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A facelift or facelift is a surgical procedure that tightens the face’s skin. This effect is achieved by smoothing the skin and underlying tissues and stitching them in such a way that a natural appearance is created without tension of the facial skin. Excess skin is removed. In this way the unloved wrinkles disappear permanently and the patient gets a younger and fresher appearance. In order to tighten the facial skin, we have various methods at our disposal at the Sinis Clinic in Berlin, such as the thread lift, the SMAS and MACS lift and the Mini Face Lift. The aim of all procedures is to create a rejuvenated and at the same time natural appearance in the long run.Continue reading
Depending on the initial situation and the patient’s wishes, the consultation in Berlin before the procedure will analyse which facelifting method is most ideal for the patient and promises the greatest lifting success. Due to the natural aging process, the skin loses elasticity and resilience. Especially the fine facial skin is exposed to many environmental influences which influence the formation of wrinkles and the sagging of the tissue. A facelift can counteract the aging process of the skin. In contrast to injections and cosmetic treatments, facelifts are a long-lasting and effective method in plastic surgery. The face lift usually has no medical necessity. However, in many cases patients report a long suffering before the procedure. Excess skin and an increased formation of wrinkles in the facial area impair the external appearance and therefore the positive attitude to life of many patients. A facelift can change this and improve the quality of life for the patient.
The traces of the aging process often become visible prematurely, especially in the face, and are very difficult to conceal. Especially for active, young-at-heart people, this can cause psychological problems, as they may no longer be able to identify with their appearance. A facelift can remedy this and reduce the discrepancy between how one feels on the inside and how one looks in the mirror. The procedure is suitable for both women and men from around the age of 50, as it can lift even very sagging areas of skin and smooth deep wrinkles – which usually do not appear before the age of 50. Therefore, anyone who would like to reduce pronounced signs of aging and refresh their appearance can take advantage of a facelift.
Duration of the operation: approx. 3 to 4 hours
Length of stay in the clinic: 1 night
Anaesthesia: general or local anaesthesia in twilight sleep
Follow-up treatment: decongestant measures for 2 – 3 days
Resumption of social activities: after approx. 14 days, depending on extent & additional interventions
Suture lifting is the only method of face lifting that is performed without a scalpel. The name thread lifting comes from the special threads that are used in this lifting and which are responsible for a smooth and beautiful face. The threads are guided under the facial skin with a very fine needle. Since the threads are equipped with small hooks, they attach themselves to the subcutaneous fat tissue. The face can now be carefully shaped and tightened by moving the threads. Due to the special composition and the firm anchoring, the threads can neither change their position nor break. After some time the organism converts the threads into natural collagen. The facial skin shines young and fresh, as if time had been turned back in time. The thread lift is less extensive and less stressful than other lifting treatments, making it suitable for many patients
The Mini Face Lift, also called Minilift, is a very gentle treatment for tightening the skin of the face. A local anaesthetic is sufficient for this small operation, which is usually performed on an outpatient basis. The Mini Face Lift is highly suitable for patients who complain about a tired and stressed facial expression and suffer from the advanced signs of aging. The Mini Face Lift is also the ideal form of treatment for patients who are generally afraid of surgery. The mini-lifting achieves a fresh and rejuvenated facial expression without the patient losing any of their naturalness. Especially for wrinkles around the corners of the mouth and neck, the Minilift is the right solution. The area of the face to be tightened is lifted and lifted. With a Mini Face Lift, the necessary incision is hidden in the natural crease in front and behind the ear
The SMAS Lifting, stands for a special technique with which the face lift is carried out. The definition of SMAS is the English meaning Superficial Muscular Aponeurosis System (in plain English: lower skin layer of muscle and connective tissue). With SMAS Facelift, in addition to the wrinkled skin, the underlying musculature is also tightened. This results in a very natural appearance, which the patient can enjoy for a very long time. SMAS Lifting is usually the right form of treatment for patients whose wrinkles are already very deep.
The four letters MACS denote the English, medical term: Minimal Access Cranial Suspension (in plain English: a small incision and upwards movement of sagging parts). During MACS facelift, the face is tightened through minimal incisions, in front of the ear and at the base of the hair. The treatment range of the MACS Lift is not quite as large as that of a SMAS Lift. However, the MACS facelift is more suitable for patients whose skin does not yet show such large signs of aging. In these cases, MACS Facelift achieves a particularly good result.
Whether Soft-Lift, MACS-Lift, a pure skin lift or the SMAS-Lift: The choice of the right technique is individual for each patient. In the following video, Prof. Dr. Sinis explains to you which procedures are available in his clinic in Dahlem, Berlin and which one is best suited for you.
The loss of volume in the face is one of the fundamental causes of facial aging, as a result of which the skin on the face is no longer sufficiently stretched: The face literally sags, wrinkles deepen and you get “sagging cheeks”. This is where the liquid facelift, also known as an 8-point lift, can provide relief. Of course, the treatment does not always include all eight points, but is always individually adapted to each face. For patients with moderately pronounced signs of aging, the method is an excellent alternative to a surgical face lift. Liquid facelift uses a long-acting, highly cross-linked hyaluronic acid in small amounts, which gives a natural look with an additional lifting effect. The treatment effect can last up to one and a half years, and it is advisable to repeat the treatment after eight to twelve months.
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Once all the necessary information has been gathered and questions clarified, you will then be given comprehensive information about possible methods of facelifting and their procedures. You will also learn about alternative treatment options such as lipofilling or other wrinkle treatments. In addition, the anesthesia procedure, the stay in the clinic and any costs incurred will be discussed in detail. You can, of course, mention your concerns and fears at any time and ask any questions that may be bothering you.
In addition, your own responsible behavior prior to the procedure will make a significant contribution to the smooth running of the operation. About two weeks before the operation, it is advisable to refrain from smoking and alcoholic beverages as much as possible. The same applies to blood-thinning medication, vaccinations, painkillers or sleeping pills. It would also make sense to start with alternating showers and continue them after the operation – this improves your body’s blood supply and thus promotes faster wound healing. On the day of surgery, wash your face thoroughly with soap and water and do not use any cream.
At the end of the facelift surgery, two drains are usually inserted, which are removed on the first or second day. The postoperative stay in the clinic can vary according to the extent of the procedure: outpatient, inpatient or in a day clinic. As a rule, even after major surgery, you can leave the clinic on the third or fourth day. During the first five to seven days after the operation, you will wear a special face or head bandage. During this time, we recommend absolute rest, as bruising, swelling and pain are unavoidable after such an operation, but experience shows that these will subside completely after a few days. Sometimes asymmetry may occur temporarily due to the irritation of the facial nerve. For at least two weeks, you should sleep exclusively on your back with your head elevated. You should also avoid exertion that increases blood pressure, such as bending over, lifting weights, pressing during bowel movements, and blowing your nose.
As a rule, you will be able to wash your face and hair as usual after about ten to twelve days. At the latest two weeks after the facelift you will normally be socially acceptable again. As before, you should refrain completely from smoking, taking alcohol and painkillers, taking alternating showers and avoiding direct sunlight during the first month after the operation. Sports activities or other physical exertion should be increased only very slowly in order not to overstretch the treated skin areas. These will remain reddish in color for some time after the operation, but can be concealed with cover-up make-up – until they slowly disappear completely. You will only be able to see the final result after a few weeks.
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