The Rhytidectomy is the surgical procedure in which a lifting is preformed in the middle and lower thirds of the face, lifting the flabby and sagging soft tissues (skin, fat, SMAS, muscles) and taking it to a higher position, decreasing wrinkles.
Is indicated in patients that by genetic, family and racial predisposal or by sun exposure or aging, show changes in their physical appearance that makes them look older, sagging and flabby, as well as with pronounces wrinkles and furrows. There is no age predetermined to do this procedure, it can be done since the age of forty.
The Rhytidectomy can be done with several approaches, in which the incisions are made in front and behind the ear, or just in front, it can also be done endoscopic, realizing tissues according the necessity, pulling and lifting the sagging tissues fixing points and resecting the extra skin, improving the wrinkles and the furrows. Usually this procedure is combined with a neck, eyelids and forehead surgery.
This procedure lasts three to five hours, according the used technique. Is made under general anesthesia in most cases and sometimes in controlled local anesthesia. Most of the times its ambulatory, unless there are previews or after conditions on the patients that required hospitalization.
On the postoperative minor pain, swelling, minor bleeding, numbness, partial paralysis and ecchymosis (bruises) maid appear, all of these will last from two up to three weeks in most cases; face sensibility and movement can be decrees up to three months.
Within the adverse eventualities we can find bleeding, bruises, infections, distress from the skin given bad circulation (smokers specially) open wounds or dehiscence, lesions to the face sensitive or motor nervous branches, scars. The anesthetics and surgical risks are similar to those of any other surgical procedure
The recovery involves the use of soft compressive bandages, with cotton, foam and lycra for two weeks, drains must be kept for three days to avoid free fluids, the head of the bed must be kept higher, sun screen, moisturizing and nourishing creams, analgesics and antibiotics. The medical leave of absence will depend of the surgery and the job that the patient performs, given the swelling and the bruises, but is around two weeks.