Rhytidectomy in Jacksonville, FL, by Dr. A.H. Nezami
The facelift is one of the most popular surgeries performed at Jacksonville Cosmetic Surgery Center and throughout the United States. Why? More than any other part of our bodies, our faces represent each of us as distinctive, expressive, and recognizable individuals. A lifestyle regimen that includes adequate sleep, optimal hydration, nutrition, and skin care will provide the foundation for a lifelong defense against the natural aging process. However, the cumulative effects of gravity, sun exposure, weight loss, and time are unavoidable. Eventually, facial tissue and muscles lose elasticity, and the angle between the neck and jaw loses definition.
A facelift at Jacksonville Cosmetic Surgery Center will tighten these muscles and sagging tissues while removing excess skin. This process will reveal a more defined, youthful, naturally contoured face. An excellent plastic surgeon will achieve facelift results that look and feel natural, so patients can feel confident that they will still look like themselves, but will appear more refreshed and revitalized.
Patient Preparation for Facelift in Jacksonville
While Dr. Nezami provides specific, detailed instruction at every pre-operative consultation, some preparations are standard. We advise all our patients to avoid taking certain medications and supplements such as aspirin, Ibuprofen and vitamin E. Our patients who smoke should refrain from smoking for at least one month prior to surgery, as smoking interferes with blood flow to the skin, and impairs the rapid healing of incisions. Alcohol can also interfere with an ideal recovery, so abstaining in the days before and after surgery is recommended.
Facelift patients should also take time prior to their procedure to make arrangements for travel home and care following their surgery. Though Dr. Nezami's patients receive professional care overnight at Baptist Hospital after their surgery, many find it beneficial to have a friend or family member drive them from the practice the next day, as well as to ensure their safety and comfort as they return to their familiar surroundings.
Facelift Steps and Incisions
Since facelift surgery involves incisions and altering the position of tissues in the face, patients will be given medication to dull sensation in the area. Dr. Nezami can discuss how this will work at your initial consultation.
The incisions for facelift surgery begin above the hairline at the temples, extend to the inside cartilage in front of each ear, and continue behind the earlobes and ears. Patients who need neck work will receive the incision beneath the chin.
Dr. A.H. Nezami will use these incisions to gain access to the underlying tissues. Depending on the degree of correction desired, he will reposition and tightens the muscular layer and other tissues to achieve more youthful contours. Once he has moved everything into its appropriate place, he will ensure that the overlying skin conforms to the new contours. Any excess skin is no longer needed, so it will be trimmed away. Sutures will close the incisions and hold the newly draped skin in place. Dr. Nezami places these to be as unobtrusive as possible.
A facelift surgery may involve the use of liposuction to remove unwanted fat. Only a small amount of fat will be taken if liposuction is required, but even minimal changes can make a big impact on facial aesthetics.
Because of the incision size and placement, resultant scarring is minimal and will fade over time. Dr. Nezami takes great care to disguise the scars by keeping the incisions and sutures within the patient's hair or the natural creases of the ears.
Anesthesia and Surgical Safety
Facelift surgeries are performed in our Jacksonville Cosmetic Surgery Center. Our surgical suite is accredited by the American Association for the Accreditation of Ambulatory Surgical Facilities. We work exclusively with board-certified MD anesthesiologists who administer all appropriate anesthesia and sedation. This allows the plastic surgeon to concentrate entirely on the details of the facelift surgery in order to reduce the risk of complications.
Dr. Nezami's meticulous approach to facelift surgery requires several hours. It is important to remember that a facelift is two things: a surgical procedure and an aesthetic one. Throughout the surgery, Dr. Nezami keeps his patient's health and safety at the forefront, even as he exercises his artistic eye to create facial contours that appear both youthful and natural. While there are commonalities to every facelift, no two surgeries are exactly alike.
Facelift Recovery in Jacksonville, FL
Patients are usually transported from our operating suite to Baptist Medical Center on a wheel chair for overnight stay and observation. Patients who begin their recovery period with an overnight hospital stay experience a safer, less stressful recovery. During this stay, Dr. Nezami and the hospital's staff of registered nurses provide personalized, post-operative care. As noted above, we advise our patients to arrange for transportation home from the hospital, followed by two to three days of in-home supervision.
Despite the fact that facelift is an extensive surgery, the pain associated with recovery is tolerable, should not exceed two days, and can be easily controlled through medication. Swelling disappears within a few weeks, and bruising disappears within two weeks. Dr. Nezami typically removes the sutures four to five days after the surgery; however, in some cases, he may leave some of the sutures in five days. We advise our recovering patients to get plenty of rest throughout the healing process.
In some cases, Dr. Nezami will install small tubes to help drain fluids, including blood, and keep them from pooling under the skin. These will also be removed soon after the surgery.
As the swelling fades, patients will begin to see their new facial contours more clearly. Many people find their results ready to share with the public in a matter of days. The changes will continue to set over the course of months, further refining the rejuvenation efforts and revealing a revitalized face.
The best candidates for facelift surgery have retained good skin elasticity, but are experiencing some sagging in their neck and face. Patients with strong, well-defined facial bone structure achieve the best results, as the surgical removal of excess skin and tightening of the muscular layer will uncover these features that bring character, definition, and support to a face.
While most of our facelift patients are between 40 and 70, patients in good health can undergo facelift surgery into their 80s. Remember that a facelift helps to correct changes brought about by aging, as well as environmental damage. UV radiation can contribute to the loss of such beneficial skin components as collagen, hyaluronic acid, and elastin, which can alter a person's facial shape and contours. Younger patients suffering from the damaging effects of too much sunlight and other external factors can certainly consider a facelift and talk to Dr. Nezami at a consultation, but should understand that skin and other tissues will continue to age after the surgery. Patients who have had a rhytidectomy will be subject to same internal and external forces as before, but will typically look younger and more refreshed than other people their age.
Facelift Points to Consider
- The successful result of facelift surgery can last up to 10 years. While the natural aging process affects each individual differently, and is largely dependent on skin elasticity and genetic history, patients who maintain a healthy lifestyle including careful sun protection, can help to preserve these results.
- After facelift surgery, you must wait four weeks to color your hair; the chemicals in the coloring product irritate healing incisions.
- You can return to work two to three weeks following your surgery. Typically, patients are ready to return to normal activities at the end of the third week.
- Your return to exercise will be gradual. Any increase in blood pressure may result in bleeding, so a cautious return to exercise is advisable. After the first week of recovery, you may begin by walking. Patients can gradually resume their previous exercise habits after four weeks of watchful recovery.
- You will need to avoid travel, especially by air, until two weeks after your surgery. When you do travel, you should stand up and walk a few steps every 30 to 45 minutes in order to decrease the chance of a blood clot.
- You can begin to use make up again 10 days after your facelift surgery. Dr. Nezami will explain the safest way to apply and remove it.
- For some time after your surgery, sleeping will require careful positioning. Throughout the first two weeks, you should elevate your upper body when sleeping in order to alleviate swelling. Side sleeping is not recommended during this period.
- Dr. Nezami's technique minimizes bruising, but some is inevitable. Most bruising disappears after two to three weeks. Swelling will remain for up to two months following your facelift in Jacksonville, FL.
- Facelift surgery can improve the appearance of deep folds between the nose and mouth, but if this is your only concern, filler injections can be quite effective on their own. Many patients opt to try this approach before considering facelift surgery.
- If you are concerned about drooping eyebrows, you may want to try Botox® injections, filler injections, or a simple forehead lift before considering facelift surgery.
- A relaxed, natural expression that appears sad can be improved through facelift surgery, but the exact procedure needed is difficult to determine in the absence of an in-person consultation.
- Facelift surgery can improve the appearance of cord lines in the neck caused by loosened skin and thin muscles under skin. This platysma muscle can be sutured together and pulled from the side during surgery.
- A "tired" look about the face is most effectively addressed through eyelid surgery. In some cases, facelift surgery can also help.
- Lines around lips are not addressed by facelift surgery. A filler injection treatment such as Juvéderm®, used alone or in conjunction with laser or chemical peel treatments, will minimize the appearance of these wrinkles around your lips.
The full scope of facelift surgery varies from patient to patient, so specific costs based on an individual's unique needs will be discussed at the consultation, once Dr. Nezami has had a chance to make a personal assessment, discuss aesthetic goals, and develop a treatment plan.
We work with several companies that offer our patients convenient financing at the most competitive rates available. In most cases, patients can obtain approval within 24 hours.
Treatments to Complement a Facelift
A facelift can neither correct the texture of the skin nor eliminate fine wrinkles, acne scars, or other blemishes. However, treatments that specifically target these issues are available. Several non-surgical procedures and products can be used in conjunction with facelift surgery, such as microdermabrasion, Botox® injection, Juvéderm® injection, IPL laser treatment, skin care, skin peel, and permanent makeup, in order to achieve the maximum rejuvenating effects.
As noted above, since an eyelid lift focuses on a different region of the face than a facelift, it can enhance the effects of a rhytidectomy or serve as a standalone procedure. Dr. A.H. Nezami is experienced in numerous facial surgeries that serve to improve specific areas not covered by a facelift.
Anyone interested in exploring the options for revitalizing their face is welcome to bring questions to Dr. A.H. Nezami and his team of experts.