FAQ: Rhytidectomy

To reverse facial aging, sagging and heavy jowls and neck laxity. The surgery will help to change an aging square face to more V shape youthful face and to restore areas of the face that are hallowing from aging.

Rhytidectomy (necklift) will set back the clock. The cheeks will be more balance and reverse back to a more youthful V shape, firmer and more balance. The neck and jawline will appear smoother and younger.

The risks and complications are similar to other aesthetic surgery. They include local such as skin ischemia and loss and this is more common in smoker, hematoma, and nerve injury asymmetry. The systemic complications include blood clot and PE and other aesthesia risks. In healthy patients in the hands of board-certified Plastic Surgeons, the complication rates are in fact not very high.

Skin care, chemical peels and laser can improve a youthful look with no significant downtime. Botox and filler injections can have a high impact on lines but need to be repeated in intervals.

Laser liposuction of the neck or subdermal tightening with the laser fiber can improve the jaw and neckline without the incisions, general anesthesia, or recovery of Rhytidectomy. Fat transfer to the face can soften the stigmata of aging and restore volume to depleted cheeks and lips. These surgical options can be done in the office with local anesthesia.

This will depend on the age, amount of excess skin, and skin elasticity of the patient. Generally speaking, younger patients are recommended to have a mini facelift versus a full face lift, which is more suited to older patients with looser skin.

The Rhytidectomy is done in the subcutaneous plane and the skin is separated from the deep tissue I then mobilize and use resuspend the SMAS. Fat is then used to restore areas where fat and volume are lost due to aging.

Yes. There are photos on the website and more in the office.

Yes. Blepharoplasty, fat transfer to the face, chemical peels and laser are commonly done at the same time.

Because skin is excised and SMAS are shifted and tighten, your results will last many years and longer. It also helps if you maintain your skin with skin care products, no smoking, and sun avoidance. Periodic treatments with no invasive procedures such as Botox, fillers, micro laser or chemical peels and IPL can keep your look youthful look. If you lose significant weight, your results may loosen.

Please contact my office for the information.

The incision length varies with the degree of skin excess. Generally the incision begins at the temporal region extending the edge of the side burn, hugs the inside of the ear, follows the crease of the earlobe and ends in the posterior ear crease.

You should have a normal working appearance at ten days to two weeks.

You should have a normal working appearance at ten days to two weeks.

The majority of the swelling and bruising resolves within ten days to two weeks.

Your face will feel numbness and tight after surgery. The incision may be slightly tender or itchy.

Pain is usually very minimal after surgery. My patients usually do not need to take any narcotic after 72 hours.

You will discuss postoperative pain control with the surgeon at your postoperative appointment with your surgeon and receive a prescription.

Because of the technique that I use, drains and tubes are usually not necessary unless it is of extraordinary situation.

There will be scars hidden under the chin, temporal region, under the side burn, inside the ear, and behind the ear.

My patients usually go home once they have recovered from the anesthesia.

You should plan on recovering at home for one week. You cannot plan for heavy exercise for two to three weeks.

마약 진통제 복용을 중단하고 운전할 수 있다고 느끼면 운전할 수 있습니다.

You may return to work as early as one week.

I usually use local anesthesia with IV sedation.

You will meet with the anesthesiologist prior to the surgery in the preoperative area. You may arrange to speak to an anesthesiologist by telephone prior to your surgery date.

You medication list will be reviewed prior to surgery and you will be alerted of any medications that need to be stopped.

History and physical, EKG, CBC, and metabolic panel for patients over 55 years of age. Thyroid panel for patients with thyroid disorders.

수술 시작 최소 6 시간 전 또는 수술 전날 밤 자정까지는 식사를 중단하십시오.

예정된 수술 1 시간 30 분 전에 도착하십시오.

당신은 우리의 웹 사이트에 정보를 얻거나 지시를 내 사무실에 전화 할 수 있습니다.

예. 집으로 운전하고 수술 후 24 시간 동안 머 무르려면 성인이 필요합니다.

입원 기간 동안 필요할 수있는 개인 용품 준비
그렇습니다. 처음 며칠 동안 운전, 무거운 짐을 키우고 애완 동물을 돌보는 데 도움을주십시오.

  • 집과 직장에서 누군가가 책임을 돌 보도록 준비하십시오
  • Arrange for someone to take you home from the hospital after your surgery.
  • 수술 후 첫날 밤 누군가와 함께있을 수 있도록 준비하십시오
    집으로 운전하고 수술 후 24 시간 동안 머 무르려면 성인이 필요합니다.
  • 다른 질문이 있으면 의사에게 연락하십시오
  • 수술 후 10 일 이내에 아프면 의사에게 알리십시오 (감기와 같은 경미한 질병도)
  • Stop eating and drinking at least 6 hours before the start of surgery or by midnight the night before surgery.
  • Do not smoke at least 6 weeks prior to surgery.
  • Do not drink alcohol 24 hours before your surgery
  • 의사의 연락처 정보가 있는지 확인하십시오
  • 방문객을 위해 병원 / 사무실로가는 지시 사항이 있는지 확인하십시오

Approximately 4 to 6 hours.

My patients usually wakes up 10 minutes after the surgery is finished.

Usually in the recovery room, within an hour of your surgery ending

You will receive IV antibiotic immediately prior to surgery start and additional doses if the surgery last 6 hours. The antibiotic dosing follows the national surgical site infection protocol.

  • Make sure your identity has been confirmed with name and date of birth. Your driver’s license or identity will need to be verified at your appointment and at the surgery center.
  • 절차가 확인되었는지 확인하십시오
    Review the surgery specifics at your preoperative appointment and again the day of surgery.
  • 수술 부위가 정확한지 확인하십시오
    You will be marked while you are awake in the preoperative area. Communicate with your surgeon.

  • 알레르기 및 부작용 확인
  • 사전 동의 양식을 이해하고 서명했는지 확인하십시오

나는 보통 수술 후 방문에서 수술 후 1-2 일과 함께 회복실에서 환자와 대화하여 수술 방법을 설명합니다.

항생제는 수술 후 48 시간 이내에 중단됩니다.

This surgery does not require any drains or tubes.

You may eat and drink after surgery. Start with a soft, bland diet.

My procedure is usually as an outpatient and you will be staying for a few hours after. I only let my patient go home if they are ready.

You need to meet all the discharge criteria before you can go home.

수술 전에 채우는 마약 진통제 처방약을 받게됩니다. 필요한 경우 IV 진통제를받을 수 있습니다.

원하는 약국을 의사 나 간호사에게 알리십시오. Compazine과 같은 비 마약 약물은 전자식으로 보낼 수 있지만 마약 성 진통제는 인쇄하여 약국에 직접 전달해야합니다.

예, 수술 전과 수술 후 피해야 할 약 목록을 받게됩니다. 의사가 승인 할 때까지 NSAIDS, 이부프로펜 또는 아스피린을 복용하지 마십시오.

Just keep your wound clean and dry.

You will follow up a day or two after surgery. Following this weekly appointment until you are fully recovered.

Your bandages will be removed at your first follow-up appointment.

The sutures in front of the ear are typically removed at one week and the sutures behind the ear are removed at two weeks.

You should avoid bending over or heavy lifting for two weeks.

You may resume sexual activity at two to three weeks.

For most clients, you may return to work after one week. If you need to do heavy lifting or if you are in front of the camera the time requirement may be longer.

You may drive once you stop taking narcotic pain medication and you feel capable of driving.

  • Make sure your care providers wash their hands before and after your care
  • Do not wait until your pain is severe before you ask for pain medication
  • Make sure the call button is within reach before medical staff leave the room
  • Sit on the edge of the bed for a few minutes before you stand up to prevent getting dizzy
  • Do not get out of bed without help if you feel weak or dizzy
  • 화씨 100.4도 이상의 열이 있습니다.
  • 숨가쁨 또는 흉통이 있음
  • 수술 절개 부위의 발적, 부기, 따뜻함 또는 통증이 증가한 것을 알 수 있습니다
  • 절개가 분리되거나 절개에서 퇴원에 감염된 것을 알 수 있습니다.
  • Your bandages are repeatedly soaked through with blood
  • You have persistent stiffness, numbness/tingling, or weakness of your face
  • 기존 진통제가 통제 할 수없는 통증이 있습니다
  • 처방 된대로 통증 및 기타 약물 복용
  • 처방전 진통제 복용시 운전하지 마십시오

Yes, narcotic pain medications impair your ability to drive.

  • 수술 후 10 일 동안 목욕하거나 몸을 담그지 마십시오.
    You may bath but do not submerge your surgical site.
  • Keep your incision clean and dry
  • Elevate your head to reduce swelling in your face
  • Use cold compresses on your face to reduce swelling
  • Do not smoke as it could delay healing
    Smoking is dangerous for facelift. You should discuss with your surgeon if you not able to quit smoking at least 4 weeks before and 4 weeks after surgery. Skin necrosis, difficulty healing, unsatisfactory result, and unsightly scarring can result from smoking.
  • 의사가 조언하는 한 격렬한 운동과 무거운 짐을 피하십시오
  • Avoid wearing clothing that is worn by going over your head
    Yes, wear easy to dress, zip up the front clothing.
  • Follow your doctor’s instructions on resuming normal daily activities

Follow your doctor’s instructions on resuming sexual activity

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