Facial surgeries often carry misconceptions, one being the concept of drastic, unrecognisable transformations. However, the primary objective of such interventions is to achieve a rejuvenated, contented, and energetic facial appearance. Despite the fact that the face is a relatively small area compared to the entirety of the body, it comprises many different areas and procedures to change it.

Among these procedures, the queen of facial surgeries - a face lift, can change everything from the cheek to the neck. It's important to note that a "lift" constitutes merely a segment of the overall procedure. Surgical intervention may include removal of excess tissue in one area, targeted fat augmentation from donor sites like the abdomen, while aiming for a natural-looking face with minimal traces of surgery. Undoubtedly, achieving such delicate balance is a challenge.

What is a facelift?

A cosmetic rejuvenation operation called a facelift, sometimes referred to as a rhytidectomy, minimises wrinkles that develop in the face and neck regions as a result of ageing naturally. Time is cruel, but thankfully, those who are unhappy with their appearance can go back in time with a facelift.

Despite the variations in facelift procedures, there are a few basic stages among them. Most facelift procedures are carried out under general anaesthesia. The surgeon makes incisions both, along the hairline and the ears. The extra skin and wrinkles on the face are then removed by separating the skin from the facial muscles. For more aesthetically pleasing outcomes, deeper face tissue and fat can be redistributed. The face is then bandaged to reduce bruising and swelling. Usually, patients are released on the same day as their surgery, but occasionally, further observation of the patient is necessary.

Facelift types

Facelifts are categorised as forehead, mid, neck, full, or classical depending on the extent of the operation. To ensure that the procedure best meets your needs and expectations, your doctor will recommend a few different options or select one procedure altogether.

Classical facelift

Neck lift

The mid-facelift, or cheek lift

Forehead lift

Facial fat transfer

Facelift techniques

Facelifts come in a variety of types and techniques, therefore the best option should be chosen based on the circumstances of each patient. In order to select the optimal technique and meet the patient's expectations, the surgeon and the patient should talk about the procedure's scope, degree of invasiveness, and anticipated significant outcomes.

The minimal access cranial suspension (MACS)

The superficial musculoaponeurotic system (SMAS)

The deep plane lift technique

What is the difference between a deep plane facelift and a SMAS facelift?

Although the deep plane facelift procedure is a slight advancement over the traditional SMAS facelift, the SMAS layer release and lifting is still the fundamental concept. Thus, the answer to the question of whether the deep plane facelift is still a SMAS facelift is generally yes. Manipulating the SMAS layer is the only method available for performing a facelift. The sole distinction is that the deeper plane facelift is more accurate and concentrates almost exclusively on the skin's deeper layers, which are where the real issues are, hardly lifting the skin's outermost layer (i.e. subcutaneous tissue). Such a precise facelift causes minimal tissue damage in the vicinity of the skin's surface, minimising bruising, swelling, and recovery time after the surgery.

Can other surgeries be combined with facelift?

Combining a facelift with other surgeries, such as a neck lift, eyelid lift, or rhinoplasty (nose job), can produce even more dramatic effects.

Treatment for the same cause is achieved in combination with eyelid surgery.
As droopy eyelids typically develop along with wrinkles and loose skin as people age, eyelid surgery is particularly practical. As a result, this combination is ideal for addressing the same issue and regaining nearly ten years of facial youth.

Who is a suitable candidate for a facelift?

Being healthy in general prior to surgery is crucial, just like it is with any other procedure. On the other hand, skin health is particularly crucial for facelift procedures. Skin needs to be elastic and flexible. The use of tobacco products and alcohol may have an impact on these characteristics. In such a scenario, people should speak with medical professionals regarding the possible results of a facelift.

The procedure is suitable for people with long-term conditions like diabetes, heart disease, and blood clotting issues. These disorders, however, may make a person unsuitable for anaesthesia and may also interfere with the healing of wounds while the patient is recovering. It's critical to discuss the specific case with a surgeon in order to avoid complications and obtain the desired outcome. The facelift method can and should be tailored to achieve the most fulfilling outcomes.

Recovery

It may take up to four weeks to recover completely from surgery. For the duration of their recovery, the patient should take time off from work.

While an elastic facial sling maintains equal pressure distribution and reduces edema, bandages are used to conceal wounds. The stitches (unless dissolvable stitches were used) and, if used, any serous fluid drainage tubes will be taken out in a few days. The bruises should go away in a few weeks. However, the patient may need to wait six to nine months until the swelling has completely gone in order to properly appreciate the outcome of the treatment.

For a few weeks, avoid the sun since it can harm the surrounding, sensitive skin and interfere with the healing of scars. After the procedure, it is strongly advised to refrain from driving at least until the bruising diminishes. Additionally, for a few days, the patient should refrain from wetting the bandages. It's advised to take a break from intense exercise for at least two weeks. While the wounds are still healing, the patient should refrain from wearing makeup.

High-quality skin care is required as it undoubtedly enhances the results of a facelift and is necessary to prevent premature ageing. Since weight fluctuations cause the skin to stretch out, maintaining a constant weight and proper nutrition can extend the results.

What are possible complications?

Hematoma, seroma, infection, and prolonged healing are the most typical complications.

  • Capillaries that burst lead to hematomas. It disappears in a few weeks after surgery and is not harmful.
  • A seroma is an accumulation of bodily fluids beneath the skin where surgery was performed. Seromas are not dangerous and should go away on their own in a few weeks.
  • Failure to comply with the doctor's recommendations for a full recovery may result in infection and delayed healing. It's also possible for the hair to grow or recede slightly nearby the incision sites. If an experienced plastic surgeon performs the surgery, facial nerve injury is extremely uncommon.

See the difference

Dive deeper into our Before & After results in a separate gallery here:
FaceliftFacelift