TEMPORAL LIFT : presentation
In order to fully understand how a face ages, we must understand its anatomy and how that evolves over time. The face is made up of three planes of increasing depth:
- Muscles, which do not change
- A layer of fat (SMAS) which covers the entire face and makes up its volume (thicker at the level of the cheeks and cheekbones)
- A covering of elastic skin
The layer of fat gradually slides over time, due to the effects of gravity. This may distort the outline of the face. We can correct the signs of ageing in the face using various surgical and/or medical techniques.
To regain a youthful look while maintaining a natural-looking face, we logically “reverse time” by moving this layer of fat upwards.
We raise the layer of fat through the use of a face lift or suspension threads. This avoids pulling on the skin and allows us to maintain a natural-looking face, devoid of tension. You can try this in front of your mirror: simply use your hands to raise your face slightly upwards and backwards, and you’ll find the same tonicity and angles you had in previous years.
The neck is made up of two very fine muscles on each side, which begin under the mandible on the right and left and meet in the middle of the neck. This band of muscles adheres directly to the skin. As we age, the muscles and skin gradually distend and the two muscles separate in the middle of the neck, creating unsightly neck “cords.”
We can correct a face and neck in two ways:
A surgical face lift raises the SMAS layer of fat to its position of a few years ago by fixing a few points. We remove very small amounts of excess skin (never more than a few millimeters) to ensure your face appears neither stretched nor modified, but just as it was before.
Before a TEMPORAL LIFT
Patients must take a consultation with Dr. Diacakis, plastic surgeon in Paris.
Dr. Diacakis will prescribe a pre-operative check-up as well as a “press-lift” type of compression garment to be worn for one week at home.
A consultation with the anaesthetist must take place at least 48 hours before the operation. You will be asked to wash your body and hair with betadine the day before and the morning of the operation.
You will have to fast (no food, beverages, or tobacco) for six hours before the operation.
Any medication containing aspirin is prohibited for two weeks before the operation.
TEMPORAL LIFT Procedures
On the morning of the operation, Dr. Diacakis takes photos and makes drawings to serve as reference points during the operation.
Face lifts are always planned according to a patient’s wishes and may vary :
- Temporo cervico facial lifts : treat the gaze (through lifting of the eyebrows), the face, and the neck
- Temporal facelifts : treat the gaze through lifting the eyebrows, temples, and exterior of the eyes (known as “pince mannequin”)
- Cervico-facial lifts treat the face and neck
- Lower face lifts and oval facelifts, also known as “mini” facelifts, which treat the oval of the face and the neck
- Customized facelifts may also be combined with suspension threads, lipofilling, and/or injections of hyaluronic acid
There are two possible types of anaesthesia available for these operations, including a neuroleptic-based anaesthesia, which allows patients to be awake but insensitive to pain, and a general anaesthesia, under which patients are completely asleep.
Dr. Diacakis almost always performs a first liposuction of the neck and jowls (cf liposculpture of the faceà. Removing fat from these areas allows us to refine the results of a facelift and correctly design the angle of the neck and oval of the face It also allows the aesthetic results of the facelift to last longer. Once fat has been removed, it can no longer weigh down and distend the lower part of the face and the jowls.
Incisions will vary depending on decisions made during consultation. They are always hidden in the hair and around the ear. Scars will be nearly invisible after healing.
After we make the incision and remove the skin, we tighten the SMAS fat layer. In order to ensure a natural appearance, we remove as little excess skin as possible. The key to obtaining a refreshed, “unlifted” appearance is to tighten the fat layer underneath the skin, without pulling on or stretching the skin itself.
We close incisions using staples in the hair and absorbable threads around the ear.
A facelift operation lasts between two and a half and four hours, depending on decisions made in consultation. It may be combined with upper and lower blepharoplasty, liposculpture of the neck and/or jowls, liposuction of the malar pockets, or eyebrow lifts.
A compression bandage will be applied in the operating theater.
Patients are typically discharged on the following day. Patients will receive a press-lift type of compression bandage to be worn at home.
Patients are hospitalized for 24 hours.
After a TEMPORAL LIFT
On the day after the operation, the bandage is removed, and hair is washed at the clinic with the nurses. Patients should be accompanied home.
For the first two weeks, patients can expect swelling and bruising. After fifteen days, your face will appear much more natural and you can resume social and professional activities.
Patients may experience tightness related to scarring, as well as a significant decrease in sensitivity of the cheeks and neck, throughout the first month after the operation.
Pain related to the operation is almost always relieved through prescribed painkillers.
Dr. Diacakis will schedule check-ups for fifteen days, one month, two or three months, six months, one year, and every year following the operation.
Stitches and staples will be removed two to three weeks after the operation.
Patients will be able to use shampoo beginning two days after the operation; patients can resume applying makeup seven days after an operation. Patients should not dye their hair or undergo a perm in the four to six weeks after the operation.
Any surgical operation includes the risk of complications.
TEMPORAL LIFT: Aesthetic Results
Patients can resume an active lifestyle fifteen days after the operation.
Results are estimated to be 40 to 50% complete one month after the operation; patients will see that they appear “rejuvenated.” After three months, results are 80% complete, and patients will notice a more radiant skin tone and refreshed-looking face. At six months, results are considered definitive.
In some cases, patients may experience sensitivity, tightness, and tingling for a year after the operation.
TEMPORAL LIFT Costs
A consultation with Dr. Richard DIACAKIS is priced at 100 euros.
The price of the operation depends on several factors which will be defined in consultation after clinical examination.
This operation is considered cosmetic and is not reimbursed by social security or health insurance companies.
During the consultation, you will receive an estimate including:
- The cost of the clinic (operating theater fees, accommodation in a single room)
- Surgeon fees
- Surgeon fees
- Surgeon fees
- Application of 20% VAT
Only the first consultation is charged. Dr. Diacakis does not charge a fee on any other pre- or post-operative consultation.
For all cosmetic operations, patients are given a minimum reflection period of fifteen days.