The intervention purpose is to eliminate the facial tegumentary excess, to re-lay the aponeurotic muscular system of the face and to eliminate the wrinkles that can be found on the cheek and on the neck.
When getting older, the ageing process manifests itself through the shrinking of the facial bone structure and through the changing of the way the fat deposits of the face are distributed, the muscular tonicity changing and through the diminution of the facial tegument elasticity. In this way a facial skin excess appears leading to the formation of wrinkles, bags, new creases and to the accentuation of the creases already existing. Obviously it is necessary an elimination of the tegumentary excess, a reinforcement, a repositioning and a shortening of the fascial and muscular layer of the face.
Nowadays due to the development of the surgical techniques, the actual technique has been radically changed, the intervention addressing both to the tegumentary excess and to the aponeurotic muscular and adipose facial layer, thus improving the results and the lasting period of the facelift effects. At the skin level there is the excision of the tegumentary excess through the collection of the preauricular and retroauricular excess, and at the facial aponeurotic muscular system level (SMAS) there is the procedure of shortenings and skin foldings.
The doctor will choose the surgical technique that confers the maximum safety to the patient and has the best and most durable results.

Remember!
The intervention does not modify the physiognomy, but it ameliorates the ageing effects at the face level. After the intervention the patient looks younger, rested, fresh and physiognomically relaxed.
Postoperatory the ecchymoses and edemas are normal and they last for 10-20 days. The nasal groove and the eyelids wrinkles suffer medium corrections. There will be some preauricular and retroauricular discreet scars.

When the face lift is recommended
This intervention is addressed to subjects between 30-85 years old, but the optimal age, when the there are maximum benefits of the intervention, is between 35-55 years old. The best psychological and social results are obtained when the patient is young. The young patient has a good quality skin and the results are even more reliable. It has been proven that the younger the patient is, the greater the psychological effects are, with a more considerable improvement of the personal life.
There are patients of both sexes. No one has to be impressed by the surgical appointments made by men. This is a right and a benefit of our civilization level.

About the results
By reducing the excess and by the suspension of the facial aponeurotic muscular elements, the patient will gain a younger look of the features that will remain the same. In this way, the patient may look 7-15 years younger and this effect will be visible even after about 8-10 years.
The doctor will observe and appreciate the zones on which it must be insisted and he will choose the most convenient technique for the patient.
The forehead. The frontal transversal wrinkles can be corrected especially in the external part of the forehead. Also, with this occasion, the external half of the eyebrow will be lifted. The frontal vertical and horizontal wrinkles between the eyebrows can not be corrected by the face lifting. This kind of wrinkles necessitates an endoscopical intervention or an open intervention.
The cheek. The cheek can be corrected in the sense of lifting, redistributing the fat and reducing the tegumentary excess. With this occasion the mouth commisure is also lifted. A mouth commisure that suffers from ptosis gives a sad look to the face. The minilifting is a small intervention that corrects these flaws.
The cervical zone and the neck. The lifting as well as the minilifting is recommended in order to correct the wrinkles and remove the cervical fat.

Preoperatory consultation
The doctor will advise the patient on the results, on what can be and can not be improved and on the scars that may remain.
The patient will report his/her clinical record, insisting on the blood coagulation problems, allergies to drugs and skin affections.

Analysis
The minimum analysis necessary before the operation: White blood hemogram, Coagulation tests, Glycemia.

About the interventions
The intervention may take place under general or local anesthesia with a IV sedation. In both cases there are no pains or other displeasures. During the intervention under local anesthesia, the patient is awake but is not stressed or anxious. It takes about 1.5-5 hours.
For the global correction of the facial tegumentary excess, the approach way (incisions) is done in the temporal, preauricular, retroauricular regions and the pilose retroauricular region, zones that permit the dissimulation of the scars. For the minilifting the incision is made in the preauricular and retroauricular zones.
During the intervention the suspension and the fasciomuscular folding are performed on the same incision, using special suture stitches, perfectly tolerated by the tissues. The tegumentary suture is made according to the surgical technique details that allow obtaining scars as less visible as possible, at the anterior auricular level.

Hospitalization
The hospitalization lasts 24-72 hours and the postoperatory care lasts for about 14 days, after which the subject can resume her/his normal hygenical care.

The postoperatory period
The antibiotherapy, the anti-inflammatory treatment and the cold application are present in the first 5-7 days.
The suture stitches are extracted by-stages, starting from the 6th -7th postoperatory day and finishing in the 10th -12th postoperatory day, when the bandage is completely removed and the hygienic care can be resumed.
During the treatment, it is recommended the facial mimic and the voice rest.
In the first 2-3 days moderate edemas emerge in the operated zones, then starting from the 3rd day the process is followed by resorption of edemas.
The ecchymoses (bruises) that appear in the first days can last for about 14-15 days.
Postoperatory, the pains are inexistent or minimal and they cede when using usual anti-inflammatories. The patient feels a constant tension at the facial tegument level that cedes in a few days.

About the complications
The complications are rare and reversible. They can be: haematomas, small infections, large edemas and ecchymoses. The contusion, the facial nerve injury are seldom found and are usually spontaneously recuperated; if not, they beneficiate of specific treatment.

Recommendations
Sun exposure is recommended to be avoided in the first 3 months.
Postoperatory cosmetic procedures will be avoided for about 4 weeks.
The final result can be evaluated after about 3 postoperatory months, when the resensitization of the tegument is complete and the cervicofacial tissue is completely depenetrated. When the hygenical cares are resumed, it is recommended to use a mild shampoo, and the dying of the hair with less acrid cosmetic products can be resumed after 8 weeks.
The social and professional activity can be resumed after about 3 weeks.