Facelift Basics

A facelift, also known as a rhytidectomy, is designed to help decrease wrinkles and other signs of aging in the facial area.  Facelifts are appropriate when injectibles and fillers no longer work, or if the individual desires a more permanent solution.  Facelifts will last for ten years or more and will help correct the sagging that occurs with time to all of us. 

If you are considering face lift surgery, recognize that this is a major surgical procedure that requires some healing time.  Individuals who are candidates for a facelift show signs of sagging in the mid-face region, deeper creases below the lower eyelids, or the corners of the mouth, or loose and excess skin or fat deposits under the chin and jaw (a ‘double’ chin).

If you decide to have a facelift, there are several important things you should know.  Consultation with a facial plastic / cosmetic surgeon is your best bet for a successful surgical experience.  Two weeks before surgery, stop taking any non-steroidals (NSAIDS, such as ibuprofen or naproxen) that you may be on, or other medications that may cause blood thinning.  Herbal and over the counter products that cause blood thinning should also be discontinued one to two weeks prior to surgery, including garlic, fish oil, omega threes, green tea, baby aspirin, and Saint John’s Wort.  However, always speak to your surgeon and other physicians before abruptly stopping any medications so that the safest plan can be determined for you.

You should also quit smoking if you are a smoker.  Smoking has been shown to limit the positive effects of a facelift, and also increases your risk during anesthesia.  If you are considering a facelift, contact your local facial plastic surgeon for a consult and determination if a facelift is right for you.

Smoking and Facelift Surgery

If you have decided to have a facelift, one of the most important things you can do for yourself during this time is to stop smoking.  Smoking has serious health consequences, and can also cause serious problems with your recovery from facelift surgery.

If you smoke, you must not smoke for a minimum of one month before and one month after the surgery.   Many reputable facial cosmetic surgeons ask for an even longer commitment of not smoking.  Smoking not only is bad for your body, it also slows the healing process after surgery.  Stopping smoking will also help during the surgical procedure and with the anesthesia. 

You should be aware that smoking immediately before or after a facelift may cause considerable damage to your face, including skin necrosis.  This is because smoking causes changes in the vascular system of the skin.  Skin necrosis is when your skin will turn black and die.  During skin necrosis, the incision lines become red and then black.  Incisions separate, and infection may set in.  The only treatment for skin necrosis is a skin graft.  A skin graft requires extensive surgeries and repeated consultations with a qualified surgeon.  One in ten smokers will suffer from skin necrosis at the incision lines if they are still smoking before and after surgery.

If you want to have facial plastic surgery, always contact a reputable cosmetic surgeon and follow their instructions exactly.  Be honest with your physician about your smoking history so he or she can best advise you.