Facial rejuvenations is a very popular term nowadays. What are the latest trends in facelifting?
Yes, it is correct that facial rejuvenation is very popular nowadays. In fact, it was also popular last year, the year before and even 100 years ago. Regarding ‘latest trends’ I can say endoscopic facelifting is the number one hot topic. Besides, artistic approach and individual approach to yield the most natural result for each candidate is another hot issue in facelifting. And this is always our main philosophy for facelifting.
Can you please describe a typical candidate for a facelifting treatment? And is there any age limitation?
Typical facelift candidates are healthy men and women with skin laxity from the jowls, neck and prominent facial folds. Generally, this includes patients who are in their 40's to 70's.
Frequently used terms in facelifting treatment are: endoscopic mid facelifting and mini lifting. Can you please briefly describe these procedures?
Endoscopic facelifting is done with stab incisions that are made in the hair bearing skin of the head just above the hair line plus under the eyelids and temple area and finally in the mouth. We use a fiber optic light and endoscopic camera to work inside the mouth so that I can see to perform the procedure. The soft face tissues i.e. skin and fat and muscle are separated from the bone. These soft tissues are lifted and fixed to the bone to a higher level and hard tissues to yield a younger looking.
A mini or short scar facelifting is a lifting that is best for patients with some jowling, without excessive amounts of extra skin. This incision is usually limited to in front of and behind the ear. The SMAS which is the strong layer of the face tissue below the skin is folded upon itself with sutures, improving the jowls. Advantages are short scar and maybe slightly faster recovery. Disadvantage is an inability to fix extra skin and likely shorter lifespan of the lift. You may need sometimes tuck ups within a couple of years.
What result can be achieved by facelifting? How many years "can be turned back"?
Aging is a continuous process. That means even after a facelift you will continue to age. This procedure will be setting the clock back on the aging calendar. Some studies on this particular issue showed that after the endoscopic mid facelifting you looked 6-7 years younger than without a facelift.
After the surgery the patient has to be prepared for a bruising and swelling appearance. How long does it take until the final result is visible and the patient can return to his daily routine?
This can vary from individual to individual. Generally speaking, it takes two weeks for most of the swelling and any bruising to resolve. It takes generally 1-3 months until the final result is visible. Our patients mostly can return to daily routine in two - three weeks.
Thank you for the interview, Prof. Karacaoglu.
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