The loss of cutaneous elasticity, hormonal modifications and the effect of gravity among others, are responsible for the sagging of the ageing face. Hence, we notice a loss of the oval shape of the face, a thickening out of the neck, with a few wattles, a loss of contours for the cheekbones, and a thickening of the naso-genial folds between nose and cheeks.
The forehead wrinkles and the tail of the eyebrows pulls down. Skin crumples.
Liftings can improve all or part of these transformations due to ageing.
We can distinguish cervical liftings, cervico-facial and temporal ones.





The operation is made under local anaesthesia associated or not, with neurolepanalgesy (a light general anaesthesia with the presence of an anaeshetist).
The gesture consists in a resection of cutaneous excess, but above all, in a repositioning of the sagging fatty and muscular tissues.
Scars are discreet, concealed in the ears and hair.
Different supplementary gestures can be associated. Such as the resurfacing laser, blepharoplasties, lipostructure, the filling of wrinkles and the botulinic toxin (Botox, Dysport).
Hospitalisation : 24 hours.

 
Pains are light, even non-existent.
The face appears more or less swollen and insensitive, according to the gesture accomplished and to individual sensibilities. Ecchymoses, frequent at the level of neck, disappear within 2 or 3 weeks.
The scars near the ears are pinkish during the first weeks, but rapidly turn white to become extremely discreet.
These postoperative effects, at times visible, require a little patience, but the result, one to two months later, is always rewarding.




Apart from the rare and usual complications of any surgical act (anaesthetic accidents haematoma, infection and healing problems) very few specific problems exist related to liftings.
The surgical gesture, to be efficient, must be relatively deep in the proximity of the motor nerves of the face.
A diminution of mobility, partial or transitory may rarely be noticed.


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© Dr van der Stegen 2001
Creation, conception: NIKOPOL