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Facelift PRE-OPERATIVE General - Surgery will correct loose skin / jowls / neck with some improvement in facial lines. Fat injections may be recommended to achieve the best results. Any existing facial asymmetry will be pointed out. Medical problems - any Heart, Kidney or blood pressure problems must be reported prior to surgery. Drugs - Avoid aspirin/ibuprofen type analgesics for 3 weeks prior to surgery. Stop Vit E one (1) week before surgery. Smoking - Must avoid at least 3 weeks prior to surgery and until wounds are fully healed or at least 2 weeks after. OPERATION Anaesthetic - General with local anaesthetic at time of operation. Incisions - In hairline above ear down in front of ear and then in groove behind ear to within hairline behind ear. Drains - one on each side. Sutures - Dissolving or pullout sutures in front of ears, removed after 5 days. Metal clips in scalp removed after 2 weeks. Dressings - Micropore tape, wool and bandage removed prior to discharge. Hospital Stay - Usually 1 -2 nights. POST-OPERATIVE Pain killers - Avoid aspirin / ibuprofen type analgesics for 2 weeks post-op Cleaning - Gently wash hair after 48 hours. Use mild shampoo only. Exercise - Avoid vigorous exercise for 1 week after surgery. - Do not bend down for the first 3 days following surgery. Sit up at night as much as possible. Care of scars - Gentle massage with simple moisturizing cream once sutures removed. POTENTIAL PROBLEMS Pain - Mild-Moderate discomfort only expected. Bruising - Common. May last for 2 -3 weeks. Can spread down neck. Bleeding/Haematoma - Rare, but will require return to the theatre for treatment. Facial Muscle Weakness - May be temporary, affecting the corner of the mouth or forehead, recovers in about 6 weeks, rarely permanent. Sensation - Skin of face, scalp and ears have reduced sensation / numbness post-op, recovery expected from 6 weeks to 6 months, some residual numbness expected on cheeks. Scars - usually fade over 3 to 6 months, rarely may become red and thickened ( Hypertrophy). Rarely delayed healing of wounds. VIEW BEFORE & AFTER PHOTOS
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