Voted Top Rhinoplasty Doctor by Castle Connolly

 
 
 
 
 

Rapid Recovery Facelift / Necklift

Dr. Rizk Featured in Harper's Bazaar, December 2012 - "The New Neck-Lifts"

Our doctor, a New York facial plastic surgeon and facelift specialist, has developed a specialized protocol to expedite the recovery of patients after facelift surgery. Not everyone considering facelift surgery needs a traditional lift. Many partial customized lifts are performed based on patient's degree of aging and have a much more rapid recovery allowing the patient to return to normal activity within a week. Most of Our doctor's patients lead an active lifestyle and desire to return to that lifestyle as soon as possible.

But Our doctor warns BE AWARE OF MEDIA HYPED "weekend lifts", "liquid lifts", unsafe "thread lifts", etc. which are not really facelifts and many media-hyped procedures exist on the internet and on TV that do not stand the test of time, resulting in an unnatural outcome and do not provide longevity.

The following protocol applies for many of the true long lasting surgical lifts described on this website, both partial lifts and complete lifts, which address all components of facial and neck aging, including skin, loose muscle and fat under the chin. If the following protocol is followed, most patients can expect to look presentable and resume normal activities within a week following the lift, although some minor swelling will still persist and dissipate over weeks. Makeup can be used after a few days.

This Rapid Recovery System is offered by Our doctor to expedite your recovery after facelift and necklift surgery, minimizing your downtime, swelling and bruising. This system has been described and published by Our doctor in plastic surgery journals which you can find on this website "in the media" section. He has also presented these techniques at plastic surgery conferences in many countries. His presentations are also available to you in the section "In the Media" of this website.

1. Use of limited (Shorter incisions) - Our doctor has shortened the incisions around the ears and in the hair with the use of his 3D high definition telescope system, allowing visualization of facial structures which need to be lifted or repositioned, through smaller incisions. Using these high definition telescopes means a more precise operation with less bleeding and bruising. Shorter incisions mean a more rapid recovery. A limited incision does not translate into a limited lift AS LONG AS THE DEEPER MUSCLES AND JOWLS ARE ALSO LIFTED.

2. Not using drainage tubes and using medical tissue glues instead - Older facelift techniques advocate use of drainage tubes to drain fluid for the first 24 hours after facelift surgery. Our doctor has published articles on this topic and has written books and articles on tissue glues in facelift surgery (see "in the media section" of this website for more information). Drainage tubes require an extra incision and scar on each side, may introduce infection as a foreign material, many times malfunction and leak, require excessive nursing care, and finally are painful upon extraction. Tissue glues on the other hand decrease fluid production under the skin by sealing blood vessels, decrease swelling and bruising.

3. Herbal Medicines/Vitamin Supplementation - A combination of oral pre and postoperative medications will be prescribed. Arnica Montana, vitamin K and vitamin C all decrease swelling and bruising and are recommended by Our doctor as seen on his instructions before and after facelift surgery (see section on instructions). Vitamin C decreases swelling and promotes scar healing. Vitamin K promotes sealing of blood vessels and decrease in bruising. Topically applied Arnica creams may also be recommended to decrease bruising.

4. Avoidance of blood-thinning medicines - Our doctor recommends avoiding aspirin products, including Motrin, Alieve, as well as vitamin E and herbal medicines such as Gingko and St John's Wort, which promotes bleeding.

5. Avoidance of strenuous activity for 2 weeks following surgery - Strenuous activity may increase blood pressure and tissue swelling after surgery. It may also increase bruising by congesting the blood vessels in the face and neck.

6. Lymphatic Drainage after facelift - there are various channels called lymphatics which exist in the face and neck and their function is to drain swelling. A specialized massage of that area by a person trained in lymphatic post-surgery drainage can expedite reduction of the swelling. Our doctor will recommend an expert in lymphatic drainage in New York City after the surgery.

7. Cooling of the facelift area for few days after the surgery - Traditionally, ice compresses are recommended after facelift and necklift surgery for 2-3 days for decreasing swelling. Ice compresses are extremely important.

8. Use of Short Acting Anesthetics and Anti-Nausea medicines - Use of short acting anesthetics and preventing nausea and vomiting hastens the recovery process as well. By not vomiting, it also decreases swelling and bruising.

9. Avoiding exposure to heat and the sun - Heat exposure and sun exposure after surgery increase swelling. Our doctor recommends avoidance of heat and the sun for 1 month post-surgery. If sun exposure is inevitable, then he recommends using a sunblock with UVA/UVB protection.

10. Diet - Avoidance of salt intake and a healthy diet with protein and proper nutrition is important. Excessive salt can increase swelling as well as a diet poor in protein intake.

11. Using a Tailored Approach to facelift surgery - By customizing the procedure to your particular face, Our doctor avoids unnecessary incisions and his philosophy emphasizes this approach, which he believes reduces unnecessary surgery. Sometimes a complete lift will be necessary, but sometimes a partial lift is all that is necessary. Either way, whether it is a complete or partial lift the above guidelines will expedite your recovery and return to your normal activities.