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FACELIFT SURGERY: THE FOUNDATION OF FACIAL REJUVENATION

About 100 years ago, there was no way to rejuvenate an aging face.
Even if you were a princess living in the latter half of the 1800s,
there was no choice but to come to terms with your aging face. Humans
are beings who constantly strive to surpass themselves in every field.
Over the last century, we have outdone ourselves in everything from
transportation to communication, from science to art. We have defied
the limitations that nature imposes upon us.

Facial aesthetics has made significant strides in the last 100 years.
Although it is still not possible to genetically or biologically
rejuvenate the face, plastic surgery and medical aesthetic techniques
that give the face a more youthful appearance are now at our disposal.

There are both surgical and non-surgical approaches to facial
rejuvenation. As of today, surgical interventions continue to produce
much more effective, lasting, and natural results compared to
non-surgical facial rejuvenation procedures. Perhaps in 30-40 years,
we will be able to take a pill and return to the age of 25. I hope we
live to see that day, and I, too, as an 80-year-old gentleman, will
retire and move to a coastal town. But until then, the best option for
rejuvenating the face remains aesthetic surgery, and among these, the
foremost is facelift surgery (facelift, rhytidectomy). Facelift
surgery is the cornerstone of facial rejuvenation surgery.

CONTENTS:

	* What is a Facelift Surgery?
	* What is the Purpose of a Facelift Surgery?
	* How is Facelift Surgery Performed?
	* What are the Advantages of Facelift Surgery?
	* Who are Suitable Candidates for Facelift Surgery?
	* What are the Risks of Facelift Surgery?
	* How Long Does Facelift Surgery Take?
	* What Methods Are Used in Facelift Surgery?
	* How Long Do the Effects of Facelift Surgery Last?
	* Will Aging Signs Reappear After Facelift Surgery?
	* Will There Be a Change in Facial Expression After Facelift Surgery?
	* What Kind of Anesthesia is Used for Facelift Surgery?
	* What is the Recovery Process Like After Facelift Surgery?
	* How Should Care Be Done After Facelift Surgery?
	* Will There Be Scarring After Facelift Surgery?
	* When Can One Return to Work, Exercise, and Social Life After
Facelift Surgery?
	* Who Should Perform Facelift Surgery?
	* How Much Does Facelift Surgery Cost?

WHAT IS FACELIFT SURGERY? Facelift surgery is a surgical operation
that tightens the soft tissues of the face by repositioning them to a
more ideal anatomical position, thereby improving signs of aging.

WHAT IS THE PURPOSE OF FACELIFT SURGERY? The purpose of facelift
surgery is to reposition the soft tissues in the cheeks and
surrounding areas to a more youthful appearance. Our goal in facelift
surgery is to make the person the best version of themselves. Another
aim of facelift surgery is to place individuals among the top 10-20%
of their age category in terms of appearance within their society.

HOW IS FACELIFT SURGERY PERFORMED? Facelift surgery usually begins
with an incision made around the ear. This is known as an incision.

Then, the tissues are lifted like a sheet from the underlying
anatomical planes. This step is called dissection.

Subsequently, the tissues are repositioned in a new direction. The
direction of tissue movement is called the vector, and the
repositioning process is known as re-positioning.

Once the tissues are moved to their new positions, they are fixed to
solid structures underneath to maintain their new position. This step
is called fixation.

Excess parts of the tissues are trimmed off. This step is known as
resection.

Finally, the skin incision is sutured and closed. This step is called
suturation.

WHAT ARE THE ADVANTAGES OF FACELIFT SURGERY? There are three main
benefits of facelift surgery:

	* ENHANCES BEAUTY: A well-planned and executed facelift surgery
reorganizes the harmony between the soft tissue and the skeletal
structure, resulting in a more beautiful facial structure. Wrinkles
are reduced, sagging in the jawline and neck (jowling, bulldog) is
improved, the details of the underlying bony skeleton are more
defined, and folds around the mouth (nasolabial and marionette) are
softened.
	* PROVIDES A YOUTHFUL APPEARANCE: Shortly after a facelift surgery,
you will appear younger in photos compared to your pre-surgery look.
This is referred to as an early benefit.
	* MAKES THE FACE MORE RESISTANT TO AGING: After a facelift surgery,
you will age more slowly compared to other individuals in your age
category.

WHO ARE SUITABLE CANDIDATES FOR FACELIFT SURGERY? The best candidates
for facelift surgery are individuals between the ages of 45-65 who are
in good physical and mental health. Of course, in special cases,
facelift surgery can be performed at earlier or later ages. The
individuals who need facelift surgery the most and who benefit the
most from it are those who fall within the last 10% in terms of facial
aging in their age group. In other words, those who appear older than
their chronological age are the most suitable candidates for facelift
surgery.

WHAT ARE THE RISKS OF FACELIFT SURGERY? Like any surgical procedure,
facelift surgery has its own set of risks. Generally, aesthetic
surgery procedures have a very low-risk profile. The risks of facelift
surgery can be grouped into three main categories:

	* SURGICAL RISKS: These include complications such as bleeding,
tissue loss, nerve injury, and infection.
	* SYSTEMIC AND ANESTHESIA-RELATED RISKS: These are issues unrelated
to the surgery itself but that occur during the surgical process and
affect other parts of the body. These complications include deep vein
thrombosis, embolism, kidney failure, diabetic crisis, hormonal
imbalances, pneumonia, heart attack, and allergic reactions. Systemic
complications after facelift surgery are quite rare. These
complications can be largely prevented with a careful pre-surgical
evaluation process.
	* POOR OUTCOMES: These are mostly due to design and application
errors during the surgery. Yes, anything made by human hands is prone
to mistakes. Sometimes patient factors can also pave the way for poor
cosmetic outcomes. Smoking, diabetes, poor wound healing, circulatory
disorders, and bleeding disorders can complicate the process and lead
to poor outcomes even in the hands of the best surgeon.

HOW LONG DOES FACELIFT SURGERY TAKE? The duration of a facelift
surgery varies depending on the surgical technique, the experience and
care of the surgeon, and many other factors. It generally lasts
between 2-4 hours. In minimally invasive approaches such as mini
facelift surgery, the duration is shorter, while in multi-layered deep
plane facelifts and neck lifts, the duration can be longer. Additional
procedures like eyelid surgery, brow lift, midface lift, laser
treatments, chemical peels, and fat injections added to the facelift
can also extend the surgery time.

WHAT METHODS ARE USED IN FACELIFT SURGERY? More than 300 surgical
techniques have been defined for facelift surgery to date. The most
well-known are classic facelift surgeries (skin tightening,
subcutaneous lifting), where the skin is lifted and tightened along
with the underlying fat tissue. Facelift surgery has many different
technical variations such as deep plane facelift, HighSMAS facelift,
mini facelift, endoscopic facelift, MACS lift, SMASectomy, SMAS
plication, and more.

HOW LONG DO THE EFFECTS OF FACELIFT SURGERY LAST? The rejuvenating and
beautifying effects of facelift surgery generally last between 5-10
years, depending on the surgical technique and the individual's
biological characteristics. The duration of the effect is shorter in
procedures like endoscopic facelift and mini facelift, while it is
longer in comprehensive procedures like deep plane facelift and
highSMAS facelift. The aging-delaying effect of facelift surgery may
last a lifetime. This does not mean that the person will not age, but
aging signs will appear more slowly in the areas affected by the
surgery.

WILL AGING SIGNS REAPPEAR AFTER FACELIFT SURGERY? Facelift surgery
reverses the signs of aging. It slows down the appearance of aging
signs after surgery. However, it cannot stop the aging process. Aging
signs will inevitably reappear over time. Imagine two sisters. They
are identical twins. If we perform facelift surgery on one of these
sisters and follow the other without surgery, we can say that the
sister who had the surgery will look younger than her non-operated
sister at the first year, the tenth year, and the thirtieth year after
the surgery. However, both will continue to age. In other words, the
results of the surgery will not remain as they were in the third month
after the surgery for the rest of your life.

WILL THERE BE A CHANGE IN FACIAL EXPRESSION AFTER FACELIFT SURGERY?
Yes, there will be a positive change. You will appear more energetic,
refreshed, and vibrant. A well-done facelift surgery must look
natural. About three months after a well-performed surgery, people who
meet you for the first time will not be able to tell that you have had
any surgery. In this context, the answer to the question that patients
often ask with concern is: after facelift surgery, your face will not
have a surgical look or a strange expression.

However, the expression on the face can change negatively and become
artificial after poorly planned and executed surgeries. In some cases,
it may not be possible to correct the results of bad surgeries. For
this reason, it is crucial for facelift surgery candidates to
carefully review the before-and-after photos of the patients of the
doctors they are considering for surgery.

WHAT KIND OF ANESTHESIA IS USED FOR FACELIFT SURGERY? I generally
prefer to perform facelift surgery under general anesthesia to ensure
patient comfort. Minimalist types of surgeries can be performed under
local anesthesia with deep sedation.

WHAT IS THE RECOVERY PROCESS LIKE AFTER FACELIFT SURGERY? The first
1-2 days after facelift surgery are spent in the hospital. Mild pain,
swelling, and bruising are normal


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