Dr. Kapoor's cosmetic surgery clinic offers a full range of cosmetic surgical procedures.

A facelift( also called rhytidectomy), involves the removal of excess facial skin, with or without the tightening of underlying tissues followed by redraping the skin on the face and neck ,thereby giving a more youthful appearance

They are typically performed under general anesthesia or deep twilight sleep. In the traditional facelift, an incision is made in front of the ear that extends around the bottom of ear and end in hairline in the neck.

The skin is separated from the deeper tissues over the cheeks, chin and neck and the deeper tissue (SMAS - fascial suspension system of the face) is tightened with stitches or by removing some part of it.

The skin is pulled upwards and backwards and the excess skin is removed as determined by the surgeon. The skin incisions are closed with sutures and staples over a drain. Facelift is generally combined with eye surgery (blepharoplasty) and skin resurfacing (chemical peels or lasers).

Facelift works best in patients with thin skin and good bone structure. It eliminates the loose skin folds in the neck and wrinkles in the cheeks. The nasolabial folds and marionette lines do not correct very well with facelift. A facelift gives long scars.

However, the portion of the scars in front of the ear is not very prominent. The scar behind the ear is well hidden. In men, the sideburns can be pulled backwards and upwards giving an unnatural appearance. Sometimes one or both earlobes may be pulled downwards and/or distorted. Too much tightening of skin can give a “windswept" appearance to face.

The complications include bleeding and formation of hematoma under skin flap which needs early evacuation, damage to the facial nerve or its branches and necrosis of the skin flaps especially in smokers.

Contraindications to facelift surgery include severe medical problems. Relative contraindications are cigarette smoking and patients with hypertension and diabetes. Patients should stop taking aspirin or other blood thinners before surgery at least one week before surgery.

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