Dr Roberto Viel, who is based in our 15 Harley St, London clinic, comments in the Daily Mail about facelifts and how to look natural without creating the unwanted ‘wind tunnel’ effect. He has over 20 years experience in the business with his identical twin brother, Dr Maurizio Viel.
We also ask Dr Roberto Viel further questions about the procedure.
Q: How do you perform face-lifts, and not look like ‘Joan Rivers’?
A: For a face-lift to look natural it is important for the surgeon to follow what gravity and nature have done to the face, and simply to reverse the effect. It sounds simple but many surgeons are bent on changing the face, and the traditional face-lift surgeons still pull the face back stretching the mouth and other features creating that unwanted ‘wind-tunnel’ effect. As we age, the face, neck skin and muscles head south, and as they droop we also loose volume on the face. The latter is key to keeping the face young. We vertically then lift the skin and muscles, and at the same time, we can add fillers or fat to the cheek area to re-volumise the face creating more youthful contours.
Q: When is it time for a face-lift?
A: There are a number of factors including genetics, lifestyle and environment that have to be considered. Asians tend to require face-lifts late in life because of their good genes, whilst Caucasians have much thinner skin on average. The latter group’s lifestyle also weighs in heavily depending on sun exposure, drinking and smoking. On average, our face-lift patients tend to be between 40 – 65 years old.
Q: Is it painful?
A: The pain is minimal with some swelling and bruising, and can be easily managed with some mild painkillers.
Q: How long is the recovery?
A: The patient will have an elastic garment for 4 days and the stitches can be removed after 10 days.
Q: When can I go back to normal social activities?
A: Patients usually resume their activities after 2 weeks with a refreshed look. Most of our patients’ friends and family ask our patients if they have been on holiday, and are none-the-wiser.
Q: What is the recovery time compared to the conventional anaesthesia? We understand that sedation is not the same as general anaesthesia, please can you elaborate?
A: Sedation is more gentle to the body and has a quick recovery time, and more often than not patients have less nausea from sedation. Some patients who opt for general anaesthesia may want to stay overnight, whilst patient who choose sedation go home the same day. Our face-lifts are done under sedation.
Q: What are the side effects of intravenous sedation, if any?
A: Often, the patients feel a little drowsy for a couple of hours after surgery. This wears off after 3 – 4 hours, and patients are advised never to drive for 24 hours after surgery. Only 10% of patients may experience some nausea.
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Dr Roberto Viel also visits our branch in Dubai Healthcare City, UAE. He is next visiting in October 2011.