The Face Lift operation is most frequently performed using General or Light Sleep Anesthesia. After your arrival additional medications are given intravenously which induce a profound state of relaxation. Patients usually sleep during the operation. Much of the time patients have very little memory of the operation itself. After this state is achieved then medicines are given to produce numbness of the surgical area. This type of anesthesia is most frequently preferred by patients. It causes almost no recovery necessary from the anesthetics themselves unlike general anesthesia which may produce nausea after the surgery. It also carries less risk of complications. If general anesthesia is preferred, this may also be used.
This procedure takes about 2 to 6 hours to perform. It may take longer if you choose to have a neck lift as well. For procedures 3 hours or longer, many surgeons advise General anesthesia. Depending upon your facial structure the incisions will be placed as inconspicuously as possible above the hairline. Some doctors still cut at the hairline so ask your doctor which incisions he prefers. The incisions usually begin above the hairline, at the temples, continuing in a natural line in front of the ear. Some doctors can make the incisions with the cartilage just in the front-inside part of the ear, ending behind the earlobe and lower region of the scalp.
The skin is separated from the fat and muscle below it. If the neck lift is being performed with the face lift, a small incision is placed inconspicuously underneath the chin and excess fat may removed by either trimming it by hand or by facial liposuction. More than likely, your surgeon will use the facial liposuction technique. The underlying muscle and fascia are tightened and the skin itself is pulled back, trimmed and sutured into place. Sometimes surgical staples are used within the scalp. The surgeon may place a small drain tube behind your ears for excess fluid and blood drainage