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Facelift/Renue Lift

Face Lift

Also known as “Rhytidectomy”

What is a Face-lift?

A facelift (medical term “rhytidectomy“) is a surgical procedure that can improve the visible signs of facial aging by tightening underlying muscles and re-draping the skin of your face and neck. A face-lift can be done alone or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping. There are many ways to perform a face-lift. With the advances in less invasive techniques a patient can find many names on related procedures.  However, in general there are two main groups of face lift surgeries: 1) full face lift and 2) short scar facelift both involving a scar in the front and the back of the ear with or without a scar under the chin.  A facelift can make you look younger and fresher and it may enhance your self- confidence in the process.

The full traditional face-lift, by Dr. Perez, is usually done under general anesthesia in an accredited outpatient surgical facility in the Overland Park area. The advantage of this procedure is that there is complete attention to all the facial aging areas. The main disadvantage is that recovery is long and the possible side effects of the general anesthetic are present.

Short scar face-lift procedures are usually performed in the office under local anesthesia or with local anesthesia and oral sedation. Some of these procedures are not recommended by Dr. Perez due to the lack of reliability, limitations, and long term results. Usually these procedures are termed as the “lunch time lift” and performed by non-plastic surgeons (cosmetic surgeons).  Dr. Perez, however, performs a “Renue Lift” at our office, see below.

Who should perform a facelift?

A surgeon who has completed the appropriate training for this type of procedure best performs a true facelift.  By choosing a Board Certified Plastic Surgeon that is a member of the American Society for Aesthetic Plastic Surgery, such as Dr. Perez, you can have confidence that your surgeon is qualified to perform this type of procedure.  Membership in the American Society for Aesthetic Plastic Surgery (ASAPS) is by invitation only and the requirements are designed to limit membership only to formally trained and experienced plastic surgeons who concentrate their practice in performing cosmetic plastic surgery of the face and body.
  Society membership remains an exclusive privilege for these surgeons who possess the necessary qualifications and only about one-quarter of all American Board of Plastic Surgery certified surgeons have been accepted into ASAPS membership. Physicians trained in specialties other than plastic surgery are not eligible for membership in the Aesthetic Society.

The Consultation

During the facelift consultation Dr. Perez will explain the procedure, the risks involved and the limitations. Since every patient has different problems and goals, Dr. Perez and you will formulate a treatment plan which will be specific to your needs.  Areas that will be assessed will be the cheeks, jowls and neck, the condition of your skin, and facial volume.  Most patients will benefit from skin resurfacing with skin care creams, chemical peels or laser.  Others may need to increase certain facial areas lacking volume with fillers such as hyaluronic acid and even fat grafting.

The Recovery

The recovery post face lift will vary by patient and in relation to the extent of your surgery.   Most patients can expect there to be mild to moderate discomfort that is easily controlled with the pain medication prescribed.  Expect to wear a compression garment and to limit your activity. You will need to keep your head elevated and still as possible for a couple of days after surgery to keep the swelling down. You should be up and about immediately after surgery, but plan on taking it easy for the first two weeks after surgery.

Dr. Perez will let you know the signs of problems to watch for, such as signs of infection.  Severe or persistent pain or a sudden swelling of your face should be reported to your surgeon immediately.   Some numbness of the skin is quite normal.

The final result of your facelift will take time.  Dr Perez recommends to all of his patients to be on a good prescription strength skin care protocol before and after the procedure.

A full facelift usually takes several hours, especially if you’re having more than one procedure done.

 


The Renue Lift

Also known as “The Laser Assisted Face Lift”

The thought of a Traditional Facelift can sometimes be intimidating.  Often times this procedure is linked to general anesthesia, overnight hospital stays, and a relatively long period of recovery.  Many people are not willing to commit to such an extensive procedure. Patients that still want the improvement of normal facial aging, have the option of undergoing The Renue Lift under local tumescent anesthesia and oral sedation.

What is the Renue Lift/Laser Assisted face lift?

With the advances in surgical equipment such as Cynosure’s Smartlipo MPX, Dr. Perez is now able to offer an alternative procedure to the “traditional facelift.”  The Renue Lift or Laser Assisted Face Lift is an innovative and extremely effective technique that incorporates the use of the FDA approved Smartlipo Laser by Cynosure.  Using this device, Dr. Perez is able to elevate and separate the skin from the deeper tissues of the face with more ease.  This procedure offers all the benefits of a traditional facelift, however there are many benefits.

Click to enlarge diagram below.

 

Benefits of The Renue Lift

First, facial plane dissection is achieved by using the laser to separate the subcutaneous tissue from the underlying layers.  The heat of the laser allows for cauterization of the subcutaneous blood vessels allowing for less bleeding and tissue trauma and a cleaner more visible surgical field.

Second, the use of the laser is an effective method for heating the underneath of the skin promoting tightening of the skin through collagen stimulation.

Third, after separating the skin, Dr. Perez will address the laxity of the underlying facial layers with the use of sutures that enable suspension of the cheek, jowls, and neck areas.  Just like a traditional facelift.

Fourth, as a result of the reduce effects of physical trauma patients experience less bleeding, less bruising and less recovery time compared with a traditional face lift.

Finally,  this surgery is performed with the use of an oral sedative and local anesthetic in our in office surgical suite without the rare side effects that can occur with general anesthesia.

Who is a candidate?

Typical candidates for The Renue Lift procedure are patients that exhibit many of the same indications for traditional facelift surgery, but desire a surgical procedure with reduced recovery time and without the risk on general anesthetic.  As with any facial rejuvenation procedure, the best results are obtained when the texture of the skin and the volume depletion of the facial structures are also addressed.  Skin retexturing can be accomplished with skin care creams, chemical peels, or laser skin care resurfacing.  Volume replenishment can be accomplished by dermal fillers or fat grafting.

The Recovery

Patients tend to vary in their recovery time.  Typically up to 2 weeks is needed for most patients.  Most patients will have a drain for the first 4 days post operative and will be required to wear a surgical compression garment on the face.  Pain control is achieved with the use of oral narcotic pain medication.  As Dr. Perez follows the patient through the recovery process he will instruct you on when you may increase your activity as well as instruct you on post operative massage techniques to facilitate the decrease in facial inflammation.

The Results

Initial results are seen immediately with this procedure, however residual  inflammation resolution and scar maturation will take time to resolve.  As you heal, thermal induced collagen synthesis and reformation is taking place at the cellular level, promoting new collagen formation which leads to tightening of the skin.  Final results may be seen at 6 months to 1 year or longer as the deep inflammation subsides.

This procedure has a long duration of results, but as the body ages one needs to remember that the best results are maintained by following a healthy lifestyle that includes diet, exercise and skin care.   Factors such as the normal aging process, stress, and sun exposure will always cause one to age more rapidly.

Take a look at our Facelift/Renue Lift before and after gallery to see what we have been able to do for some of our patients.

Before & After Gallery button revised-01


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Renue Aesthetic Surgery
Victor Perez M.D.
Phone : 913-685-1108
Fax : 913-685-1129
6300 W. 143rd St. Ste. 210
Overland Park, KS 66223