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Be sure to tell your surgeon if you smoke or are taking any drugs or medications, especially aspirin or other drugs that affect clotting.But it can't give you a totally different look, nor can it restore the health and vitality of your youth.Still, individuals vary greatly in their anatomy, their physical reactions, and their healing abilities, and the outcome is never completely predictable.A facelift can be done alone, or in conjunction with other procedures such as a forehead lift, eyelid surgery, or nose reshaping.A facelift (technically known as rhytidectomy) can't stop this aging process.Your surgeon will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications.You can reduce your risks by closely following your surgeon's advice both before and after surgery. In your initial consultation the surgeon will evaluate your face, including the skin and underlying bone, and discuss your goals for the surgery.When a facelift is performed by a qualified plastic surgeon, complications are infrequent and usually minor.Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well.Poor healing of the skin is most likely to affect smokers.Your surgeon should check for medical conditions that could cause problems during or after surgery, such as uncontrolled high blood pressure, blood clotting problems, or the tendency to form excessive scars.If you decide to have a facelift, your surgeon will explain the techniques and anesthesia he or she will use, the type of facility where the surgery will be performed, and the risks and costs involved.As people age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in their faces.Don't hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results.

Complications that can occur include hematoma (a collection of blood under the skin that must be removed by the surgeon), injury to the nerves that control facial muscles (usually temporary), infection, and reactions to the anesthesia.Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.What it can do is set back the clock, improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck.The best candidate for a facelift is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well-defined.Deep creases form between the nose and mouth; the jawline grows slack and jowly; folds and fat deposits appear around the neck.


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