Facial aging or facial changes are normal processes in life. In old age, the tissue reduces elasticity and the regeneration of the skin decreases. A surgical facelift tightens and smoothes wrinkles.
A facelift and necklift can cause a very large change within the rejuvenation treatment, especially in the middle and lower third of the face. The areas that are clearly treated and changed by this operation include the neck, lower jaw, hanging cheeks, corners of the mouth, nasolabial folds and cheeks.
Please read in 10 Min. more about this surgery (software supported translation from German).
- Surgical procedure
- Costs and Prices
- Healing process
There are different methods of facelifting or face tightening which are offered by various specialists. Plastic surgeons should also have additional qualifications and expert knowledge to achieve an excellent aesthetic result.
Why does the skin age and why can a facelift help here? Let us first evaluate the aging of the face
The human face ages in 3 different ways.
- Soft tissue (skin, fat, connective tissue, muscles, etc.) follow gravity and lose their original position.
- The tissue becomes thinner (atrophied) and loses volume at all levels (skin, soft tissues, bones), resulting in an aging look.
- The skin suffers oxidative stress from external and internal factors (sun exposure, smoking, alcohol, etc.).
Our treatment concept has many different techniques and procedures that are tailored to these age changes of your face. These can be found in the categories eyebrow lift, eyelid lifting, lip augmentation, botox treatment.
A surgical face lift can achieve a very large change within the scope of a rejuvenation (rejuvenation) especially in the middle and lower third of the face.
Among the areas that can be clearly treated and improved by this operation are the following:
- Lower jaw
- Hanging cheeks
- Corner of the mouth
- Nasolabial folds
The medical rejuvenation of these anatomical areas is achieved by gently displacing, repositioning and reshaping the subcutaneous tissue compartments.
In addition, certain muscle groups are carefully tightened. In a second step, volume can be returned to precisely defined points by lipotransfer. The skin can then be placed around the rejuvenated face using highly sophisticated methods (note: without any tension).
Dr. Scholz carefully places and hides all cuts in natural wrinkles as well as beyond the hairline and into the outer auditory canal. A facelift corrects many aspects of the aging process in the face, but there are limitations.
For this reason, I often recommend a combination of several therapies to my patients:
- Lipo transfer (autologous fat therapy)
- Botulinum toxin
- Lower lid tightening
- Chemical peeling
- Skin care
Where are the incisions?
In general, modern methods use very subtle techniques for cuts and scars.
Small incisions at the temple.
Along the upper boundary of the ear, in the outer auditory canal, around the earlobe to the back of the ear
Behind the ear to beyond the lower hairline.
If necessary, make a small incision below the chin.
For a facelift, how old?
For younger patients who do not yet have any signs of aging in the facial area, generally not recommended. Often the focus here is on chin reduction, chin enlargement, nose corrections, eyelid corrections which are medically of a different nature.
With good wound healing, this procedure can be performed safely and effectively even at an older age.
There are very different methods of this surgery. Above all, the benefits of a minimally invasive facelift or a lower or a high facelift are the subject of our consultation.
In the end it is not a question of the method in general, but rather which method best achieves the desired result for your face.
A very individual surgical treatment plan must always be worked out, depending on the degree and severity of the signs of aging and pathological changes.
The methods used are also very different depending on the ethnic origin of the patient and will be discussed with you in detail before.
In the following points I will discuss how the procedure of a facelift can look like without consideration of your individual requirements, which are explained in more detail in my private clinic and also with pleasure several times.
1.The operation begins with small incisions on the temple beyond the hairline, along the upper edge of the ear, into the outer ear canal, around the earlobe to the back of the ear and behind the ear to beyond the lower hairline.
2. Then the facial skin is prepared and the underlying structures are exposed.
3. At the same time, a very defined small incision is made under the chin to adequately address the deep structures of the neck.
4. Here the superficial neck muscles are tightened and repositioned so that a new neck contour is generated.
5. The deeper lying structures of the face are repositioned and various muscle parts are tightened.
6. the skin is then placed around the new face and the excess skin is removed.
Finally, the incisions are closed with both dissolving and non-dissolving sutures. After subsequent hair washing, an elaborate bandage is applied for 1 week.
The surgery lasts between 4 - 8 hours and is performed under general anesthesia.
|Duration||4 - 8 Hours|
|Stay||min. 1 day - Hospital - overnight|
|Sports||after aprox.1 - 2 Month|
|Work||after aprox. 2 - 4 Weeks|
|Healing||Surgical dressing 1 week, swelling 80% after 2 weeks, 20% for another 4 weeks|
|Aftercare||Care in clinic, 24 hour hotline / contact, repeated consultation for more than 1 year after operation|
After you have met several times with our plastic surgeons and got to know all our doctors exactly, we plan the surgical intervention.
The procedure is performed in a central location in Munich at an excellent and discreet private clinic on Stiglmaierplatz. Top trained medical staff in combination with high-end operating theatres are the basis of the best care.
Arrival at our clinic on the day of surgery takes place approximately 1 to 2 hours before the actual operation. If necessary, examinations are still carried out here.
After the operation you will stay in the clinic until you have fully recovered from the operation. Discharge from the clinic takes place after consultation with the doctor and with the anaesthetist on the 1st day after the operation.
For the overnight stay you have an individual ambience and medical staff at your disposal around the clock.
It is recommended to stay another 1 - 2 weeks in Munich or the surrounding area to make sure that the healing takes place without complications in final check-ups with the plastic surgeon.
Follow-up examinations take place at regular intervals after the procedure in our private clinic. Healing of wounds is a process that lasts at least 1 to 1 1/2 years.
For this reason, long-term follow-up checks are a matter of course for our patients, medically sensible, in our view an absolute service and a great pleasure for us to analyse the long-term results together with you.
We would like to make sure that after decades you still love your aesthetic result just as much as you did on the first day.
Costs - Prices
There's no flat rate for the surgery. Each operation is absolutely individually oriented to your requirements and wishes. We kindly ask you to clarify this with us personally.
Since the operated tissue still has to consolidate in position and heal in with the optimal contour, sports should be avoided in the first month - apart from walks in the fresh air.
As a rule, the swellings disappear from day 4 after the operation. After 2 weeks, 80% of the swelling has disappeared. The remaining 20% of the facial and neck swelling will continue for another 4 weeks until it has completely disappeared.
It is also important to stay out of the sun to ensure perfect scarring. Here it is recommended to always wear large hats.
Since rehabilitation can vary greatly from person to person, we have prepared regular follow-up checks for you.
Sports - Activities
After 2 to 4 weeks you can start with light sport exercises. It is important to spare the surgical area and not to sweat as long as the incisions have not completely healed.
In addition, heavy lifting (> 5 kg) should be avoided for a minimum of 3 - 4 weeks. If possible, it is recommended to sleep for the first 1 - 2 weeks with the upper body raised (30 - 45°). A full body shower is possible after 3 - 4 days after the operation.
Sports such as tennis, jogging or riding should only be resumed after 4 weeks to 2 months.
When sports and other activities should be restarted it should always be discussed individually with the surgeon after a follow-up examination.
Sharp and deep-fried food should be avoided within the first 4 weeks after the operation, as this can change the wound healing reddish and itchy.
Chocolate and food with a high cholesterol content (e.g. shellfish) should also be avoided.
In comparison to earlier years today there are very well-developed and sophisticated methods to achieve a wonderful face tightening and rejuvenation.
For the success of this operation, a deep understanding of this procedure is necessary to create a natural appearance which meets the wishes of many patients.
A special feature of my services are detailed - even repeated - meetings to get to know the patient and to clarify the aims. In addition, the treatment plan also includes follow-up checks after 1 year with us.
At Signature Aesthetics you will always be individually cared for with the plastic surgeon Dr. Scholz.
Note software supported translation from German