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Limited Incision Rhytidectomy
WHAT YOU NEED TO KNOW:
A limited incision rhytidectomy, or mini facelift, is surgery to removed signs of aging, such as wrinkles, extra fat, and loose skin. This surgery uses fewer, smaller incisions than a regular rhytidectomy.
WHILE YOU ARE HERE:
Before your surgery:
- Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.
- An IV is a small tube placed in your vein that is used to give you medicine or liquids.
- Anesthesia: This is medicine that keeps you free from pain during surgery. You may have one of the following:
- General anesthesia: Healthcare providers use this medicine to keep you asleep during surgery. They give you anesthesia through your IV or as a gas. You may breathe in the gas through a mask or through a breathing tube placed down your throat. The tube may cause you to have a sore throat when you wake up.
- Local or monitored anesthesia: This is a shot of numbing medicine put into the skin where you will have surgery. You will be fully awake during the surgery or procedure. You may feel pressure or pushing, but you will not feel pain. Monitored anesthesia means you will also be given medicine through an IV. This medicine keeps you comfortable, relaxed, and drowsy during the surgery or procedure.
During your surgery:
- Your healthcare provider will make small incisions in front of your ears, hairline, and lower jawbone. A small incision will also be made near the outer edge of your eyes. Your healthcare provider will gently lift your skin so he can see your facial tissue, fat, and muscles. Your healthcare provider may use stitches to attach tissue or fat to parts of your facial bones or fascia. Fascia is strong connective tissue in your face. Your healthcare provider may place an endoscope inside the incisions to see the tissue under your skin. An endoscope is a thin, bendable tube with a light and camera at the end.
- Your healthcare provider may use thread to pull your tissue upwards. This thread also is used to lift your sagging cheeks and brows. Your healthcare provider will pull up the extra skin on your neck and chin. He will remove extra fat and skin in your cheeks and chin. He may put glue over the tissue in your cheeks and forehead. This may add fullness to the area and help prevent bruising. A gel-like filler also may be used to add fullness to your face. The incisions will be closed with stitches and covered with bandages.
After your surgery:
You will be taken to a room to rest until you are fully awake. The head of your bed will be elevated to help decrease swelling. Your healthcare provider will remove your bandages to check for bruises and nerve damage. Do not get out of bed until your healthcare provider says it is okay. When your healthcare provider sees that you are okay, you will be taken to your hospital room.
- Pain medicine: Healthcare providers may give you medicine to take away or decrease your pain. Do not wait until the pain is severe to ask for your medicine. Pain medicine can make you dizzy or sleepy. Prevent falls by calling a healthcare provider when you want to get out of bed or if you need help.
- Antinausea medicine: This medicine may be given to calm your stomach and to help prevent vomiting.
You may bleed more than expected or get an infection. You may not be happy with the results of your facelift. You may have scars or hair loss. Your face may swell or parts of your face may droop. You may have large bruises caused by bleeding in your face and neck. These bruises can cause tissue in your face and neck to be damaged. You may have pain in your jaw, which may make it hard for you to open your mouth. You may have nerve damage that causes parts of your face or neck to be weak or numb. You may need another surgery to fix these problems.
CARE AGREEMENT:You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.
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