How it works
First, you are examined and counseled by a specialist in Plastic and Aesthetic Surgery, who is the same person who will perform your operation. Your surgeon assesses your general health, the shape of your face, the nerves of the face, and how far the skin and muscle have sagged. This is your time to say clearly what you want and to ask every question.
You have routine pre-operative tests and are seen by the anesthesiologist. You need to stop Aspirin-containing medications for about 10 days before surgery, and to fast for 6 hours beforehand. The operation can be done under local anesthesia, meaning the treated area is numbed while you stay awake.
Depending on the area being treated, your surgeon makes a small incision in a discreet spot: above or below the brow, at the edge of the forehead hairline, just below the lower lash line, within the hair at the temple, or behind the ear for the neck and chin. These incisions are all small and usually leave no visible scar. When needed, your surgeon can also remove fat or trim excess skin at the eyelids.
Your surgeon lifts the sagging soft tissue of the face and secures it with an Endotine absorbable device, a special fixation that dissolves over time. The operation takes roughly 30 minutes to 1 hour, depending on how many areas are treated.