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Facelift

A facelift is typically carried out to improve loose facial skin, sagging cheeks and jowls and lost definition to the jaw and neck lines. A facelift, however, will not improve skin quality, sun damage or pigmentation.

The technique that is used, will depend on the issues that need to be addressed and expectations.

What happens with a facelift?

Normally, an incision is made in the hairline, just above the front of the ear, it continues down around the ear, ending in the lower scalp behind the ear. The facial soft tissues are then exposed and lifted, excess skin is removed and the remaining skin is draped back over the newly repositioned contours. In some cases, fat is removed from another area of the body (liposuction) then surgically prepared to be reinserted into different parts of the face (lipo-filling). Fat can also be removed in the case of a “double chin”. This technique can give the face a more youthful, heart-like shape with a better defined jaw line.

If the neck is showing signs of aging, a neck lift can be incorporated at the same time as the facelift. The incision behind the ears might just be a few centimeters longer to enable the tightening of the superficial muscles in the neck.

How long does the procedure take?

A facelift takes 2-4 hours depending on the technique

What type of anaesthetic is used?

A face and neck lift are more commonly carried out under full general anaesthetic. A mini-facelift, however, can be carried out under local anaesthetic, with sedation.

Where does the procedure take place?

Surgery is carried out in the day hospital

How long will I be in hospital?

One day, if the procedure is straight forward, otherwise an overnight stay is necessary.

What do I need to do after the procedure?

  • Use ice packs for intervals of 10 minutes, as often as possible the first day. And thereafter, 4-5 times a day (never put the ice directly on the skin, use a fine towel or swab)

  • Avoid strenuous activities (aerobics and jogging, for two-four weeks)

  • Sleep with your head raised, using several pillows, for the first week

  • Take 10-14 days off work

  • Avoid the sun for 2 months

What are the side effects of the surgery?

  • Swelling and bruising

  • Slight pain (generally relieved with paracetamol)

  • Temporary numbness

  • Temporary tight/dry feeling of the skin

What are the risks of the procedure?

  • Bleeding

  • Noticeable scarring

  • Infection

  • Facial nerve injury

  • Skin necrosis - poor wound healing (smokers)

  • Numbness