1 Houston (Rhytidectomy) in (Rhytidectomy) (Rhytidectomy) Houston A (Rhytidectomy) is a common surgery that provides an excellent way to improve facial contours that no longer reflect a patient s youthful spirit. A can improve visible signs of aging in the face and neck, such as sagging in the mid-face, deep creases below the lower eyelids, deep creases along the nose extending to the corner of the mouth, fat that has fallen or is displaced, loss of muscle tone in the lower face and lose skin and excess fatty deposits under the chin and jaw. It can reduce deeper wrinkle folds, fat deposits and generalized tissue looseness acquired as our skin loses its elasticity. A treats the cheeks, jowls and neck and is sometimes combined with one or more of the following: Forehead/Brow Lift; Upper or Lower Eyelid Lift (Blepharoplasty); skin resurfacing procedure; or volume enhancer such as fat injections. In simplistic terms, a elevates the skin off the
2 supporting soft tissue (SMAS). The soft tissue is then elevated and repositioned where it used to be and the excess skin is removed and secured to the original incision with no tension. This allows the scars to be as inconspicuous as possible. Our goal is a very natural, refreshed look beautiful, subtle and not overdone. CONSULTATION (Rhytidectomy) Houston When considering a, you want to not only know your surgeon but trust that they understand how you want to look and feel, and that they can help you achieve the look you desire. The consultation gives you the opportunity to get to know Dr. Layton and discuss your goals, desires and expectations with him. In a comfortable, low stress environment, you will have an examination by Dr. Layton where he will ask you to explain the specifics of what is bothering you about your face. Together with him, both of you will examine your face to point out concerns and possible solutions. Depending on the degree of change you d like to see, your choices include a traditional, a mini- or a neck lift. You will be fully involved in the process, which will educate you and provide you with a detailed understanding of the proposed procedure, possible risks and expectations. You will also be able to review photos of other patients that have had a by Dr. Layton. You will be given information to read and will be provided ample time to have all your questions answered by Dr. Layton. Our desire is for each patient to be fully informed and educated so that they are comfortable with their decisions and we are able to understand and exceed their expectations.
3 (Rhytidectomy) Houston THE PROCEDURE (Rhytidectomy) Houston A is performed in an accredited surgery center usually under general anesthesia. You will be marked before surgery and given a chance to ask any questions. A usually takes two to three hours to perform but if other procedures are performed at the same time, the operative time will increase accordingly. You can usually go home the day of surgery. In a traditional, the incision often begins in the hairline at the temples, continues down along the contours of the front of the ear, around the ear lob, up the back of the ear and ending in the scalp behind the ear. No hair shaving necessary. The skin is then lifted off the underlying support tissue and the support tissue is lifted and tightened. This is
4 the crucial step to providing a long-lasting result without the windblown or operated look. The skin is then re-draped and the excess skin excised. The skin is closed in a manner to conceal or hide the scars. (Rhytidectomy) Houston POST-OPERATIVE (Rhytidectomy) Houston Prior to the day of surgery, you will be given prescriptions for antibiotics and pain medication to take after surgery. Before discharge following surgery, you will be given an instruction sheet that will explain incision care, activity detail, medication usage and follow-up appointment scheduling. Driving is not permitted while taking pain medication. You will have a head wrap as a bandage. This will be removed when you are seen the day after surgery for your first follow-
5 up visit. Once removed, you will be asked to wear an elastic chinstrap for eight days to two weeks following surgery. Another follow-up appointment is done one week following surgery, at which time most of the stitches are removed. Two weeks following surgery, the remaining sutures will be removed. You should expect some swelling but with elevation of your head and ice, this dramatically improves over the first 48 hours. You may shower and wash your hair after your first post-operative appointment the day after surgery. There may be slight bruising. Most patients experience minimal pain and it is easily controlled by pain medications.