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Do you need to shave my head? No. Only a narrow strip of hair needs to be clipped before surgery. Most of this scalp will be excised during the surgery. Once your hair is washed after surgery any remaining clipped scalp can be easily covered with the adjacent hair. What kind of anesthesia will be used? Most facelift surgery in my office is completed under general anesthesia. Patients are completely asleep during the surgery and remember little or nothing of the experience. It can also be completed under local anesthesia that is supplemented with intravenous sedation. You have the choice. Facelift can be separated into four parts. First, a plan is outlined on the patient's scalp and/or face. Second, the incision is placed in front of the ear, behind the ear, and beneath the chin so that the subsequent scars will be inconspicuous and easily covered with make up or hairstyle. The face skin and muscle are released from in front of the ear all the way to the fold by the mouth and across the center of the heck. Next, muscle is tightened and extra skin is removed. Finally, a drain is placed and absorbable stitches are used to close the incision in the skin. How long will I be in the operating room? The length of time it takes to complete facelift is about two to three hours. You will spend about five to six hours in my office. Frequently, other surgery is combined with facelift increasing the time to complete the operation(s). For safety reasons, I limit the maximum time for surgery on each patient to six hours on a given day.
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