Face Lift with Threadlifting

Thread lifting is a surgical procedure performed in office settings which pulls back the sagging skin of the patient towards the opposite side of gravity. It can be performed in between five minutes and 1 1/2 hour depending on the area and number of threads. Until recently facelift was considered a long-term operation and trade lifting was considered is it a few months of solution; but the technology of new thread lifts made this treatment effects last as much as 7-8 years. The new thread lifts such as spring lift and thread and lift contain silicone cover sheet which decreases tissue fibrosis and incorporation to the thread. This makes us easier to remove it if you don't want to have it anymore. At the same time this covering layer makes this product last longer and hold onto the tissue it is lifting better. We can use thread lift to lift the brow which is called browpexy. It can also be used to lift the lateral canthus of the eye which is called Fox Eye look. These versatile threads can also be used for lifting of the cheeks and flattening of deep nasolabial lines.  A thread-lift won't decrease fine creases or wrinkles in your skin or damage from sun exposure. Other cosmetic procedures can address the appearance or quality of the skin itself. After thread lift there may be small dents in the skin where threads are pulling, but these indentation dissapear in a few weeks.

Why it's done

As you get older, the appearance and shape of your face is altered because of normal age-related changes. Your skin becomes less elastic and looser, and facial fat deposits decrease in some areas and increase in others. Age-related changes in your face that may be reduced with a face-lift include the following:
  • Sagging appearance of your cheeks
  • Excess skin at your lower jawline (jowls)
  • Deepening of the fold of skin from the side of your nose to the corner of your mouth
  • Sagging skin and excess fat in the neck (if the procedure includes a neck lift)
A face-lift isn't a treatment for superficial wrinkles, sun damage, creases around the nose and upper lip, or irregularities in skin color.

Result

A face-lift can give your face and neck a more youthful appearance. Face-lift results are not permanent. With age, the facial skin may begin to droop again. In general, a face-lift can be expected to last 10 years.

How you Prepare

  • Medical history and exam. Prepare to answer questions about past and current medical conditions, previous surgeries, previous plastic surgeries, complications from previous surgeries, history of smoking, and drug or alcohol use. Your surgeon will do a physical exam, may request recent records from your doctor or order a consultation with a specialist if there are any concerns about your ability to undergo surgery.
  • Medication review. Provide the name and dosages of all medications you regularly take, including prescription drugs, over-the-counter drugs, herbal medications, vitamins and other dietary supplements.
  • Facial exam. Your plastic surgeon will take photos of your face from different angles and close-up photos of some features. The surgeon will also examine your bone structure, shape of your face, fat distribution and quality of your skin to determine your best options for face-lift surgery.
  • Expectations. Your surgeon will ask questions about your expectations for the outcomes of a face-lift. He or she will help you understand how a face-lift will likely change your appearance and what a face-lift doesn't address, such as fine wrinkles or naturally occurring asymmetry in your face.

Risks

  • Hematoma. A collection of blood (hematoma) under the skin that causes swelling and pressure is the most common complication of face-lift surgery. Hematoma formation, which usually occurs with 24 hours of surgery, is treated promptly with surgery to prevent damage to skin and other tissues.
  • Scarring. Incision scars from a face-lift are permanent but typically concealed by the hairline and natural contours of the face and ear. Rarely, incisions can result in raised, red scars. Injections of a corticosteroid medication or other treatments might be used to improve the appearance of scars.
  • Nerve injury. Injury to nerves, while rare, can temporarily or permanently affect nerves that control sensation or muscles. Temporary paralysis of a select muscle, resulting in an uneven facial appearance or expression, or temporary loss of sensation can last a few months to a year. Surgical interventions may offer some improvement.
  • Hair loss. You might experience temporary or permanent hair loss near the incision sites. Permanent hair loss can be addressed with surgery to transplant skin with hair follicles.
  • Skin loss. Rarely, a face-lift can interrupt the blood supply to your facial tissues. This can result in skin loss (sloughing). Sloughing is treated with medications, appropriate wound care and, if necessary, a procedure to minimize scarring.
Like any other type of major surgery, a face-lift poses a risk of bleeding, infection and an adverse reaction to anesthesia. Certain medical conditions or lifestyle habits also can increase your risk of complications. The following factors may present a significant risk or result in unfavorable results, and your doctor may advise against a face-lift.
  • Blood-thinning medications or supplements. Medications or supplements that thin the blood can affect your blood's ability to clot and increase the risk of hematomas after surgery. These medications include blood thinners (Coumadin, Plavix, others), aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), ginseng, Ginkgo biloba, fish oil and others.
  • Medical conditions. If you have a medical condition that prevents blood clotting, you won't be able to have a face-lift. Other conditions, such as poorly controlled diabetes or high blood pressure, increase the risk of poor wound healing, hematomas and heart complications.
  • Smoking. Smoking significantly increases the risk of poor wound healing, hematomas and skin loss after a face-lift.
  • Weight fluctuation. If you have a history of repeated weight gain and loss — factors that affect the shape of your face and condition of your skin — the outcome of the surgery may not be satisfactory or may be satisfactory for only a short time.

During the surgery

In general, a face-lift involves elevating the skin and tightening the underlying tissues and muscles. Fat in the face and neck may be sculpted, removed or redistributed. Facial skin is then re-draped over the newly repositioned contours of the face, excess skin is removed, and the wound is stitched or taped closed. The incisions for the procedure depend on the techniques that will be used and the patient's preferences. Options include:
  • A traditional face-lift incision starts at your temples in the hairline, continues down and around the front of your ears and ends behind your ears in your lower scalp. An incision might be made under your chin to improve the appearance of your neck.
  • A limited incision is a shorter incision that begins in your hairline just above your ear, wraps around the front of your ear, but does not extend all the way into the lower scalp.
  • Neck lift incision starts in front of your earlobe and continues around your ear into your lower scalp. A small incision also is made under your chin.
A face-lift generally takes two to four hours but might take longer if other cosmetic procedures are done at the same time.

After the procedure

  • Mild to moderate pain
  • Drainage from the incisions
  • Swelling
  • Bruising
  • Numbness
Contact your doctor immediately if you have:
  • Severe pain on one side of your face or neck within 24 hours of surgery
  • Shortness of breath
  • Chest pain
  • Irregular heartbeats
Your incisions will likely be covered with bandages that provide gentle pressure to minimize swelling and bruising. A small tube might be placed under the skin behind one or both of your ears to drain any excess blood or fluid. In the first few days after surgery:
  • Rest with your head elevated
  • Take pain medication as recommended by your doctor
  • Apply cool packs to the face to ease pain and reduce swelling

Before - After

Frequently Asked Questions

How is a Facelift different than a Mini-Facelift or Mid-Facelift?

 Facelift is a comprehensive lift of sagging facial tissues (cheek, jowl and neck) which, when done properly, can yield excellent results that can last for 10 or more years. A mini-facelift usually refers to more limited procedure done under local anesthesia which mainly only addresses the jowls. Often these procedures don’t last as long as traditional lifts and usually leave visible scars if the doctor or location does them quickly (lunchtime lifts). A midface lift lift is a procedure that usually addresses the cheek tissues which are often the first part of the face to sag. These are usually done through an endoscopic approach or through incisions around the eyes.

What is a “One-Stitch” facelift?

This is a type of mini-facelift that uses a single suspension stitch through a hidden incision (usually in the scalp) to pull up facial tissues, essentially like using tape to hold up skin. Since the entire lift relies on one stitch, the lift is limited in scope and only lasts for as long as the stitch making it a short-lived result.

What is a weekend facelift?

Similar to a lunch time lift, this refers to limited lifts done under local anesthesia that purportedly have quick recovery times. This is not often the case.

How long does a facelift last?

A proper facelift (including a properly performed mini-lift) should last 10+ years. Many of the quick lifts that focus on low cost and speed versus results may last between 6 months and a few years.

How is the recovery process ?

Even with a full facelift, patients should be over 90% recovered by 7-10 days after surgery. Recovery can be quicker when less work is done as with the mini-lifts. However, patients must consider that a few days of extra recovery time can equal several years of results.

How long should swelling and numbness last after a facelift?

Most swelling should be gone before two weeks. Numbness, especially around the ear, can persist from days to a several weeks. This almost always comes back.

What is the best procedure for firming neck and chin?

A lifting procedure gives the best results. There are devices that use deliver energy to heat up the deeper part of the skin which results in skin tightening for 1-2 years.