Lower Rhytidectomy

A lower rhytidectomy, also known as a lower facelift, is a surgical procedure designed to rejuvenate the lower third of the face, including the jawline, neck, and lower cheeks.

Purpose

The primary purpose of a lower rhytidectomy is to address signs of aging in the lower face, such as:

• Sagging skin and jowls along the jawline
• Loss of definition in the neck and jawline
• Excess fat and skin in the neck and under the chin
• Deep wrinkles and folds, particularly around the mouth and nose

Procedure

The procedure typically involves:

• An incision made in front of the ear, extending down into the hairline or behind the ear, depending on the technique used
• Separation of the skin from the underlying tissue and muscle
• Tightening of the facial muscles and removal of excess fat and skin
• Redraping of the skin to achieve a smoother, more youthful appearance
• Closure of the incision with sutures or staples

Techniques

There are several techniques used in lower rhytidectomy, including:

• Traditional facelift: This involves a more extensive incision and dissection to allow for significant lifting and tightening of the facial tissues.
• Mini-facelift or limited-incision facelift: This is a less invasive procedure with shorter incisions, often used for patients with less severe signs of aging.
• Deep plane facelift: This technique involves releasing the deeper tissues of the face to achieve a more natural-looking result with potentially longer-lasting effects.
• Endoscopic facelift: This is a minimally invasive procedure that uses an endoscope (a thin, flexible tube with a camera) to visualize the underlying tissues through small incisions.

Risks and Complications

As with any surgical procedure, there are risks and potential complications associated with lower rhytidectomy, including:

• Bleeding or hematoma
• Infection
• Nerve damage or numbness
• Scarring
• Asymmetry or uneven results
• Reaction to anesthesia

Recovery

The recovery period for a lower rhytidectomy can vary depending on the extent of the procedure and individual factors, but generally includes:

• 1-2 weeks of rest and avoiding strenuous activities
• Pain management with medication
• Swelling, bruising, and numbness that may take several weeks to resolve
• Follow-up appointments with the surgeon to monitor healing and remove sutures or staples

Results

The results of a lower rhytidectomy can vary depending on the individual, the technique used, and the skill of the surgeon. Generally, patients can expect:

• A more defined jawline and neck
• Reduced sagging and jowling
• Smoothing of deep wrinkles and folds
• A more youthful and refreshed appearance that can last for several years