Surgical Name : Rhytidectomy
Hospital Admission: 1 night
Duration of Operation: 2 - 4 hours
Anesthetic: General Anesthesia
Recommended stay in Bangkok: 7 - 10 days

Who benefits from a facelift?

• Clients with face fat that has fallen or has disappeared.
• Clients with loose skin tone in the lower face that creates jowls.
• Clients with loose skin and excess fatty deposits under the chin and jaw.
• Clients with sagging middle face.
• Clients with deep creases below the lower eyelids.
• Clients with crow’s feet that appear at the corners of the eyes.
• Clients with deep creases along the nose extending to the corner of the mouth.

What a facelift does not do?
A facelift works better for the lower half of the face and particularly the jawline and neck. If you have sagging eyebrows and wrinkles of the forehead then you should perhaps consider an endoscopic brow lift or forehead lift.
How is facelift surgery performed?

During the surgery, Dr. Boonchai will begin the incision in the area of the temple hair, just above and in front of the ear. The incision then follows the crease in front of the ear, behind the ear, and along the lower scalp so as to make scars invisible, with fine sutures. The skin and fatty tissues are then lifted off the underlying muscle and fascia (connective tissue) as far forward as is necessary to correct the loose skin problem. The underlying muscle and fascia can be tightened with sutures if the surgeon feels it is necessary. The skin is pulled back and upward and the excess skin removed. The wound is then closed with sutures.

Pre-Operative Care
Our team will evaluate your medical history to check for conditions that may delay the surgery or the healing process. Some of the common conditions are:

• Bleeding tendecies – problems with blood clotting, or lack of clotting
• Scarring problems you have had in the past – like keloid scars and hypertrophic scars
• Hypertension (High blood pressure) – particularly if it is not under control.
• Smoking – this may affect your reaction to the anaesthetic and prolong the healing process. Please stop smoking 4 weeks prior to surgery.

Please avoid aspirin and brufen-containing medication for two weeks prior to surgery to eliminate the chance of post op bleeding.

Post-Operative Care
Patients need to understand that the post-operative period following a facelift can be quite a daunting one. It is not so much a question of pain although the bandages can make it feel quite tight. This is partly due to the bandages and partly due to the muscle tightening that is performed at the time of the surgery. Your face and sometimes your ears will feel quite numb for some weeks. This is abnormal consequence of surgery and should recover after a few months. In the interim however you may also experience sensations of tingling, tightness and hypersensitivity in the face and neck as the nerves begin to grow back.

Small amounts of oozing and bleeding after surgery are normal. If serious bleeding occurs, apply pressure and call us. Bleeding under the skin flaps that causes serious swelling and discomfort is very uncommon, but if it does occurs, it requires attention and evaluation by your surgeon.

Contact the hospital, if you have the following symptoms:

1. Fever greater than 100o F or 38.5o C.
2. Fresh bleeding, other than that of a minor nature.
3. Excessive and sudden swelling.
4. Pain not relieved by two pain relieving tablets.
5. If you have any yellowish or greenish drainage from the incisions or notice a foul odor
6. If you develop redness (like a sunburn) on your face
7. If one half of your face appears much bigger than the other
8. Bandages seeming too tight
9. If you have any side effects to medications; such as, rash, nausea, headache, vomiting
10. Any injury to the face