Aging signs in the face and neck areas begin to occur because of several reasons, such as heredity, type of skin, amount of sunlight exposed to and certain lifestyles. Lower facelift helps reducing deep facial wrinkles occurrence, sagging jowls and neck banding. This helps restore a firm, younger appearance. The face tissues usually get weaker in time, not being able to maintain a proper position. Fat deposits also travel downwards, or get removed, creating empty areas. All of these changes make for deep wrinkles, jowls and loose skin to appear. Lower facelift repositions tissues and muscles lying underneath the skin, removes fatty tissue deposits and tightens the facial skin, as well as removing the extra skin.
Before starting the procedure, one of two types of the anesthesia can be applied. General anesthesia makes you sleep, while local anesthesia with IV sedation causes the areas being treated to become numb and make you relaxed but not entirely asleep. Before making the cuts, surgeon may part the hair in the incision area to draw incision marks – this way the scars from the operation will be as hidden as possible. Usually, only one incision is made inside the hairline that extends downward around the ear and into the hairline on the back of the head. Special instruments elevate the skin away from tissues underneath the lower parts of the face, jaw line and neck. The SMAS – a tissue layer, composed of muscles and fibrous connective tissues, gets exposed and can also be repositioned to lift and tighten the face structures, lying underneath. Surgeon may also choose to change the position of neck muscles or remove portion of them to decrease skin laxity and neck banding. Fatty tissues can also be removed to advance the sculpting of the area. When the necessary corrections to the structures underneath are done, surgeon will extend and remove excess skin to form the natural face contours. Sometimes, surgical drains can be used to prevent liquid build-up during healing. Bandages, as well as drainage tubes, are usually removed in seven to ten days after the procedure. Tiring activities should be avoided, as advised by your physician, in order to give your body enough time to heal. The results will become visible and the scars will fade to thin after several weeks.