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Facelift
What is Facelift?
Facelift is a procedure performed to remove wrinkle skin and result in youthful appearance. The skin begins to wrinkle and lose elasticity as we age, by genetic, or environments. Skin-aging change differs in each tissue and individual skincare. The changes in 2 facial parts that creates aging appearance are;
1. The change of skin that causes wrinkles and dark stains
2. The change of underlying tissues which deepen the cheek creases and create jowls along the lower jawline.
The facelift not only improves your facial skin but also creates more self-confident as well
 
 
   
  Prepare for surgery
- Wash your hair prior to surgery to prevent infection.
- High blood pressure patient must control it back to normal at least 2 weeks prior to surgery
- Stop taking aspirin-like products at least 2 weeks prior to surgery
- Stop all food and drinks for at least 6 hours before the surgery
 
     
  The procedure
The procedure can be performed under general anesthesia, or local anesthesia and sedation. It depends on patient's need and supervision of the physician. The surgery normally takes about 2 hours. The incisions are made above the ear, in front of the ear, and then behind the ear. Scars will be less noticeable. The patient have to stay overnight in the hospital and can get back to work within 10 days. Liposuction from under chin can be done at the same time of facelift operation
 
     
  Postoperative Care
1. Lay down with head high to reduce swelling
2. Patient can wash his hair 2 days after the surgery
3. Sutures will be removed in 5 - 7 days
There is a new facelift technique which is currently very popular in Japan by tightening underlying tissues called "SMAS" (Superficial Musculo-Aponeurotic System). This technique is suitable for oriental face, gives more natural appearance, and requires less skin removal. Swelling and scar will be less. Patient is required to stay in the hospital for only 1 - 2 days and can return to work within a week.

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  Repeat Facelift
Facelift can help reduce skin-aging change but the extent of the enhancement will gradually diminish over time. In some cases, repeat facelift may be required after 5 - 10 years.

The 2nd facelift will create the same scar but differ in detail. The procedure is more complicated since firm layer developed after the 1st facelift and the facial fat layer is thinner.

Repeat facelift is normally used in older age group. Therefore it requires more careful preparation. The postoperative care is same as of the 1st operation.
In conclusion, repeat facelift is safe and gives the desired result close to the 1st operation.

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Forehead Lift
Have you ever wondered how do wrinkles appear on our forehead?
Wrinkling of the forehead is the earliest and most recognizable aspect of facial agin Forehead Lift is a surgical procedure to reduce wrinkles of the forehead. The procedure is performed under general anesthesia or sedation. The surgeon makes an incision at the hairline. Wrinkles are reduced or eliminated by removing the underlying muscles which create them. The forehead skin is then tightened, excess skin will be removed and close by suture.

Today endoscopic surgery is a new technique performed by making 4 - 5 small incisions and inserting the endoscope through the incisions so that the surgeon will know exactly where the operation approach since the underlying nerve system is very sensitive. The additional advantage is it leaves minimal scar. The preparation and postoperative care are the same as the facelift surgery

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  Drooping of the eyebrows and "Crow's feet
The browlift procedure is usually started with the evaluation of the progressive drooping. The procedure will then be performed under local anesthesia, through an incision at the hairline, which permits camouflage of the healing scars. The incision is about 3 - 4 cm. long. The loosen skin and underlying muscles will be tightened, excess skin and muscles will also be removed then close with sutures. The procedure takes normally less than an hour. There will be swelling in the operated areas which will be back to normal within 1 - 2 weeks. If patient is scared of surgery, general anesthesia and sedation will be applied. In this case, patient is required to stay couple days in the hospital.

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