A little primer on endoscopic face lifts, its after effects, and how to treat those
by Ingrid Marsten, C.L.T. – SPECIALIZING IN POST-COSMETIC SURGERY
Endoscopic facelift are often called “scar-less facelift” because, rather than using longer incisions in the skin of the face and neck, they involves only a few one-inch-long incisions in the skin. These incisions are usually made in the skin above the hairline or behind the ears, allowing them to remain virtually out of sight. Nonetheless, it is surgery! Just because you don’t have the outside scars (and don’t have the whole face “pulled”) doesn’t mean all is always easy and painless.
In the lower face/neck lift, the plastic surgeon removes excess skin on the neck through a small incision behind the ear and the back of the scalp. Sometimes, there might be an additional incision in front of the ear, but mostly, plastic surgeons try to avoid cutting minimize the cutting there when doing and endoscopic face lift. Besides doing some lipo on the neck/chin, the physician might actually use fat transfers to the area of the cheeks to compensate for the natural loss of fat, which is responsible for the “drooping jowl effect”. Yes, you might have to donate some of the belly fat 😉
An additional (horizontal) incision under the chin may be required, as well as neck liposuction. This horizontal scar is important to the tightening of the tissues under the chin, however, it also creates a “physical barrier”, and makes it more difficult to drain the cellular debris and swelling from this area to the lymph nodes under the chin. Often, the scar becomes hardened and this occasionally can cause discomfort (I call it the “Boa constrictor” effect).
It is important to know that massaging this scar needs to be done in an extremely gentle manner. The scar needs to soften a bit; rubbing it too firmly can cause inflammation and further damage to the tissues, which might require a trip back to the surgeon.
I have done numerous successful lymphatic treatments on lower face/neck lifts, and it almost always helps tremendously with softening the scars and alleviating the discomfort. Unlike pain pills, lymphatic treatments work on the cause of the problem – not by masking it, but by helping the body to heal faster.
Activating the lymph nodes in the chin and re-routing the fluids can help heal much faster. I usually start this work about 2 weeks after the surgery; HOWEVER, even older scars can be softened through this exclusive lymphatic treatment.
About the author:
Ingrid Marsten, C.L.T., C.M.T., studied medical massage therapy in Germany, and has worked in the medical field in Europe, as well as the United States for over 20 years. She is currently working in a prestigious cosmetic surgery office in Santa Monica, California, as well as in private practice. For more information, please feel free to contact her through her website