Facelift

When people age, the effects of gravity and sun exposure can be seen in their faces. This can manifest itself in a number of ways – creases often form between the nose and mouth, the jaw line can grow slack and jowls appear.

Sometimes folds and fat deposits appear around the neck. These factors contribute to this process that causes the skin and ligaments to lose elasticity and can hasten the process, including sun exposure, weight fluctuations, and heredity.

A facelift (technically known as rhytidectomy) doesn’t stop this aging process but it can ‘set back the clock’ by tightening the facial and neck muscles and ligaments and removing excess skin. Furthermore, mat facelift techniques now employ procedures such as adding or removing volume in terms of fat. The results are a more youthful, healthy energetic appearance.

Your surgeon will undertake several consultations which include will careful analysis of your facial features. Careful note of your expectations and goals will be noted and a plan formulated.

The aim of surgery will be to create “natural” outcomes, leaving your appearance more youthful and refreshed looking.

 

There is no one such thing as a specific facelift procedure. Facelift surgery is a well-defined spectrum of specific techniques. The aim of the procedures is to address the anatomy and the actions to be taken on each layer of your face. This means choosing the correct technique to address the correct anatomical concern.

Thus, to begin with your surgeon will examine you and establish the precise area that you are most concerned with.

The features that can be addressed are:

Loose excess and folds of skin (pronounced facial lines and wrinkles)
Drooping facial features (deep laugh lines, mouth corners, falling cheeks)
Jowls (loose skin and fat pockets around the jawline)
A fat full face or wasted thin face (addressing volume in terms of fat or implants)
A flat face, weak chin, too long or too short face (addressing bony foundations)
Fat and folds appearing around the neck (turkey neck)

Having established which your concerns are then you will have a full discussion with your surgeon to establish which, if any, techniques is the correct one for you. A sample of possible procedures is discussed below:

Facelift Surgery: A standard and latest state-of-the-art technique of addressing your bony foundation if needed, removing and repositioning any excess or displaced fat, tightening and/or repositioning the muscles and ligaments, and removing excess skin. Fat grafting or removal may occur if needed.

Mini Facelift Surgery: Similar to facelift surgery but less involved and performed through a shorter incision due to the presence of less excess skin and less laxity.

Other Facelifts: Depending on your specific anatomy, we may want to consider the Brow Lift, MACS facelift, Vertical Facelift, the Midface Lift. These depend on your vectors of laxity and the features involved.

Related: There are times that procedures on the eyes, ears, nose, mouth or chin will be addressed to complement or complete the results of the facelift.

The facelift procedure is very surgeon dependant and your surgeon will explain to you exactly how they will expect you to recover.

In general however:

Immediately following surgery, a light dressing is placed around your head and face. This will be removed the following day to permit examination of your face. It is common practice for you to receive a hair wash at this time by the nursing staff. Often a compression garment will be applied.

At home you can expect to be up and around and taking walks right away. As to when you will be able to wash, your surgeon will give you advice.

All of the stitches are small and are generally removed within one week.

You can return to work in as little as five to seven days and to some physical exercise in the second week.

Frequently asked questions

How can I help prepare for my surgery?

You should refrain from taking aspirin, non-steroidal painkillers (e.g. ibuprofen), or vitamin and herbal supplements, as these can increase the chance of bleeding.

Be sure to disclose everything you are currently taking, regardless of how menial.

Stop smoking and all other nicotine products several weeks prior to your procedure.

What are the risks?

You should refrain from taking aspirin, non-steroidal painkillers (e.g. ibuprofen), or vitamin and herbal supplements, as these can increase the chance of bleeding.

Be sure to disclose everything you are currently taking, regardless of how menial.

Stop smoking and all other nicotine products several weeks prior to your procedure.

Where will the scars be?

In general facelift surgery takes place under a general anaesthetic. To begin, a customised incision follows your natural features and is hidden in your hairline, around your ear, and behind the ear for a tailored length.

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