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Plastic Surgery for Facial Rejuvenation in Women from 45 Years Old
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15/09/202111 min read

Plastic Surgery for Facial Rejuvenation in Women from 45 Years Old

Doutor Igor Passaglia
WRITTEN BY

DR. IGOR PASSAGLIA, PHD

Dr. Igor Passaglia is a Plastic Surgeon with a PhD and post-doctorate from USP, trained at the prestigious Ivo Pitanguy Institute, and a member of the SBCP, ASPS, and ISAPS. He specializes in advanced facial rejuvenation and body contouring procedures.

Facial rejuvenation is the goal of many people seeking plastic surgery, and these treatments offer satisfactory and definitive results. These procedures differ from home care and non-invasive aesthetic treatments, such as the application of botulinum toxin.

There are different plastic surgeries that can be performed if the goal is facial rejuvenation, and the evaluation of a plastic surgeon is essential to recommend the most appropriate conduct aligned with the patient's goals.

Next, learn about 3 plastic surgeries on the face recommended for facial rejuvenation.

Facial rejuvenation: which surgeries can be performed?

  • RITIDOPLASTIA: COMPLETE FACIAL REJUVENATION

Blepharoplasty – rejuvenation of the look and eyelids

Cervical Liposuction – rejuvenation of the face and contour

Benefits of facial rejuvenation surgery

3 reasons to perform facial rejuvenation surgery

When is facial rejuvenation surgery indicated?

Which professionals are qualified to perform this surgery?

Does insurance cover any facial rejuvenation surgery?

What anesthesia is used in facial rejuvenation surgeries?

How long does the surgery take?

Where are the scars of facial rejuvenation surgery located?

Contraindications to these surgeries

What exams are needed to perform facial rejuvenation surgery?

About the post-surgical period:

What is the appearance like?

What is the recovery time?

When are stitches removed?

What procedures do I recommend for a better recovery?

Healing

Smoking

Hygiene

Rest

Sunglasses

For sleeping

Swelling

What are the risks of facial rejuvenation surgery?

How to avoid these problems with surgery?

What is the price range of facial rejuvenation surgery?

Ritidoplastia: Complete facial rejuvenation

Rhytidoplasty, also known as facelift, is the main plastic surgery intended for facial rejuvenation.

Today, we use everything that is most current:

  • Deep Plane technique with repositioning of deep tissues,
  • Facial lipofilling to improve the contour,
  • Use of technologies for skin retraction of the neck such as Renuvion and Facetite.
  • CO2 Laser to improve the eye area.

The technique used in the facelift for facial rejuvenation will depend on the patient's concerns added to the specialized evaluation.

Blefaroplastia – rejuvenation of the look and eyelids

Blepharoplasty can also be recommended as an option for facial rejuvenation. This plastic surgery aims to correct aesthetically—or even functionally, in some cases—the eyelids.

Due to the centrality of the eye region in facial aesthetics and harmony, in many cases the procedure enables a younger face as a result of the technique. Blepharoplasty is recommended for:

  • Concerns such as excess skin or sagging in the eyelids;
  • Ptosis, which consists of the drooping of the eyelid due to muscular factors;
  • Palpebral pseudoptosis, which is the drooping of the eyelid due to excess skin;
  • Fat bags in the upper and lower eyelid.

During this plastic surgery, the specialist can also remove xanthelasmas, which are small bags of cholesterol that form on the eyelid.

For these indications, blepharoplasty can provide a younger look to the patient, which is reflected in the rejuvenation of the face as a whole.

To perform this procedure, a surgical incision is made in the natural crease of the eyelid through which excess fat and skin can be removed. The conventional cut or laser can be performed. These options ensure a discreet and almost imperceptible scar.

Cervical Liposuction (Double Chin) – rejuvenation of the face and contour

Although not a classic facial rejuvenation surgery, in some cases cervical liposuction can provide satisfactory results for this purpose.

It is recommended for patients in whom the aged appearance is due to the accumulation of fat below the chin and also to the lack of a more delimited facial contour.

In these cases, liposuction can be performed to remove the fat deposit and promote a better definition of the facial contour, which ensures a more harmonic and youthful aesthetic to the face.

Double chin liposuction is performed from small incisions through which a Klein solution—saline and adrenaline—is inserted to control bleeding and facilitate the removal of fat cells by suction through the cannulas used in the technique.

The choice of plastic surgery for facial rejuvenation is essential for a more satisfactory result, so that the technique meets the patient's expectations, but delivering a natural and harmonic result.

This technique can be associated with the use of Renuvion or Facetite for retraction and improvement of the skin appearance.

Benefits of facial rejuvenation surgery

Surgery to rejuvenate the face aims to smooth the deepest and most visible signs of aging. Depending on the procedure chosen, it is possible to obtain different levels of facial rejuvenation.

When the patient's intention is to revitalize the beauty of the face as a whole, the facelift is the most sought-after procedure. The main benefits of facial rejuvenation surgery, performed with the facelift, are these...

3 reasons to perform facial rejuvenation surgery

  1. Reduction of sagging in the eye region to the neck, generating a lighter and smoother face;
  2. Improvement of wrinkles located on the face and neck;
  3. Eliminate excess fat below the chin and neck region;

When is facial rejuvenation surgery indicated?

The indication of a surgical treatment to rejuvenate the face must be made in the office by a plastic surgeon. This stage is crucial for the success of the procedure, as the professional will evaluate the structure of the face to understand the patient's degree of aging. Thus, it is possible to align the results of the surgery with expectations.

On the occasion, it is also essential that the patient inform their health history and life habits without hiding any information. The result of facial rejuvenation can be negatively impacted by some patient habits.

Furthermore, men and women who are over 45 years old and who wish to improve skin tone and smooth wrinkles are eligible for facial rejuvenation plastic surgery. It is worth noting that rhytidoplasty is a restorative surgery, therefore, it does not stop the aging process.

Which professionals are qualified to perform this surgery?

The Plastic Surgeon is the most qualified professional to perform this surgery.

In this case, Dr. Igor Passaglia completed 06 years of Medicine, 02 years of General Surgery, and 03 years of Plastic Surgery. After becoming a Plastic Surgeon, he also completed 02 more years of Fellows at USP SP in Cranio Maxillo Facial Surgery and Orbit Palpebral Surgery, being one of the few professionals in the country with this vast training and experience in the field.

Does insurance cover any facial rejuvenation surgery?

In cases of significant sagging in the eyelids, insurance will cover part of the Hospitalization.

What anesthesia is used in facial rejuvenation surgeries?

We always use general anesthesia, thus prioritizing the safety of our patients.

How long does the surgery take?

The surgery lasts approximately 4 hours.

Where are the scars of facial rejuvenation surgery located?

The scars of face surgery are extremely discreet, starting in the hair and around the ear. They can have different sizes, depending on the surgical indication. Due to the excellent facial vascularization, they normally remain practically unnoticeable.

Contraindications to these surgeries

Patients with decompensated chronic diseases such as:

  • diabetes,
  • hypertension,
  • heart failure,

We must control them before undergoing plastic surgery.

What exams are needed to perform facial rejuvenation surgery?

According to the patient's age and the presence of associated conditions, preoperative exams are requested, such as blood tests (hemogram and coagulogram), chest X-ray, and electrocardiogram.

What is the appearance like?

Swelling (edema) is common in the first three days. Bruising (ecchymosis) is also common. However, both are expected consequences, which usually improve in the two weeks following surgery.

What is the recovery time?

The average recovery time is 3 weeks.

When are stitches removed?

Stitches are removed within the first 10 days.

What procedures do I recommend for a better recovery?

Healing

The surgery leaves a discreet scar, as it is located exactly in the crease of the upper eyelid (portion that is hidden when the eye is open) and right below the lower lash line, in the case of the lower eyelid, or inside the conjunctiva. The appearance of keloids is very rare in this region.

Smoking

Smoking should be avoided at least 1 month before the intervention and in the two months following surgery as it impairs microcirculation and compromises healing.

Hygiene

It should be done normally with water and soap, since there are no dressings at the site.

Rest

Rest of one week should be done, until the stitches are removed.

Sunglasses

They should be used until healing is complete, about 30 days. The action of the sun can hinder healing and leave the skin of the region stained.

For sleeping

The patient must sleep on their back for two weeks, after that it is possible to sleep on their side.

Swelling

Cold compresses made with water and gauze help reduce swelling in the area.

What are the risks of facial rejuvenation surgery?

According to the Brazilian Society of Plastic Surgery, the risks of surgery are:

  • infection,
  • skin necrosis,
  • deep vein thrombosis,

How to avoid these problems with surgery?

When choosing a plastic surgeon to perform the surgery, remember that the surgeon's experience and your good relationship with them are as important as the final cost of the surgery.

A good starting point is to use the list below as a guide during your consultation.

  • Is the doctor a specialist in plastic surgery registered with the CRM (RQE)? It is possible to check this on the website of the institution (CFM).
  • Is the plastic surgeon a Full Member of the Brazilian Society of Plastic Surgery – SBCP? It is important for you to know that members within the SBCP have levels of category and experience, with "Full Member" (Membro Titular) being the highest of them, as the professional goes through a rigorous evaluation to receive it.
  • How many years of training in plastic surgery does the doctor have?
  • Is the location chosen for the surgery safe?
  • Am I a good candidate for this procedure?
  • What is expected of me to obtain the best results?
  • Where and how will the procedure be performed?
  • What surgical technique is recommended for me?
  • What recovery time can I expect, and what kind of help will I need during my recovery?
  • What are the risks and complications associated with my procedure?
  • How are complications treated?

What is the price range of facial rejuvenation surgery?

Depending on the professionals and the structure involved, to give you greater safety, and the amount of procedures to achieve facial rejuvenation, you will find the most varied costs, from the most affordable to the most expensive. The cost includes hospital, materials, and labor of the plastic surgery team.

The Federal Council of Medicine and the Internal Regulations of the Brazilian Society of Plastic Surgery prohibit the disclosure of plastic surgery prices on the internet. Only after performing an in-person evaluation or video consultation can I provide a value.

Now, pay close attention when choosing the professional!

Do not use price as the main factor. As I said, although rare unforeseen events can occur, the location and doctor you choose must be prepared to handle them.

Click on the button below and contact us if you have any questions. We will be happy to help you. If you decide to schedule a consultation, you can also book an appointment by clicking the button below and speaking with us on WhatsApp.

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