Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Chirurgie esthétique, plastique et reconstructrice, par le docteur Sarfati,
PARIS Rivoli
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Middle
and lower (cervico-facial) face-lift
" A shapelier face "
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Rather than a long text,
we thought we would answer
the most commonly-asked
questions as concretely
and objectively as possible.
Dr Frederic Sarfati answers
your questions
Ex Head of Clinic, Hospitals
of Paris
Fellow of the Endoscopic
Plastic Surgery Center Baltimore,
USA |
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I) Before treatment
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1. Why would I have a middle and lower
face lift ?
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« As wrinkles form, the nasal and mouth lines may deepen,
jowls appear and the mouth
may droop at the edges.
The skin gets thinner
and looser and the face
generally tends to lose
its shape. »
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2. How
will you find out what I
need ?
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« Before treatment we discuss what would be suitable. We use both recent
and older photos and remorph
them so I can advise you
on how we get a natural-looking
result that fits with your
face. » |
3.
Will
a middle and lower face
lift make me look younger
? How long do the effects
last ? |
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« Your face should look about 10-12 years younger and the results should
last 8-10 years. This
is one of the most ambitious
and yet the most natural
ways of making a face
look younger. »
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4.
How
will you get natural-looking
results ? |
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« I want to make it clear we do not change your face's basic shape, from,
say a triangular shape
to an oval. We can only
work on it if it has visibly
lost some shape. The treatment
is to naturally move the
muscles upwards, without
undue tension and remove
excess skin to give the
face a more even shape. »
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5.
Will I need a medical examination before treatment ?
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« During
your preparatory consultation
with the anaesthetist
or the surgeon, we will
ask you for the results
of a general medical examination,
to spot any medical contraindications.
And you should take no
aspirin or anti inflammatory
medicines for ten days
prior to your visit. »
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| II ) During treatment :
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6.
How
long will I stay at the
clinic ?
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« You will be hospitalized for a period
of 24 hours. »
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7.
How long will the treatment last ?
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« Between
three to four hours, depending
on how much the skin and
muscle has to be lifted.
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8.
What
kind of anaesthetic do you
recommend ?
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« We normally recommend a general
anaesthetic for greater
comfort. A local could
also be used. »
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9.
What
will happen during the treatment ? |
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« We tighten the facial skin and remove
some of the fat from the
cheek and lower jaw area.
We reposition the cheek
and lower jaw muscles
to redefine the jaw line
and we could also complete
this with a reshaping
of the cheeks and the
chin. An upper and or
lower eyelid lift could
add to the effect and
if necessary, we can give
the face volume by fat
injections. This middle
and lower face-lift can
be in addition to an Endoscopic
lift of the upper face,
which would retighten
the skin and muscles of
the upper cheek and forehead. »
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10.
What will the risks involve ?
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« There will certainly be bruising in this type
of face lift. We prescribe
antibiotics two days before
the treatment until the
seventh day after, just
to make sure there is
no infection. You may
feel a slight reduction
in sensation in the cheeks
and jaw, which will go
away after a few months.
Any risks linked to the
anaesthetic used will
be discussed during pre-consultation
with the anaesthetist. »
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11.
What risks of phlebitis (deep vein thrombosis)
are there ?
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« There is a very low risk
of phlebitis for this
type of treatment. It
consists of a blood clot
appearing in the deep
veins of the leg, which
can detach and move to
the lungs, causing a lung
embolism. We can effectively
deal with this risk using
anti-coagulants and support
stockings during your
whole stay. During the
treatment, we also do
leg massages. So far,
we have had no cases of
phlebitis at all. »
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The scars
are really so discreet
as to be almost invisible.
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III )
After treatment
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12.
How visible will the scars be ?
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« They will start at the top part of each ear, hidden
behind the cartilage flap
in front of the ear canal.
Then they run round the
bottom of the ears then
back up, hidden in the
crease behind the ear,
right up into the hair
line, avoiding the clear
patch of skin behind the
ear. We also often have
to make a 2cm scar two
to three cm behind the
chin under the jaw. »
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13.
Is it painful ?
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« It
is not a painful type
of treatment, rated at
2.5 on a scale of 0-10
but the swelling caused
is uncomfortable for a
few days. »
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14.
How
quickly will I see the results ?
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« After
about three weeks you
will see about 75%; residual
swelling will take three
to four months to go down. »
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15. How
often will I need check
ups ?
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« We need to watch over the way things
develop, take out various
stitches and supporting
steristrips on the sixth
day, as well as other
supports on the 15th day.
Follow up lasts for a
six month period, but
we are also available
at any other time. »
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16.
What
do you do to protect the
treatment zone, do I have
to wear something ?
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« We
use steristrips to maintain
and support the face's
new shape and limit swelling.
We also limit eyelid swelling
with wet bandages on the
first night. We support
the face with a press-lift
(an elastic net balaclava
which holds the lower
face in place) for 15
days, then 15 more nights.
We recommend sleeping
with several pillows to
keep the head up. »
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17.
What care should I take afterwards ?
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« We will prescribe ordinary pain
killers, Arnica granules
and antibiotics for a
few days and you will
have to apply cold serum
compresses for three to
four days. »
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18.
How
soon can I start work again ?
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« You
can start work after three
or four days but you will
probably want to restart
your social life only
after 10-15 days. »
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19.
Should
I avoid physical activity ?
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« You
can start your sports
again after a month, except
diving, which is two months. »
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20.
Is
this treatment reimbursable
on my health insurance ? |
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« You
will have to consult your
local health authorities
and your private health
insurers to see if you
can be supported financially
following a serious accident,
for example. »
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IV) Photos gallery :
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Docteur
Frédéric Sauveur Sarfati
- 242, rue de Rivoli - 75001 Paris
PLASTIC,
RECONSTRUCTRIVE AND AESTHETIC SURGERY
- ANDOSCOPIC PLASTIC SURGERY - MICROSURGERY
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