Facelift Surgery:
Rejuvenate Your Appearance

Facelift (rhytidectomy) is a cosmetic surgery procedure designed to help men and women achieve a more youthful facial appearance. As we age, our skin loses its elasticity and begins to sag. This process can leave your face looking tired and worn, with deep wrinkles, hollow cheeks, jowls and loose skin in the lower face and neck. Facelift can address all of these issues and help you look possibly many years younger.

Becky – Facelift by Dr Koelliker

Jan – She had a Facelift and a tummy tuck performed at the same time by Dr Koelliker and his board certified associate Dr Granados. (Imagine that 2 board certified surgeons in the operating room at the same time, approximately 3 l/2 hours time were spent for both surgeries.)

 Dr Koelliker specializes in the “SMAS Face Lift and the “ROUND LIFT”

Depending on your age,  or if you have had previous facial work… read carefully below the description of how our surgeon achieves marvelous natural results with the Smas Face Lift and  Round Lift technique.

Our surgeon’s technique (for OVER 20 years) for treating facial ageing consists in the TREATMENT of ALL facial tissue.

Enabling the natural repositioning leaving very little if  ANY signs of surgery, with this natural technique called “ROUND LIFTING”. After surgery the full balance of the FACE is achieved …… SEE photos on www.faceliftmexico.com, for further proof of results of this natural technique!

Several facelift variations are available that differ in their degree of invasiveness (as well as their corresponding costs). The most commonly preformed lifts include the superficial musculoaponeurotic system (SMAS) lift and the deep plane facelift.

After the skin incision is made the skin is separated from the deeper tissues with a scalpel or scissors over the cheeks and neck, the skin is then re-draped. The excess skin is then removed.

The Facelift Procedure

Despite their variations, most facelift procedures share certain elements. First, you will be provided with either general anesthesia, local anesthesia or conscious sedation, in which you are numb but partially awake.

Your surgeon then will create incisions along your hairline and around your ears, possibly extending into your scalp. Your surgeon then will lift your skin away from your face, rearrange the underlying tissue in a higher position and remove excess skin. He or she may also remove fat with liposuction. Lastly, your surgeon will re-drape your skin over your face and close the incisions with sutures.

Incisions usually begin above the hairline at the temples, follow the natural line in front of the ear, curve behind the earlobe into the crease behind the ear, and into or along the lower scalp. Facial, neck tissue and muscle may be separated; fat may be trimmed or suctioned and underlying muscle may be tightened. After deep tissues are tightened, the excess skin is pulled up and back, trimmed and sutured into place. Most of the scars will be hidden within your hair and in the normal creases of your skin. Your new face will emerge soon after.

Male Facelift Surgery

Facelift is typically thought of as a procedure for women. However, male facelift surgery is fairly common, with men making up about 9 percent of facelift patients.

While some men may fear that a facelift will make them appear more feminine, this is not the case. A skilled plastic surgeon can enhance rather than minimize the masculine features of a man’s face.

Facelift Mexico Combos and Alternatives

A facelift can produce remarkable results. However, the procedure only targets certain parts of the face — namely, the mid-face, lower face and jawline. You may find that other areas of your face require attention in addition to or instead of those areas that can be addressed with facelift. In this case, your surgeon may recommend additional or alternative procedures.

  • Neck lifts are often combined with facelifts. These procedures are used to remove fat and excess skin to eliminate wrinkles and bands and create a smoother, tighter neck appearance.
  • Eyelid surgery is performed to address droopy upper eyelids and puffy lower eyelids, which can cause you to appear older and more tired than you feel.
  • Brow lift (forehead lift) can reduce the appearance of droopy eyebrows and deep furrows and creases on the forehead.
  • Facial implants are made of silicone and can be placed in your chin, cheek or jaw to improve your overall facial symmetry and proportion.
  • Chin surgery may involve reducing the size of the chin by removing bone or enlarging the chin with implants.
  • Rhinoplasty (nose reshaping surgery) can help bring your nose into better proportion with your face by making it larger or smaller. Your surgeon can also remove a hump from your nose or a dip from the bridge of your nose, or otherwise improve your nasal profile.
  • Otoplasty (ear surgery) is performed to reduce the appearance of excessively protrusive ears. This is one of the few plastic surgery procedures most often performed on young children.

Less Invasive Facial Procedures

Other treatments that can be used in combination with — or instead of — facelift include facial injectables and fillers. Facial injectables include Botox, Dysport and Xeomin, which paralyze wrinkle-producing muscles. Fillers such as Juvederm and Restylane can add volume to sunken cheeks and minimize facial folds. However, these treatments provide temporary results and cannot address severe sagging and jowls the way that facelift can.

Stem cell facelift is another alternative treatment. Despite its name, a stem-cell facelift is not a facelift. When performing this procedure, your surgeon will remove fat cells from somewhere in your body, process them to activate the stem cells, and re-inject them into your face to add volume and generate new skin cells.

Superficial skin care treatments like laser skin resurfacing, microdermabrasion and laser hair removal can also address many of the visible signs of aging in the face, such as fine lines, acne scars and discoloration. But like injectables and fillers, they cannot treat major sagging and provide only temporary results.

 SMAS procedure is the minute lifting of the muscles under the skin.  Please see info below. It creates a natual look and can last for 10 years .

Dr. Koelliker’s – SMAS FACELIFT

One facelift is not like the other – there are various surgical procedures called facelift. Some surgeons do only one procedure and attempt to adjust it to the patient’s needs…other surgeons take advantage of a variety of facelifts to maximize the results.

SMAS Facelift differs from the traditional Facelift in that it lifts the deeper layer of the face.  SMAS – or superficial musculo-aponeurotic system – is composed of multiple fibrous extensions that attach through the subcutaneous fat to the superficial epidermal-dermal layer of the skin, and these connections cause the three layers of the facial skin to “move together” as a unit.  The SMAS attachment is particularly noticeable at the nasolabial folds. The SMAS membrane continues as a layer of smooth fibrous tissue that reaches to the cheekbone below the eye and attaches to the bone as it extends in front of the ear area. A gliding plane, between the SMAS and the underlying structures of the face, allows free movement of the skin unit to create facial expressions. These movements are produced by the superficial muscles of expression.  As facial skin ages, there is gradual loss of elasticity in the epidermal layer of the skin as well as in the SMAS membrane.  Gravity produces sagging of the cheek skin unit along the jaw bone – creating those fleshy jowls and often a double chin.  This drooping of the fatty portion of the lax skin unit along the jaw area occurs while cheek fat sags forward to increase the prominence of the nasolabial fold. This then descends downward below the mouth to the chin – to become a jowl.  The sagging of the SMAS membrane contributes as much to the aging face as does loss of elasticity in the superficial dermal layer.  The classic or traditional facelift surgery addresses only the superficial dermal skin unit – and usually results in a “too tight” or pinched look.

 

Dr. KOELLIKER performs the SMAS facelift using great skill and new techniques that add volume to the face to reverse facial aging – without a pulled or pinched look. The direction of pull is up not back reducing the windswept look.

BENEFITS OF SMAS FACELIFT SURGERY:

  • SMAS Facelift can take many years off your face – with long lasting results
  • SMAS Facelift corrects jowls, hollow cheeks, nasolabial folds – effectively
  • SMAS Facelift has proven to keep you looking younger for 10 years or more
  • SMAS Facelift deals with the deeper layers of skin structure for better results
  • SMAS Facelift results in a more youthful – more natural looking appearance
  • SMAS Facelift requires superior surgical skill – which Dr. Koelliker has.

WHO IS A GOOD CANDIDATE FOR SMAS FACELIFT? If you are in your 50’s or more mature and have a realistic desire to turn back the clock – you are probably a good candidate for Dr Koelliker’s special SMAS Facelift surgery.  You must be in otherwise good health, have reasonable and realistic goals and expectations and be able to clearly communicate your concerns to Dr. Koelliiker during your initial personal consultation.

YOUR INITIAL CONSULTATION WITH DR. KOELLIKER: The initial consultation with your surgeon is critical!  It should always be face to face with your surgeon during which time he listens closely to your concerns and  believes this time spent with you is critical to both you and to him.  It is during the consultation that he comes to fully understand your concerns, evaluates them correctly and is then able to make the recommendations and develop the surgery/treatment plan that is right for you. Dr. Koelliker  takes the time – to sit down and talk to you face-to-face.

FACELIFT SURGERY OVERVIEW: After you are prepped and anesthetized (general anesthesia or IV sedation), Dr. Koelliker will mark your face to indicate incision(s) placement and then proceed to make those incisions.  Working through these he will free the 3-layer unit of facial and neck skin, then lift these layers upward together with the tension being placed on the underlying SMAS layer. This process brings the overlying skin layer to a more youthful position as well. You can expect a full head dressing and drain tubes.  Your surgery may take several hours depending upon the extensiveness and individualized procedures you are having done.  Swelling, bruising, numbness and some discomfort are normal and to be expected for 1-2 weeks. Many patients choose to combine the SMAS with other anti-aging procedures such as Chin/Cheek Implants.

QUESTIONS OUR PATIENTS ASK ABOUT SMAS FACELIFT:

SMAS Facelift – What is it? This is a surgical procedure used to address the problems of the lower two-thirds of the face including removal of sagging skin and excess fat, tightening of neck muscles, jowls and – restoring volume to cheeks that have become hollow and deflated. The SMAS surgery deals with the deeper dermal layers to create a foundation for a more natural looking and longer lasting facelift.
 
Am I a Good Candidate for a SMAS FaceLift? If you are in otherwise good health – and you have realistic expectations about dealing with the appearance of a sagging face and neck skin – you are a good candidate.
 
Can a SMAS FaceLift deal with other areas of my face? No. It deals only with the lower two-thirds of your face. It will not eliminate wrinkles around your mouth or lines and wrinkles in the eye area or forehead. Dr. Koelliker’s patients combine other procedures –such as Eyelid surgery, Chin Augmentation etc. to address these areas.
 
What anesthesia is involved?
This will be discussed during your personal, one-on-one consultation with Dr. Koelliker but generally local anesthesia combined with IV sedation is used. You will not feel, hear or remember anything until waking up in your private hospital room.
 
How long will my SMAS surgery take? This varies with each patient since many patients choose to combine other procedures with their FaceLift surgery – but plan on several hours.
 
Will I have scars after my SMAS FaceLift surgery? Dr. Koellliker places the incisions in very inconspicuous places such as in the ears and in natural creases of the skin.  These normally heal as thin thread-like lines and are well camouflaged. Normally disappearing within a short period of time.
 
Is SMAS FaceLift surgery painful? You will experience mild pain and discomfort.  Your discomfort will be easily managed with an IV drip along with antibiotics for the first 24 hours in the hospital and oral pain medication and goes away over a few days.
 
What can I expect during recovery? Swelling, bruising, puffiness, numbness and paleness are all normal and to be expected.    You must keep your head elevated for the first few days to help manage swelling. These issues clear gradually over several days, however some bruising will take 2-3 weeks to resolve.
 
What can I expect right after surgery? Bandages will be applied to your head and neck-and then removed the next day.  Dr. Koelliker will then decide if you need a lighter bandage for a few more days.
 
When will I be able to return to work? Typically patients are presentable and able to return to work in about two weeks.
 
What about exercise and daily activities? You will need to restrict your activities per instructions we will give you.  You will not be able to perform any strenuous activities until healing is complete-2-3 weeks at least.

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For more information contact:
Florida office: Phone (772) 419-8038
pmarino@FaceLiftMexico.com