, and skin as a unit to produce a natural and vital appearance. We avoid the “quick lifts” that either incompletely rejuvenates the face, or leaves a pulled appearance.
Facelift, Necklift, Browlift
The facelift is designed to lift and rejuvenate the mid-face and lower face. A facelift should be designed and implemented with incisions that are hidden and not noticeable. In most patients, Dr. Schneider includes fat transfer to also restore the facial volume. Many of our patients are referred to by salons who have the opportunity to see many facelift results.
There are two basic types of the facelift that Dr. Schneider performs:
- The Mid-Facelift
- The M.A.R.C Facelift.
The Mid-Facelift is performed through minimal incisions and is designed to elevate and correct the mid-face (that region of the face located from below the eyes to the angle of the mouth).
Often as we age we develop some bulging of the lower eyelids, and then a deep hollow below this. The mid-facelift is designed to correct both of these issues. Performed in about 1 hour, the mid-facelift leaves only a small incision underneath the eyelashes that sits in a natural skin fold. Patients go home following the facelift procedure without any dressings on. We remove their sutures 3-4 days following the facelift.
The M.A.R.C. Facelift
The M.A.R.C. Facelift (Musculo-Aponeurotic Repositioning and Contouring) is ideal for the patient requiring rejuvenation of the mid-face, lower-face, and neck. This facelift is designed to decrease the parenthesis lines (naso-labial folds), marionette lines, jowl and sagging in the neck.
It is performed by incisions in front, inside, and behind the ear, as well as incisions under the chin.
The key to a great facelift besides producing a natural lift, is that no one should be able to identify the facelift scars.Dr. Schneider
The M.A.R.C. facelift takes about 2.5-3 hours to perform, and patients return to the office the next day so the dressings can be removed. Stitches are removed on the 6th day following the procedure. Most people have a social recovery (return to work or are seen by friends without noticeable signs) in about 7 days.
Many of our facelift patients fly into Fort Myers, have their procedure, and then they are able to return home 1-2 weeks following their surgery. Both men and women have seen great benefits from our facelift technique, and enjoy their natural appearance.
There is a thin, broad sheet of muscle that spans each side of the neck, and it is called the platysma. As we get older, the platysma begins to sag in the front of the neck, and this becomes visible as a band on each side of the neck. Often there may also be excess fat that hides a nice jawline.
The necklift is designed to eliminate sagging or fullness in the region below the jawline and chin. The necklift may be performed as part of a facelift, or, it can be performed alone by patients who are only bothered by the area below the jawline.
Necklift Procedure & Recovery
The necklift procedure is performed in a number of ways and may involve either an incision under the neck, an incision behind the ears, or both depending upon the patient’s condition. Liposuction is used to contour the fat of the neck, and then the platysma muscle is lifted and tightened with sutures. Then the skin is contoured and trimmed if necessary, and the incisions are closed with sutures.
The procedure takes 1-2 hours to perform, and patients are able to go home the same day. Dressings are removed the day following the procedure, and stitches are removed 6 days following the procedure. Most people are able to return to work or their social activities within a week.
As we age, our eyebrows tend to sag. In addition to causing a lower eyebrow, it may also cause the appearance of excess skin in the upper eyelid and a hooding appearance to the outer eye. Restoring the eyebrow’s height by performing a browlift opens and brightens the face.
There are two basic browlift procedures that Dr. Schneider performs:
- The Endoscopic Browlift
- The Open Browlift
The Endoscopic Browlift is performed through small incisions that are located within the hairline. Through these browlift incisions, a camera on a tube called an endoscope is inserted, and tissues of the brow are elevated. Dr. Schneider has pioneered a browlift technique where no internal hooks, screws, or bone holes are necessary to elevate and maintain the elevation of the brow.
The Open Browlift
The Open Browlift involves an incision that runs across the hairline and is created in such a way that the hair follicles will grow through the scar, thus camouflaging the scar so it cannot be seen. The advantage of the open brow browlift technique is that Dr. Schneider can actually use the procedure to not only elevate the eyebrows, but he can also lower the hairline that tends to recede with age.
Browlift Procedure & Recovery
Each browlift procedure takes about one hour to perform under IV anesthesia, and patients are able to go home the same day. Dressings are removed the next day, and sutures are removed a week following the operation. Most browlift patients are able to return to work in about a week.