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The Operation:
A facelift is considered a major operative procedure
and may take up to 4 to 6 hours to complete when combined with other procedures
such as eyelid surgery, neck lift and lip peel. Facelift surgery may be
carried out under either general or local anaesthesia with sedation. From
a practical point of view there is little difference since the general
anaesthetic employed is very light and local anaesthetic is always used
both to reduce bleeding at the operation and to avoid pain. Whether general
anaesthesia or sedation is used I employ the services of a skilled anaesthetist
since there is no doubt that this makes the procedure very much safer
than when the surgeon handles both the surgical aspects and the sedation.
This necessarily adds to the cost of the operation somewhat but I believe
that from the patient's point of view it is a very worthwhile investment.
I do not shave the hair at all. It is prepared with
hair gel and ties at the time of operation.
Most patients remain in hospital overnight following
the operation but it is possible to carry out facelifting as a day case
providing that additional procedures are not being performed at the same
time.
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