More recently, the idea of a differentiated and individual aging in the various organs of the human body has been discussed, observed and studied, and that there is a mismatch between chronological age and actual age. The modern world and health care attitudes have contributed to the extension of intellectual activity, widening this physiognomic and age difference. Given the real impossibility of directly interfering with the organism’s evolutionary biology, medicine in general and plastic surgery in particular, seek to balance the biological aging process with the chronological one, bringing greater harmony to the individual in their existence.
QUESTIONS AND ANSWERS ABOUT FACIAL REJUVENATION SURGERY
Q: How old will I rejuvenate?
R: It is not possible, through facial rejuvenation surgery, to transform a 40-year-old face into a 20-year-old face. Although this seems obvious, we make a point of emphasizing it, as certain erroneous information is transmitted by lay people, making some patients believe in the possibility of making “the clock of time” be delayed at will. The result is aimed at the “normal” repositioning of structures with natural results that respect the physiology of tissues!
P: How will the scars look? Will they disappear?
R: Face plastic surgery aims to improve the appearance of sagging, wrinkles, furrows, etc., thus rejuvenating the face. The scars, however, will be permanent, although they will become less and less visible over time. While this does not happen, cosmetic resources such as makeup and proper hairstyles perfectly disguise the inconvenience created by recent scars. In addition, each patient behaves differently from the other, in relation to the evolution of the scars, and may even, in certain cases, become practically inapparent. Itching (itching), burning or insensitivity may eventually occur on the scars. This will be temporary and will tend to fade away. Scars usually accompany the patient’s hairline and may be hidden in this region.
Q: How long does the result persist?
A: Face, neck and eyelid plastic surgery visually rejuvenates these territories. “It slows down, but does not interrupt the body’s evolutionary process” since the aging process is continuous!
In addition, aging also has other bases, which are loss of facial volume, loss of skin consistency and the action of muscle contraction, thus surgical results can and should be increased and prolonged with the association of botulinum toxin, hyaluronic acid and Collagen Biostimulator, in addition to home care practices.
P: Is facial rejuvenation surgery (“wrinkles”) considered “minor” or “major surgery”? Is there any risk in this operation?
A: The face surgery is a complex surgery in its details, besides bringing a lot of aesthetic understanding of the chosen team! It is a highly technically qualified surgery so that the harmony and the result is what the patient expects!
P: Are pre- and post-operative photographs important?
R: Obviously, the only way to evaluate the result obtained is to compare pre- and postoperative photographs, taken under identical photographic conditions in these 2 periods. The results are personal and not compared to other patients!
P: What type of anesthesia is used for the operation?
A: Both general anesthesia and local anesthesia with sedation. Depending on your case, we will take the liberty of suggesting the most convenient one. The end result will be the same.
P: How long does surgery take?
A: Around 80 minutes for the forehead, 60 minutes for the eyelids and around 100 minutes for the face/neck. Since it is a surgical procedure, the absolute time is not important, as certain cases demand more time spent in certain phases of the surgery. What matters is the result obtained and not the surgery time.
Q: What is the length of stay?
R: 24 hours.
P: Are dressings used?
A: Yes, dry dressings are usually used. The large dressing is removed around the first 24 hours, and only a light dressing may remain on the residual scars after this period.
P: Are the eyes occluded postoperatively?
A: Usually no. We only recommend applying a cotton swab soaked in cold water over the eyes, or similar conduct, which can be removed as the patient wishes. This decreases the intensity of postoperative edema over the eyes.
P: Is there postoperative pain?
R: Very rarely. The evolution of cosmetic surgeries is generally painless. Occasionally one or the other case may present mild pain, which can be perfectly sedated with common-line analgesics.
Q: When are the stitches removed?
A: Most eyelid stitches are removed after 1 week. The remaining ones (face, neck, scalp), between 10 to 15 days.
Q: When can make-up be used?
A: For eyelids, 3 days after stitch removal. On the face, around the 10th day.
Q: When can your hair be washed and combed?
R: Between the second and seventh day after surgery, the hair can be washed and combed (with a certain amount of care). To dry them, a manual dryer with discreetly heated air is used. The dyes should only be used after the 3rd week.
P: Is the “haircut” preparatory to surgery too extensive? Can it be disguised post-operatively?
R: We do not usually cut our hair for this surgery
P: What is the postoperative course?
R: You should not forget that, until you achieve the desired result, several evolutionary phases are characteristic of this type of surgery. Thus, edema (swelling), “stains” of blood infiltrate, hypersensitivity in some areas, insensitivity in others, are common to all patients; evidently, some patients will present these phenomena with less intensity than others. Be patient. Remember that no facial cosmetic surgery results should be evaluated before 3 months post-operatively.
P: Finally: is the result of the facial rejuvenation surgery worth it?
R: Each case is analyzed individually during the 1st consultation. Some patients try, with this surgery, to become “prettier”. This is not the main objective of surgery, its primary objective is rejuvenation. On that occasion, we must clarify all the details reported here, as well as those that may be forgotten. As long as we mutually decide to perform the surgery (doctor and patient) it is because the result pays off. Otherwise, we will be the first to refuse surgery.
GUIDELINES BEFORE AND AFTER FACIAL REJUVENATION SURGERY
Recommendations on Rhytidectomy
- A) Preoperative Care:
- Appear to the office on the eve of the surgery to prepare the hair (confirm time with the nurse);
- Wash your hair on the eve of the operation with antiseptic shampoo;
- Follow admission instructions;
- Report any abnormality that may occur, as to your general condition;
- Don’t do makeup on the day of admission;
- In the event that you are hospitalized on the same day as the operation, come “fasting” (in case of general anesthesia), or just have a small cup of coffee with milk and a biscuit or similar (in case of local anesthesia) ;
- Come accompanied to be admitted.
- B) Postoperative Care:
- Avoid wetting the scalp dressings for 24 hours;
- Apply cotton swabs soaked in cold water to the eyes 5 times a day for 20 minutes for the first 3 days;
- Food with restriction of salt, sugar, sausages and crustaceans
- Wear sunglasses and a scarf in your hair;
- Wind and cold, for 7 days;
- Follow the doctor’s prescription;
- Return to the office for dressing, on the stipulated day;
- Consult our written message (instruction leaflet) regarding your post-operative evolution;
- Avoid the sun for 12 months.