Face Lift (Rhytidectomy)
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Si le molestan los signos de envejecimiento en su rostro, el estiramiento facial puede ser adecuado para usted. En este procedimiento quirúrgico, conocido técnicamente como ritidectomía, mejora los signos visibles de envejecimiento en el rostro y el cuello, tales como:

  • Flacidez en la zona media del rostro;
  • Pliegues profundos bajo los párpados inferiores;
  • Pliegues profundos a lo largo de la nariz que se extienden hasta la comisura de la boca;
  • Grasa que se ha caído o desplazado;
  • Formación de papada por la pérdida de tono muscular en la parte baja del rostro;
  • La apariencia de tener una segunda barbilla, incluso en personas de peso normal, por piel flácida y exceso de depósitos de grasa bajo la barbilla y la mandíbula.

Ciertos procedimientos de rejuvenecimiento que suelen realizarse por lo general junto con un estiramiento facial son el levantamiento de las cejas, para corregir flacidez o un surco profundo en la frente, y la cirugía de párpados para el rejuvenecimiento de ojos envejecidos.

El estiramiento facial es una cirugía reconstituyente que no cambia su aspecto básico y no puede detener el envejecimiento. La cirugía es la única vía para realizar un estiramiento facial; los tratamientos de rejuvenecimiento no quirúrgicos no pueden lograr los mismos resultados, pero pueden ser útiles para retardar el momento en que un estiramiento facial resulte apropiado y complementar los resultados de la cirugía.

El estiramiento facial es una intervención absolutamente personal y usted debería tomar la decisión de realizarlo no para cumplir los deseos de otra persona o para intentar ajustarse a cualquier tipo de imagen ideal. El estiramiento facial es una buena alternativa para usted si:

  • Goza de buena salud física;
  • No fuma;
  • Tiene una perspectiva positiva y metas específicas pero realistas para mejorar su apariencia.

Procedural Steps

What happens during facelift surgery?

Step 1 Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

  • A variety of other procedures can further enhance the outcome of a facelift. They include:
  • Facial implants
  • Soft tissue augmentation to recontour the facial structure
  • Resurfacing techniques to improve the tone and texture of facial skin
  • Wrinkle reduction by injection

Step 2 The Incision
Depending on the degree of change you’d like to see, your facelift choices include a traditional facelift, limited incision facelift or a neck lift.

A traditional facelift incision often begins in the hairline at the temples, continues around the ear and ends in the lower scalp. Fat may be sculpted or redistributed from the face, jowls and neck, and underlying tissue is repositioned, commonly the deeper layers of the face and the muscles are also lifted.

Skin is redraped over the uplifted contours and excess skin is trimmed away. A second incision under the chin may be necessary to further improve an aging neck. Sutures or skin adhesives close the incisions.

Traditional Facelift
Traditional Facelift, OutlineTraditional Facelift, Final
An alternative to a traditional facelift uses shorter incisions at the temples, continuing around the ear and possibly within the lower eyelids or under the upper lip.

Limited Incision
Limited Incision, OutlineLimited Incision, Final
Sagging jowls, loose neck skin and fat accumulation under the chin may be corrected with a neck lift. The neck lift incision often begins in front of the ear lobe and wraps around behind the ear ending in the lower scalp.

Neck Lift
NeckLift, OutlineNecklift, Final

Step 3 Closing The Incisions
Once healed, the incision lines from a facelift are well concealed within the hairline and in the natural contours of the face and ear.

Step 4 See The Results
The visible improvements of a facelift appear as swelling and bruising subside. Your final result should not only restore a more youthful and rested appearance, but also help you feel more confident about yourself.


Important facts about the safety and risks of facelift Surgery
The decision to have a facelift is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.

Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications.

The risks include:

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Infection
  • Poor wound healing
  • Anesthesia risks
  • Correctable hair loss at the incisions
  • Facial nerve injury with weakness
  • Facial asymmetry
  • Skin loss
  • Numbness or other changes in skin sensation
  • Fatty tissue found deep in the skin might die (fat necrosis)
  • Fluid accumulation
  • Pain, which may persist
  • Skin contour irregularities
  • Skin discoloration, sensitivity or swelling
  • Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
  • Unsatisfactory results may include asymmetry, unsatisfactory surgical scar location, unacceptable visible deformities at the ends of the incisions (It may be necessary to perform additional surgery to improve your results)
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revisional surgery

Be sure to ask questions: It’s very important to ask your plastic surgeon questions about your facelift procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon.

A Special Note About The Use Of Fibrin Sealants (Tissue Glue)
Fibrin sealants (made from heat-treated human blood components to inactivate virus transmission) are used to hold tissue layers together at surgery and to diminish post-operative bruising following surgery.

This product has been carefully produced from screened donor blood plasma for hepatitis, syphilis, and human immunodeficiency virus (HIV). These products have been used safely for many years as sealants in cardiovascular and general surgery. This product is thought to be of help in diminishing surgical bleeding and by adhering layers of tissue together.

When You Go Home
If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure. Another surgery may be necessary.

Be Careful
Following Dr. Soto’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Avoid wearing any clothing that must go over your head. Your doctor will give you specific instructions on how to care for yourself.

My Recovery
When your procedure is completed, a bandage could gently be placed around your face to minimize swelling and bruising. A thin tube may be present to drain any excess blood or fluid that may collect under the skin.

Dr. Soto will instruct you on how to care for the surgical site, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in overall health, and when to follow up with your plastic surgeon.

The Results Will Be Long-Lasting
It may take several months for swelling to fully dissipate and up to 6 months for incision lines to mature.  Life-long sun protection will help to maintain your rejuvenated appearance by minimizing photo-aging or sun damage. In addition, a healthy lifestyle will also help extend the results of your rejuvenated, more youthful appearance.

How much will facelift surgery cost?
Cost is always a consideration in elective surgery. Prices for facelifts can vary widely. A surgeon’s cost for facelift surgery may vary based on his or her experience as well as geographic office location.

  • Many plastic surgeons offer patient financing plans, so be sure to ask. Cost may include:
  • Surgeon’s fee
  • Hospital or surgical facility costs
  • Anesthesia fees
  • Prescriptions for medication
  • Post-surgery garments, and
  • Medical tests

Facelift - Woodburn, Oregon