Patients with prominent folds and wrinkles in the face and /or with hanging jawls and neck skin are candidates for this operation. The surgery takes 4-5 hours and is done under local anesthesia. The excess skin is removed and the muscle and tissues of the face and neck are tightened. Fat is removed from under the chin and neck if necessary. incisions are made in front of the ears in the natural skin crease and extended up into the temporal area and down into the area behind the ear/scalp. This may be done in conjunction with a brow lift in which the eyebrows are elevated to a more pleasing position. The incision is usually 1inch behind the temporal hairline. The operation takes an additional hour to complete. It greatly enhances the final result of the facelift. People with drooping eyebrows and upper eyelids are best candidates for this operation. Fine sutures are placed and loose bandage is applied which is removed in 1-2 days. Some discomfort and swelling with bruising is to be expected. Sutures are removed in 5-10 days. Exposure to sunlight is to be avoided for few weeks and sunscreen is advised. Return to work is usually in 10-14 days. Complications are rare but possible and are discussed fully by the doctor in consultation. Our patients are most happy after this surgery since they look very natural and do not have the “mask face” or the “wind tunnel” look that is so commonly seen. Dr Najafi also specializes in corrective the unsatisfactory face lift results done by other surgeons and has used his expertise in restoring a natural and more pleasant looks to some of the prominent personalities in the music industry.

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