Facelift

A facelift can help to correct the following problem areas, among others:

• Thinker’s forehead
• Smile lines
• Cheek wrinkles
• Nasolabial fold
• Lip wrinkles
• Hanging cheeks
• Neck folds
• Neck muscle cords

To maintain a natural look and prevent a mask-like face, not all wrinkles can be smoothed out.

Eyelids, the center of the forehead and lip wrinkles cannot be smoothed out with a facelift either.
eyelid lift
) must follow at the same time or subsequently.

An S-lift can achieve a clearly recognizable tightening of the facial features and thus a rejuvenation of the appearance without large visible scars behind the ears and in the area of the temples. The excess skin is removed, the subcutaneous fatty tissue is suctioned out if necessary and the muscles and connective tissue (SMAS) are tightened. With the S-lift, the mouth, chin and neck areas in particular are treated. The hair on the head no longer needs to be cut or shaved. There will be no hair loss, as is the case with a major lift. The ugly scars behind the ears are also reduced. Complications with the S-Lift are very rare and success is much more certain. Clients are able to socialize and work much more quickly.

As a rule, we prefer a face lift with a neck lift in order to respect anatomical units. The incision is made in front of the ear, but is usually almost invisible after a few weeks. For men, it depends on the individual situation, as the scar may be visible for longer. Ultimately, the result of a face-neck lift is significantly more advantageous.

In an individual consultation, the objectives and course of the procedure as well as your personal health history are discussed.

You are not suitable for facelift surgery if you…

• suffer from metabolic disorders (e.g. diabetes) or important organs (e.g. heart, circulation, nervous system, liver, kidneys, thyroid, lungs).
• an acute or chronic infectious disease (e.g. hepatitis, HIV/AIDS),
• Allergies or hypersensitivity reactions,
• have a blood disorder or an increased tendency to bleed.
• are prone to the formation of blood clots (thrombosis, embolism), abscesses, fistulas, severe scarring (keloid), suppuration and delayed healing.

After the consultation, you must be mentally and physically ready for this procedure, as it is an irreversible result. This means that it cannot be reversed. You must arrive for the procedure sober and without make-up. An overnight stay in the clinic is sometimes necessary for your safety. Depending on the extent of the procedure, twilight sleep may be required. The face will also be locally anesthetized. You should not feel any pain during the procedure in twilight sleep.

Antibiotic shielding is only a precautionary measure, as fortunately infections rarely occur during the S-Facelift. The client will be connected to electronic measuring devices that constantly monitor heart activity (ECG), pulse, blood pressure and blood oxygen saturation.

An anesthesiologist is present to monitor your cardiovascular system (stand by). A 2-4 cm wide, 10 cm long, S-shaped piece of skin in front of the ears is cut out. Vessels and nerves are spared. If necessary, the fatty tissue can be suctioned out of the double chin or the hamster cheeks. The muscle tendon layer is then tightened and fixed. The skin is closed with a very fine suture, sometimes with staples.

Duration and anesthesia of the operation

A facelift is usually an operation that lasts several hours and requires close monitoring of the patient’s circulation and, if necessary, oxygen supply. Anesthesia such as local anesthesia is possible.

Facelift at the prevention-center Zurich

The facelift is performed in our operating rooms at Utoschloss Zurich. The consultation before the procedure takes place at the prevention-center Zurich.

Scarring (keloids) after an S-lift is rare, but cannot be ruled out. This complication can occur occasionally and is treated with ointments and injections. In 15% of cases, surgical scar correction may be necessary (free of charge). Sometimes wound healing disorders and wound infections can occur (e.g. in smokers and diabetics). Infections have become very rare in recent times. Nevertheless, we administer an antibiotic to prevent them. Very rarely, bruising may occur. This will be surgically removed if necessary. Nerve or vascular injury is very rare. A loss of sensation in the cheeks is rare but possible. This condition will only last a few months, if at all. In rare cases, necessary touch-ups (small scar corrections and liposuction) are free of charge.

• Bleeding into the skin, muscles and fatty tissue, which usually requires no treatment.
• Temporary irritation of the skin caused by disinfectants, drying out or touching, which usually subsides on its own.
• Concomitant medical treatment may be necessary as a result of swelling of the fatty body or connective tissue. However, these symptoms usually disappear again with general decongestant measures.
• Swelling and discoloration due to bruising, which usually disappears on its own; elevation and cooling help here. However, swelling can also cause temporary damage to facial nerves. This can reduce or increase sensitivity over several months. In very rare cases, there may also be a loss of muscle function with signs of paralysis, which may require surgical correction.
• Hematomas and postoperative bleeding, even a few days after the procedure, usually do not require any treatment, however; only in individual cases is surgical hemostasis necessary.
• Softening of the wound edges under mechanical stress, e.g. when doing hair; this can have an unfavorable effect on scar formation and in very rare cases may even make scar correction necessary. Reduced blood flow can also lead to so-called necrosis (tissue death), which can mean longer wound treatment or follow-up surgery.
• During local anesthesia or intravenous administration of a hemostatic drug during anesthesia, in very rare exceptional cases, material intolerance to the anesthetic (itching, swelling, also circulatory reactions up to shock), allergic reactions, side effects in the central nervous system (respiratory disorders, restlessness, cramps), drop or increase in blood pressure, slowing of the heartbeat and cardiac arrhythmia may occur. However, these undesirable side effects only occur in extremely rare exceptional cases.
• Rare inflammatory reactions of the wounds, especially when sutures are embedded in muscles; this can prolong the duration of treatment.
• Scars: The operation cannot be performed without leaving scars. However, they are placed in skin folds in such a way that they are as inconspicuous as possible and easy to close. The natural redness of a fresh suture disappears after 2-3 weeks, but can last for several months in individual cases. Small skin cysts can develop in the scar area, which are easy and simple to treat.
• Disorders of scar formation: bulging, painful and itchy scars can develop (scar proliferation, keloid). These scar growths also usually disappear with conservative treatment, so that further operations are rarely necessary.
• Severe scarring in the skin and muscles practically only occurs with years of nicotine abuse and severe bleeding without inflammation. Scarring of the lower eyelid after such a complication often has to be improved by a repeat procedure.
• Overcorrection: Excessive skin removal or scarring after inflammation can lead to disorders. The skin tension will improve spontaneously in the first few weeks after the operation, but surgical correction will be necessary if the problems persist.
• This can lead to a cosmetically inadequate result, which can be corrected by another operation if necessary.
• Bruising – some colleagues therefore leave a drain in the chin area for the first few days. Tension in the face. This can be the reason for short-term hair loss in the suture area (e.g. after severe bruising). Normally there is no tension on the skin.
• If smokers do not significantly or completely reduce their nicotine consumption, this can lead to wound healing disorders.
• Infection in the hair area. Poorly healed wounds can leave a wide scar. Damage to the muscle nerve. Regeneration usually takes 3-6 months.

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