A popular cosmetic surgery that focuses only on the aging eyes, cheeks, and nose is the mid-lift. This facelift, or rhytydectomy, produces the same effects as the full facelift, but on a smaller portion of the face, hence, the lower cost and less extensive surgery. It should not be confused with the “Mini” or 3 day facelift. Mid refers to the portion of the face to be operated upon, anywhere below the forehead and above the chin.
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There are two ways a cosmetic surgeon may conduct the procedure. He/she may approach it traditionally, which is more beneficial for patients seeking an elevated look to the skin, or the surgeon may employ the use of an endoscope. It is an instrument that is not unlike a camera, and it gives the surgeon the ability to pull the tissues in any direction necessary. It is the most widely used procedure, because it results in a more natural, less severe appearance to the face.
Before the surgery, you will be administered either a local or general anesthesia. Often times the patient is given the choice of which anesthesia is used. Local anesthesia will permit you to retain some level of consciousness during the surgery, but you will still not sense any pain. General anesthesia will be administered at the discretion of the surgeon, and will result in the patient being in a fully unconscious state.
In a traditional plastic surgery, a scalpel is used to make several incisions in the face. The openings may be in the crease just below the lower eyelashes, as well as the crease between the nostrils and the upper lip. Lifting the skin to reveal the muscle tissue, adjustments are made to the fat and muscle tissue lying beneath this exterior layer. The surgeon may remove some fat, depending on the severity of the conditions of the cheeks and areas under the eyes. At the incision near the eye, the cheek muscles can be pulled up, thus reducing the concavity below the cheek bones. The tissue adjustments at the incision under the nose diminish any frown lines. Finally, the skin is spread over the tissue again, this time covering much less space than before. The surgeon seals the incisions with sutures and clips away the skin that remains.
Again, anesthesia will precede the operation. Either general or local anesthesia may be used. When a cosmetic surgery is performed endoscopically, there is no need for the many incisions that are involved in the traditional procedure. Only one or two much smaller incisions are made at each temple above the hairline. Then, instead of folding back the skin, he/she slowly slides the endoscope through the incision and works from there, using the live feed from the endoscope to direct his/her movements. Unnecessary fat can be pulled out through the incisions. After all tissue is rearranged, the endoscope is promptly removed, and the incisions are closed with sutures, again clipping away the overlapping edges of skin.
Because most types of cosmetic surgery are not believed to be necessary operations, it is not covered by most insurance policies. The cost you pay for a mid facelift will vary depending on where the surgery is performed, as well as the level of experience of the cosmetic surgeon. The full amount that you should expect to pay will be within the range of $4,000 to 10,000. This amount is arrived at by adding the surgeon fees and all other fees you may be charged.
Additional fees are comprised of the anesthesia and hospital fees, but there may very well be more. If you are locally anesthetized, you may end up paying less than a patient who receives general anesthesia at the operation. For this reason, it is a good idea to make sure you have an understanding with your surgeon about the anesthesia that is required.