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With a facelift or rhytidectomy, you can look years younger by reducing the appearance of wrinkles and lines, sun damage, and skin laxity that can make you appear upset or tired. Dr. Mourad customizes the lift for each facelift patient based on their individual needs to achieve a natural and long-lasting result with techniques that allow facelift patients to recover quickly. Dr. Mourad performs many different types of facelifts to maintain the unique beauty of every face.
A rhytidectomy is designed to reverse the effects of aging, returning the smoothness, softness, and elasticity of youth. The procedure reverses the effects of aging from the brow to the eyes and cheeks and can make improvements all the way down to the jawline and neck. Dr. Mourad frequently uses a “3-Vector Approach” that provides attractive, natural and long-lasting results. He often performs this surgery along with other cosmetic procedures such as a forehead lift, eyelid surgery or nasal surgery, depending on your needs
Facial rejuvenation refers to various surgical and non-surgical treatments that aim to reverse the visible signs of aging. However, many individuals associate these treatments with an overdone, unnatural appearance or fear the scarring and incisions associated with facelift surgery. What many do not realize is that there are numerous effective options available beyond these traditional methods.
Dr. Mourad believes in a personalized approach to facial rejuvenation that targets and reverses all unwanted signs of aging. His ultimate goal is for his patients to look and feel refreshed and relaxed without appearing overdone. Whether you are attending a social event or simply going about your daily life, Dr. Mourad wants you to feel confident in your appearance.
A facelift is a cosmetic procedure designed to enhance the appearance of the face by lifting and repositioning the soft tissues and muscles around the eyes, cheeks, jowls, and neck. There are different types of facelifts that differ based on the incisions used and the types of tissues that are addressed. These range from minimally invasive and endoscopic facelifts, to more substantial procedures such as a deep-plane facelift.
The techniques used during facelift surgery can vary depending on the physician’s educational background, preferences, and the patient’s individual anatomy, skin type, and level of facial sagging. At MouradNYC, Dr. Mourad believes in a rejuvenation approach that prioritizes a natural appearance achieved through a safe, minimally invasive, and up-to-date technique that enhances your natural beauty. Dr. Mourad offers both deep plane facelift and mini-facelift procedures tailored to each patient’s specific needs.
As we age, muscles become loose and drop, pulling the skin with them. Dr. Mourad addresses the deeper tissue by going under the muscle and sliding it into its original youthful position. This technique results in less bruising and swelling since he lifts deeper beneath the muscle. Skin heals better because there is no tension on superficial layers. The face reclaims a very youthful and natural look.
The skin is smoother, leaving the soft glow of a rejuvenated face. Scars disappear inside and behind the ear which allows wearing hair up after surgery. Most patients resume their normal routines within seven to ten days of surgery. Younger patients with less aging may need shorter lifts and have an even more rapid return to normal activity. Dr. Mourad uses the combination of vitamin C, arnica montana, and probiotics to expedite healing and keep the body in balance during recovery.
Understanding the facial structures that have been changed by time and gravity can give insight into treatments that are effective. The key to a natural look is preserving normal anatomy. The major areas that are corrected by a facelift are addressed below.
Jowls are the tissue that settles on either side of the jawline making the face look squared-off from the front. The lower cheek fat pads and facial muscles are constantly stretched and pulled downward. Repositioning the deeper structures of the lower face will return tissue to a more natural position and create a more pleasing rounded appearance.
Neck banding is caused by tightening of the neck muscles. This creates the vertical folds of tissue on either side of the neck. Bringing these bands together will form a smooth line under the chin.
Skin laxity of the face, forehead, and neck is corrected by repositioning the deeper facial structures and then removing extra skin. No tension is placed on the skin resulting in a rested but not operated on appearance.
Submental lipolysis is caused by fat in the neck and under the chin and can be inherited from our family or may occur as we gain or lose weight and age. Removal of the fat followed by pulling the neck skin laterally will improve this area. Younger patients may benefit from liposuction of the fat alone.
Mid-face sagging occurs when the soft tissue of the mid-face descends and flattens the cheek area creating folds of skin in the lateral face. Correction by lifting this tissue upward will make cheeks fuller and more youthful. Occasionally, cheek implants will also be used to add volume to this area.
Nasolabial folds are the deep creases between the cheeks and the nose and mouth. They are formed when gravity pulls the cheek tissue down and toward the mouth. Bringing the deep tissue upward and backward will help smooth out this area. Fillers may also be used to soften the folds.
Facial aging, lines, and laxity can occur very rapidly in just a year or two. We may see a photograph that doesn’t look like how we view ourselves in our minds. The youthful features we remember may be hidden by sagging jowls or banding in the neck. Realistic expectations are very important with respect to what a facelift can do for you.
The best candidates for rhytidectomy:
Patients want facelifts for many different reasons. If you feel that the above describes you then you may be ready for a rhytidectomy.
Facial rejuvenation should be individualized for every patient. Patients have different cosmetic concerns and show aging in different ways. Each facelift is customized for you and will contain the techniques needed to obtain the best results for you.
Dr. Mourad employs many different surgical techniques to sculpt an attractive and natural appearing face with a rapid recovery. These concepts are the basis for an excellent long-term outcome. Addition of a chin implant or cosmetic filler may also be discussed to achieve additional improvement.
The deep plane technique involves incisions that are hidden around the ear with precise placement which goal is to preserve normal anatomy. The incision continues around the back of the ear and fades into the hairline. The deeper tissues of the face are repositioned and tightened.
Excess skin is removed and the skin is draped without tension. The deeper structures are repositioned so the skin does not get that windblown look. Neck liposuction is often performed. A small incision may be hidden under the chin to tighten the neck muscles.
A mini facelift is a cosmetic facial surgery procedure designed to reduce the signs of aging and improve the overall facial appearance. It focuses on the mid-face area, specifically the jowls and cheeks, to provide a more youthful and lifted facial look. It is a less invasive procedure than a traditional facelift, and often requires fewer incisions and less recovery time, while still providing a natural and subtle result, as it focuses on the mid-face area and does not involve the entire face.
This is a very similar procedure to a deep-plane facelift except that the incision behind the ear does not curve into the hairline. This is an ideal lift for patients with little neck laxity. Poorly chosen patients will have visible folds of skin behind the ears and in the lateral neck that may flatten out over time.
The use of thin tubes containing high definition cameras allows smaller incisions to be made with minimal scarring. The improvement in the face is still dramatic. This technique will target problem areas especially under the neck or toward the nasolabial folds.
Sometimes the facial structures are in good position and there is extra skin especially noticeable when lying down. Conservative removal of the skin can tighten these areas. This is a useful method for removing scarring from previous facelifts and can be performed in the office under local anesthesia.
The theory is that these can be done rapidly with very little downtime. They are performed using lasers that are touted to tighten the face or using barbed fishing line on needles to support the facial structures. Local anesthesia can be used for either. Both will cause some swelling and many times when the puffiness resolves so will the results. The strings can also cause dimpling of the skin and results are usually gone within two years. There is a trend away from these styles of “lift”. Although Dr. Mourad is certified in these methods he does not endorse them.
Dr. Mourad individualizes every patient’s care. A minimum of an hour is needed to get a complete history and evaluation of your face and to fully understand your expectations. Knowing what to expect will make the entire experience more pleasant and increase your satisfaction with the surgical results. Dr. Mourad will discuss your facelift and other procedures in detail to make sure all of your questions are answered.
Reviewing photographs of your face from several different angles gives you the opportunity to say what you like or dislike about your features, and what you would like to change. Computer imaging gives an additional step where we can agree on a final goal for the procedure. Computer imaging is not a guarantee of outcome and individual results may vary.
A light pressure dressing is placed that Dr. Mourad will remove the next morning in the office or at your hotel. Dr. Mourad spends extra time during the surgery to control bleeding so drains and the discomfort of their removal are not needed. You will spend the night in a local hotel with a sitter to take care of your needs and allow you to rest.
You will be given prescription pain medicine although most patients just have one dose and then switch to Tylenol. The neck feels very tight for a few weeks which is very good because there will be some relaxation of the neck in the first year. You may have bruising and swelling of the neck and lateral face that will start to resolve within a few days.
Most swelling resolves in a couple of weeks but subtle changes in the face can continue for a year or more. You will return to the office at one week and then as needed to have your healing followed. It is important to avoid strenuous exercise for 3 weeks for best results.
The key to a natural looking lift is a combination of well-placed incisions and not placing tension on the skin. Incisions are hidden in naturally occurring creases. The incision is camouflaged behind the tragus and in the natural contours of the earlobe and helical root. The incision continues in the crease behind the ear and along the hairline. Skin and facial tissues are draped without tension to prevent a “pulled” look.
Adjunctive procedures improve the results of a facelift but will certainly not be appropriate for all patients. The following is a list of most of the procedures that may be performed at the same time as the facelift:
Like any surgical procedure, facelift surgery carries some risks. While rare, some of the potential risks and complications of facelift surgery include:
It’s essential to thoroughly discuss these risks with your plastic surgeon and carefully consider the potential benefits and drawbacks before deciding to undergo facelift surgery. Your surgeon can help you determine if you are a good candidate for the procedure and provide guidance on how to minimize the risks associated with surgery.
Dr. Mourad is a highly skilled and experienced Double-Board Certified Facial Plastic Surgeon who specializes in facial rejuvenation procedures, including facelifts. He has extensive training and expertise in facial anatomy, which allows him to tailor each procedure to the unique needs and goals of his patients. Dr. Mourad also uses the latest techniques and technologies to achieve natural-looking results that enhance his patients’ features and boost their confidence.
In addition to his technical skills, Dr. Mourad is known for his compassionate and personalized approach to patient care. He takes the time to understand each patient’s concerns and goals, and works with them to develop a customized treatment plan that addresses their individual needs. His attention to detail and commitment to patient satisfaction have earned him a reputation as one of the top plastic surgeons in New York City.
Facelift surgery is a suitable option for those dealing with facial laxity, sagging skin, or volume loss in the midface. Potential patients should be healthy, abstain from smoking, and have reasonable expectations for the outcome.
Knowing what to expect will make for a smoother and more enjoyable experience. The procedure is performed at Lenox Hill Hospital or at the Gramercy Surgery Center an East Side state of the art ambulatory surgical facility. You will arrive one hour before your case is scheduled and will speak to a nurse and the Board-Certified Anesthesiologist. Dr. Mourad will review your photographs and discuss your treatment and goals again with you before you receive any medications. You will then receive some medicine to relax you followed most times by a general anesthetic. When you awake several hours later from your procedure you will speak to Dr. Mourad again who will have already spoken to the person taking you home. You will leave the ambulatory center with your escort about an hour after surgery. Dr. Mourad's techniques minimize the recovery period and allow most patients to return to a normal routine a week or two after surgery.
Multiple types of facelifts are available, like traditional facelifts, mini facelifts, and deep plane facelifts. Your specific face structure and desired outcome will decide which type of facelift is ideal for you.
A facelift is a type of cosmetic surgery which involves reshaping the face and neck to create a more youthful look. It is classified as plastic surgery due to its altering of the facial appearance through surgical methods.
Recovery from a facelift usually takes a few weeks, during which time some patients may experience swelling and bruising. Once these side effects have cleared up, they will be able to return to their normal activities. Once you have adequately healed from the operation, typically taking two to four weeks, and your doctor has cleared you for daily activities, you could potentially resume your regular life faster if you follow their aftercare recommendations.
When considering a facelift, your surgeon will go over the potential complications of bleeding, infection, scarring and changes in skin sensation. It is important that you are aware of these risks before proceeding with the operation.
A facelift can offer long-term results, as the improvement in the appearance of your face may last for several years. However, gene makeup, environmental factors, and lifestyle choices all play a role in how your skin ages over time, so it is important to remember that a facelift does not stop the aging process. Therefore, the effects of a facelift are not permanent. Patients can opt for follow-up treatments or touch-ups to extend the results of their facelift. On average, Dr. Mourad's patients will enjoy the benefits of their facelift for up to 10 years.
After a facelift, patients usually feel some discomfort, but your doctor can provide pain medication to help manage this. Most people are able to return to their regular activities within a few weeks following the procedure.
In order to minimize scarring after a facelift, the incisions are made in discreet locations, like the hairline or around the natural creases of the face. These scars should fade over time and be difficult to detect.
Combining non-surgical procedures such as facial fillers, neuromodulators, lasers and Morpheus8 with a facelift can often produce an even better outcome. Your surgeon can advise you on which combination of treatments would best meet your needs and desired results.
A facelift does not alter the shape of your eyes in any way. If you want to make significant changes to the shape or appearance of your eyes, you will most likely need to get eyelid surgery (blepharoplasty). Some temporary changes may occur due to swelling in the first few weeks after surgery which can cause minor improvements around the eyes, including reduced wrinkles.
Although nonsurgical facelift options have advanced significantly in recent years, they are not able to provide the same results as a surgical facelift. A surgical facelift is still the most effective treatment for addressing significant signs of aging in the midface and lower neck. While non-surgical procedures can provide mild improvements, they are not able to achieve the same level of rejuvenation as a facelift. If you are looking to achieve more significant and long-lasting results, a facelift may be the best option for you.
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