Facelift & mini Facelift London
Facelift surgery, also known as a rhytidectomy, is a cosmetic surgery procedure designed to address significant signs of ageing changes seen in both the face and neck region. To gain a better understanding of what facelift surgery can achieve, it is important to gain an appreciation of what is involved in the ageing process of the face and neck. With the ageing process, the skin will tend to lose between 20-80% of hydration and volume as time progresses. This loss of volume is primarily related to reduced synthesis of the structural components of skin which include both collagen and elastin but also glycosaminogycans (GAGs) which are found in the dermal layer of the skin. This loss of structural support leads to the commonly seen end result of skin laxity. Skin laxity is also accompanied by loss of adhesion with the deeper lying muscles and soft tissues. This leads to loss of tissue tightness, the skin therefore sags and this results in jowl formation and loss of a well-defined jawline. The extra skin and underlying soft tissue sag downwards and this leads to loss of the sharply defined cervicomental angle between the neck and chin. Ageing changes in the midface region lead to volume loss in the cheeks and also bone loss from the facial skeleton. The resulting hollowed out appearance becomes more evident with age. The younger face possesses features consistent with a youthful inverted triangle. With age, this triangle flips over as the face gains more volume in its lower part as a result of the sagging of the soft tissues under the influence of gravity and the loss of volume from the midface.
Facelifts in London with Centre for Surgery at our Marylebone clinic. A facelift (also known as a cervicofacial rhytidectomy or rhytidoplasty) is a broad category that refers to a number of procedures including a mini facelift that will change the look of the upper and lower face, including cheeks, jowls, and neck. Facelift surgery entails incisions placed in front of and behind the ear. The approach to facial rejuvenation has evolved significantly over the last few decades. Surgery, however, has remained the gold standard of care for long-lasting treatment of the ageing face in both women and men. Despite the rise of less invasive methods, a facelift or rhytidectomy has maintained its pre-eminent position in facial rejuvenation as the number of facelifts performed each year continues to increase. In fact, facelift or rhytidectomy currently ranks as the fifth or sixth most popular cosmetic surgery procedure in the UK.
At Centre for Surgery, patients have access to the full range of options for treatment of the ageing face. These options include laser treatments, injections and traditional surgery. Facelift surgery, traditionally called rhytidectomy, is an extremely popular procedure in London and the UK more broadly. Facelifts are most popular for being able to stop the ageing process, at least when it comes to the aesthetic aspect. A facelift is a surgical procedure that involves facial skin tightening to remove those wrinkles and give the face a younger look. The goal of modern facelift surgery is to create a natural, refreshed and rejuvenated appearance for patients so that they look like a younger version of themselves. The procedure typically involves repositioning of deep fat and muscle tissue and may involve volume replacement. Patients who are not ready for a facelift or perhaps do not want a facelift have several other options, including minimally invasive procedures like laser or injectables. Even though no one is able to reverse time, signs of ageing can be prevented by removing any trace of excess fat and skin and straightening the facial muscles. This intervention can be performed as an individual operation or in combination with other similar procedures, such as eyelid surgery.
All our London facelift surgeons are on the GMC specialist register.
Our London clinic at 106 Crawford Street was recently inspected and rated as good across all 5 domains.
Facelift Expected Results
- Elevate redundant loose skin in the lower third of the face that is commonly responsible for jowl formation
- Address loose and sagging neck skin commonly known as a turkey neck.
- Lifting and tightening of the deep muscle layer and overlying soft tissue to restore fullness to the lower face and neck area
- Reduce the appearance of deep lines and wrinkles
What is included in my facelift treatment package?
- As many preoperative consultations with your surgeon as you like to make sure the procedure is right for you
- Treatment at a specialist day surgery facility recently rated ‘Good’ by the CQC
- Enhanced same-day discharge with the added benefits of recovering in your own home
- 24/7 clinical support from your surgeon for the first 48 hours and our expert postoperative support team
- Your very own dedicated patient coordinator
- In-depth preoperative medical assessment to make sure you are fully fit for the rhinoplasty procedure
- Exceptionally high standards of postoperative care described as ‘outstanding’ by the CQC with regular telephone and face to face checks by our expert postoperative support team
RealSelf Top Doctors
RealSelf top doctor status is awarded to less than 10% of the RealSelf doctor community. This status is earned by achieving consistently high patient satisfaction (from RealSelf reviews), getting excellent feedback on expert answers to patient questions, and investing significant time in Q&A and other doctor activities. RealSelf top doctors are rated among the very best surgeons in the United Kingdom and the USA.
|Procedure time ⏳||2-3 hours|
|Anaesthetic type 💉||GA or LA (mini facelift)|
|Length of stay 🛏||Day case|
|Up and mobile 🚶🏻♂️||Same day|
|Washing 🛁||3 days|
|Travel ✈️||1 week|
|Sexual activity ❤️||4 weeks|
|Driving 🚗||2 weeks|
|Return to work 📅||Next day (desk work)|
|Postoperative garment 👕||2 weeks|
|Sleeping 😴||On back 1 week|
|Exercise 🏃🏽♀️||6 weeks|
|Full recovery 🕺🏻||6 weeks|
|Final results 😃||3 months|
Why choose Centre for Surgery for your facelift ?
- Over 15 years experience with all types of facelift surgery – short scar mini facelift, full scar facelift, necklift and combined procedures (facelift with eyelid surgery or facial fat grafting)
- We regularly receive patients from overseas at our London facial plastic surgery specialist centre
- Our surgeons are UK trained NHS consultant plastic surgeons who live and work in London. We don’t work with ‘fly-in, fly-out’ surgeons from Italy. This is very important because whilst your surgeon takes all precautions to minimise facelift complications, complications can and do occur and our surgeons are readily available to manage any issues if and when they arise. An example would be a haematoma (collection of blood contained under the skin) developing after a facelift which is a recognised risk of a facelift procedure. In many cases, this needs addressing as soon as possible and we have the full infrastructure in place to manage this.
- We own and manage our own surgical facilities. Properly performed facelift surgery takes time (often 5-6 hours for a comprehensive facelift) and should not be rushed. Our surgeons perform a maximum of one facelift procedure in a day. We do not cram 3-4 facelift procedures into one day like other providers. You want your surgeon to be well-rested and mentally and physically sharp to perform facelift surgery which is a very complex procedure to get the very best results.
Trust a facial plastic surgeon
A facial plastic surgeon is trained to undertake aesthetic surgical procedures in the facial region. They are dedicated sub-specialists. Compared with general plastic surgeons, facial plastic surgeons are inherently better trained to perform delicate facial procedures such as a full facelift and neck lift. The extra years of surgical training by facial specialists focused on the facial region results in an exceptionally high degree of skill.
Our surgeons are full members of:
Read testimonials from our amazing patients
Benefits of a facelift
Facial ageing has traditionally been thought to be due to excess skin sagging on the face. For many years, the main method for reversing these ageing changes has been to tighten the skin by performing skin-only facelifts. The older facelift techniques focused on repositioning skin only, without addressing the underlying tissue layers. Patients who underwent these older (often on multiple occasions) lifts obtained an unnatural, stretched appearance – the ‘wind-tunnel effect’. In some cases, the eyebrows and forehead were also pulled upward, giving a startled and highly unnatural appearance.
One important aspect of facial ageing that is missed with the older skin-only methods is that two ageing other processes are occurring that skin-only facelifts do not adequately address:
- The deeper tissues of the face (fat and muscle) gradually detach from their facial attachments and begin to descend under the influence of gravity, and
- The soft tissue volume of the face decreases. Both bony and fatty changes occur with age. Thus, treatments to correct the ageing face should involve repositioning of these deeper structures (facelift), and restoring volume (fat grafting), as required.
Surgeons at Centre for Surgery focus on both lifting the soft tissue and muscle and restoring volume – the ‘lift and fill’ facelift. It is often not enough just to reposition the tissues with a facelift technique. Facial fat grafting to restore volume is also required.
There are many benefits to undertaking a facelift, including:
Skin tightening: Loose facial skin can make a person appear a lot older than they actually are, while taut facial skin is a sign of youthful vitality. The latest facelift techniques can completely remove loose skin from the lower face and neck creating a more revitalised appearance
Wrinkle reduction: The appearance of wrinkles can be reduced when the skin is tightened during the facelift process.
Repositioning of facial fat: At times a facial contour that is undesirable is a result of fat deposits in the face. Our surgical technique includes repositioning fat deposits to achieve a more aesthetically pleasing facial contour. Facial fat grafting can also be performed to create extra volume. Fat transfer is an advanced method for restoring volume to the facial fat compartments. Using this alone or in combination with a facelift can provide optimal results to patients.
Procedures commonly combined with a facelift
Eyelid surgery or blepharoplasty is the most common surgical procedure for facial rejuvenation. It can also be combined with a facelift. Facelifts are performed with blepharoplasty in about 70% of all cases. While a facelift focuses on the cheeks, jowls and neck area, eyelid surgery addresses other issues that may affect your appearance.
Reasons for having eyelid surgery in conjunction with a facelift include:
- Puffiness around the eyes that make you look older than you actually are
- Hooded eyelids that make you look fatigued, even if you are full of energy
- Hooded eyelids that are affecting your eyesight and your ability to see
- Sagging skin and wrinkles under the eyes
There are two types of blepharoplasty surgeries. Depending on your needs and goals, you may need one or both performed:
Upper Blepharoplasty: Surgery on the upper eyelid involves the removal of excessively stretched skin that can cause multiple wrinkles or hooding on the eyelash line. If there is an underlying droopiness of the lid, a muscle repair can be performed through the incision at the same time.
Lower Blepharoplasty: During surgery on the lower eyelid, the surgeon will redistribute the fat within the lower eyelid, which removes the appearance of bags and under-eye puffiness. By addressing these problems at the same time as a facelift, a greater portion of the face can be rejuvenated, providing a more enhanced appearance. Another procedure that can be employed is a brow lift, in order to minimise wrinkles on the forehead. The best way to determine if this procedure is appropriate in conjunction with a facelift is to discuss it with our surgeons during your consultation.
A well-performed facelift does not leave visible scars
All facelift procedures involve making skin incisions and as with any surgery, there will always be a residual scar. Facelift incisions are typically hidden in natural skin creases in front of and behind and in the hair (easier in women). When performed by an experienced and meticulous plastic surgeon at Centre for Surgery in London, facelift incisions are usually done remarkably well and are barely visible though, of course, everyone will scar differently. In the majority of cases, patients and their loved ones find it very challenging to find the incisions months after the procedure.
Scars continue to naturally soften and improve and mature over the course of 12 months, but no scar every disappears completely. Fortunately surgeons at Centre for Surgery have access to the most advanced lasers to reduce redness or flatten scars after the facelift procedure.
Facelift before and after:
Facial injectables do not match the results of a 'lift and fill' facelift
Although neurotoxins and dermal fillers have revolutionised the way we treat the ageing face with non-invasive techniques, these do not replace surgical procedures. Rather they complement as opposed to replace.
Key point: Big degrees of facial ageing require correspondingly big procedures for proper correction.
Facial wrinkles and volume loss are poorly treated with a facelift. This is where the injectables are most useful. Whether it is to soften lines or add subtle volume to targeted areas – this is where facial injectables work really well. Problems occur when too much is attempted with injectables alone – often leading to over-volumisation – the so-called ‘pillow-face’.
Let’s go through a little on how neurotoxins and dermal fillers actually work:
Neurotoxins work by blocking the neuromuscular junction. This reduces or even eliminates the electrical signals from the brain to the facial muscle, thus inhibiting movement of the muscle. The result is a reduced severity of the associated wrinkles. However, Neurotoxins do not address volume loss which is a prime component of facial ageing, nor do they treat loose skin, descended muscle or fat atrophy.
There is an increasing trend towards dermal filler treatments as an alternative to facelift surgery. Facial fillers are made up of various substances. The most commonly used substance in most modern HA fillers is hyaluronic acid. There are other less commonly used substances such as poly-l-lactic acid or calcium hydroxyapatite which work for longer but are not reversible, unlike HA fillers. HA fillers act to restore the lost volume due to atrophy of soft tissue and fat volume that occurs with the ageing process.
Facial injectables can reduce the appearance of fine lines, deeper folds, and with the more viscous HA fillers even add volume to certain areas including the temples, cheeks, chin and lips. However, these results are temporary and for many patients do not provide enough correction of the jawline, jowls, cheekbones and loose and crepey neck skin. Fillers still have an important role – they are treatment options for patients who may not be ready for facelift surgery or perhaps have had facelift surgery already and desire a ‘tweakment’ to refine or fine-tune the results from surgery.
I just want to say thank you so much to all working in the London Centre for Surgery for your kindness and support throughout the process that lead to my final operation. You even went the extra mile and booked my garment in emergency the day before the op, when we learnt that the one I found initially was unsuitable. A special thank you to my Patient Coordinator, Yasmin, for her friendship and constant availability. I was very nervous, but Yasmin supported me emotionally and, when uncertain, she liaised with the doctors to answer my every single doubt (and with the admin team for my late payments too). Five stars from me x
The ideal candidate for a facelift
Facelifts are not just for women
Men and women both experience the effects of the facial ageing process and both can benefit from facelift surgery. Demand for facelift surgery in men in the UK has increased over 25% over the last twenty years, while demand for female procedures has remained relatively static. About 10% of all facelift procedures are performed in men and this is a growing percentage year on year.
The ideal candidates for a facelift procedure are men and women with a face and neck that are starting to look older, but with elastic skin and a very well defined bone structure. Even though most facelift patients are around 40 to 60, a facelift can be successfully performed in patients between 70 and 80 subject to satisfactory medical clearance for the surgical procedure.
The best age for facelift surgery
There is no ideal age for a facelift. Different people age at different rates and to different degrees. Although the normal facial ageing process causes facial skin and underlying muscle to loosen or sag over time, the effects of ageing can occur at any time although significant sun exposure will accelerate the process. In the UK, the majority of surgical facelift procedures are performed on women and men between the ages of 40 to 56.
Over the last 10 years, there has been an explosion in the number of techniques to address facial ageing in younger patients as younger people are increasingly presenting to discuss options to maintain their youthful appearance. Leading facelift surgeons in London agree that patients between the ages of 30 and 39 are particularly interested in brow lifts (forehead lift) and blepharoplasty surgery (eyelid surgery to remove excess pockets of skin and fat around the upper and lower eyelids. While blepharoplasty and browlifts are full facelifts, they are still designed to address facial rejuvenation. Centre for Surgery offer leading treatments to cater for younger patients needs.
If you are not keen on the idea of having scars from facelift surgery, Centre for Surgery also offer a ‘scarless face lift‘ utilising the innovative FaceTite platform. A FaceTite procedure utilises minimally invasive bipolar radiofrequency to tighten the skin of the neck and jowls combined with Morpheus8 RF microneedling. By using both FaceTite and Morpheus8, your surgeon is able to address mild to moderate skin laxity in a minimally invasive manner and without the downtime of a traditional facelift. A FaceTite procedure can be performed under local anaesthetic (with or without oral sedation) in properly selected candidates. Microlipo may also be performed on the lower face and neck to define the jawline. The FaceTite / Morpheus8 procedure is also known as EmbraceRF.
Your facelift surgeon may also wish to combine the FaceTite/Morpheus8 combination with a mini facelift to extend the benefits of a partial skin excision. In this case, the procedure would be performed with TIVA general anaesthesia.
Causes of facial ageing
Premature or early-onset ageing can be caused for a number of reasons:
- excessive UV sun exposure
- smoking tobacco
- poor lifestyle habits (late nights, heavy drinking)
Everybody’s skin is different and this has a corresponding impact on the degree of facial ageing and at what rate.
We tell all our patients that there are a number of key criteria for being ‘ready’ for a facelift:
1) Structural evidence of facial ageing that is amenable to reversal with a facelift. This includes areas such as the jowls, neck skin laxity, or neck bands,
2) A realistic expectation of what can be achieved
3) Good overall medical health and a good system of social support available after the procedure. A patient who is 44 may satisfy all three of these criteria, and a patient who is 58 may not – treatment is always individualised to the needs of every patient.
A facelift with our surgeons will restore a more youthful appearance, helping to correct many of the visible signs of ageing in the face and neck area. Reasons for having a facelift include:
- Sagging in the mid-face area
- Deep creases below the lower eyelids
- Deep creases along the nose extending down to the corner of the mouth
- Loose skin and excess fatty deposits under the chin area, resulting in a “double chin” or “turkey neck”
- Facial fat that is displaced or drooping, creating exaggerated jowls
There are other factors that help determine if you are a good candidate for facelift surgery, including:
Good health: You should be in good health and be free of any major medical conditions prior to your surgery. This is key for proper healing and recovery after your procedure.
Most importantly, you should have realistic expectations about your goals for surgery. Ideally, you want to look like a revitalised, refreshed version of yourself. The best way to determine if you’re a candidate for a facelift is to schedule a consultation with one of our specialist facial surgeons.
If you are a good candidate, you may wish to explore what finance options we have available.
Some questions to ask at your facelift consultation
- Am I an ideal candidate for facelift surgery?
- Is it possible to attain the results in line with my expectations?
- What can I do to achieve ideal results following the facelift procedure?
- Do you have before and after photos of patients who have undergone similar facelift procedures?
- What can I expect in the recovery period after a facelift?
- What scars are created from facelift surgery and where will they be located?
- Will I experience pain after facelift surgery?
- How soon can I return to work after a facelift?
Things to consider before having facelift surgery
We believe that the best outcomes after facelift surgery happen when patients make the right choice of clinic and surgeon.
1. In deciding on the right clinic for you, always carry out extensive research and choose a well established and reputable clinic. Centre for Surgery are specialists in facelift surgery and have been established for many years. Our patient coordinators and surgeons are here to answer any questions you may have to empower you with the right information.
2. Your choice of surgeon should be based on their qualifications, experience and having a record of good patient feedback. You should know who you will be seeing before your consultation. At Centre for Surgery, our plastic & cosmetic surgeons are specially selected after a rigorous appointments process to ensure they have the right skill set to perform facelift surgery.
3. When choosing to have a cosmetic surgery procedure, you should not base your decision on price alone. It is important to make sure you are having treatment in a safe and regulated environment by staff who are both fully trained and caring to look after your needs – before, during and after your procedure.
4. Avoid clinics that offer a ‘hard-sell’. If something sounds too good to be true, it probably is. Ask the surgeon what techniques will be used. Surgeons at Centre for Surgery perform all types of facelift surgery including complex reconstructive surgery.
We believe patient safety and happy satisfied patients are the bedrock of our reputation as an ethical provider of cosmetic surgery. Our doctors are known for giving straightforward honest advice and you can be assured that your journey with Centre for Surgery will be a positive experience on the path to renewed self-confidence.
Facelifts are rarely performed in isolation
Facelift surgical techniques have evolved beyond the concept of just lifting tissue and now include incorporating superficial and deep filling of facial fat compartments to address volume deflation.
Complementary techniques to a facelift:
- Facial fat grafting – ‘lift and fill facelift’
- Chin augmentation (with a chin implant or fat transfer)
- Laser resurfacing
- Chemical peels
A typical facelift at Centre for Surgery is often a combination of a SMAS facelift with facial fat grafting and fully ablative Er:YAG laser resurfacing.
In one procedure, the surgeon is able to:
- Remove excess skin and tighten tissue (facelift)
- Revolumise the face (facial fat grafting)
- Improve the skin quality and remove perioral and periorbital wrinkles with Er:YAG laser (laser resurfacing)
Most hospitals in the UK lack the high powered lasers for the crucial final third stage which is akin to the polish phase of a car wash (after shampoo and wax) so you would be getting only a partial procedure elsewhere.
A simply fabulous experience with Dr Misra. Centre for Surgery was recommended to me by a close friend who had received excellent treatment. From the first call to the day of my procedure and beyond, the level of care has been exceptional. The aftercare phone calls really gave me peace of mind and I look forward to my follow up appointment with Dr Misra.
Male facelift surgery
It is crucial to be aware of differences between the genders when it comes to facelift surgery. Males have different ageing characteristics compared to women. Women are often more keen on correcting wrinkles, lines and folds compared with men who are often more interested in restoring their jawline definition. Also with men, improvement tends to sought more for the lower face compared with women who often like to have the whole addressed. A very important consideration relates to the placement of incisions and the hiding of them. Clearly, for women, this is a lot more straightforward with their longer hairstyles. With men, the surgeon will modify the facelift technique with increased emphasis on preservation on the male hairline as this is something that is prone to change with time in certain men.
Men also complain more often about neck changes with increased neck skin looseness and accumulation of excess fat under the chin. In those men with a more recessed jaw and chin, they will be more predisposed to develop fat under the chin at a much earlier age. Centre for Surgery also perform submental liposuction and chin implant surgery to correct both issues along with the facelift surgery in a single procedure.
The facelift procedure
Every patient is different with completely different facial anatomy and characteristics, facial ageing patterns and objectives for surgery.
The traditional facelift generally consists of incisions made both in front of and behind the ears. The incision behind the ears extends to the hairline. The surgeon would place the incisions in strategic locations to look as inconspicuous as possible to blend in with the natural skin folds and contours. After a skin incision, the skin is gently lifted or undermined to separate the skin from the underlying soft tissue and muscle layer in the previously marked areas by the surgeon. After the soft tissue undermining component, the facelift surgeon then surgical tightens the area in its new lifted position with sutures and finally trims any excess redundant tissue.
There are many facelift techniques, but the best methods involve repositioning the SMAS, such as the SMAS plication or SMASectomy. The SMAS or ‘superficial musculoaponeurotic system’ is a distinct facial layer beneath the skin which needs to be addressed separately to the skin to ensure robust long-lasting results. Which technique is used will depend on the structure of your face. In addition, as mentioned above, volume restoration in the form of fat injections of the face must be considered for each patient. Many patients also benefit from brow lift or eyelid surgery (known as blepharoplasty) in addition to a facelift.
Types of facelift
The cutaneous lift is also known as a skin-only facelift. The cutaneous lift does not address the underlying muscle or SMAS layer. Like with all facelifts, the skin is gently separated and secured in a new lifted position before trimming any excess skin off. Cutaneous facelifts are generally considered to have a lower risk of complications and are often performed under a local anaesthetic. Many surgeons may recommend this option for older patients who may suffer from a range of medical co-morbidities that may place them at high risk of complications during general anaesthesia. There are a number of significant shortcomings associated with cutaneous lifts – only skin laxity can be corrected and the results are not particularly long-lasting and scars are more obvious with more risk of skin rippling from superficial suture placement. The scarring is more evident in skin only facelifts as the tension is being held entirely on the skin layer. With continued ageing, the skin layer which is being placed under considerable stretch may actually lose more collagen and elastin compared with other methods of facelift surgery.
There are many types of cutaneous facelifts – PDO thread lifts, silhouette soft lifts, MACS lift – the cutaneous lift is not generally recommended at Centre for Surgery as there are much better options available.
SMAS Plication facelift
Plication is a term that means a state of being folded or to form folds in something. Unlike a cutaneous lift, the SMAS facelift involves tightening both the skin and underlying deeper tissues including the SMAS layer. In conjunction with the SMAS, the platysma layer in the neck is also tightened to restore youthful and contours in the lower face and neck. After reconstructing the deeper tissues using precise suture placement, the skin layer is lifted, tightened and excess skin removed. In SMAS facelifts, the incision does not have as much tension placed upon it compared with a cutaneous lift. The resulting scars have optimal scar aesthetics as a result. SMAS facelifts have more robust results and last much longer compared with skin-only facelifts. SMAS facelifts when performed by an expert facelift surgeon at Centre for Surgery can last for 10 years or more.
The composite facelift builds upon the SMAS plication facelift in a number of key ways. It is regarded as a composite technique as it brings together 2 key aspects of addressing gravitational changes to restore youthfulness to the face. A composite facelift is still a 2 layered technique like a SMAS lift but the key difference lies in the additional vertical upward vector which a composite facelift is able to achieve. A composite facelift addresses all the traditional areas of a SMAS facelift such as the jowl area, cheeks and neck but also includes rejuvenation of the periocular region.
The composite facelift has both horizontal and vertical components. The downtime after a composite facelift is slightly longer compared with a SMAS facelift with a longer duration of postoperative swelling. There is also a slight increase in the risk of postoperative complications.
Deep Plane Facelift
A deep plane facelift is the most invasive and major type of facelift surgery. It is a more advanced version of the traditional facelift. Deep plane facelifts have more powerful rejuvenating effects – they are able to correct deeper naso-labial folds as the plane of dissection is actually beneath the SMAS layer on top of the facial muscles. The deep plane of dissection results in even less tension on the skin compared with a SMAS facelift. Deep plane facelifts are often ideal for those with thicker skin and heavy faces. Male facelifts are often deep plane facelifts.
A deep plane facelift requires a surgeon very experienced in facial plastic surgery and who regularly performs facelifts of this type. The deep plane facelift takes considerably longer to perform as the dissection is extremely precise and meticulous. There is a higher risk of complications including nerve injury which can be permanent in nature. Many facial plastic surgeons and well-informed patients will more commonly opt for a less invasive facelift option to minimise the risk of complications as much as possible.
The midface is the term used to describe the area of the face which comprises the nose, eyes and corners of the mouth. With ageing and loss of skin laxity, these areas undergo sagging and downward descent under the influence of gravity. In some cases, patients may develop localised skin laxity of the eyes, cheeks and mouth without other significant ageing of other parts of the face such as the neck or jawline. In these cases, a mid-facelift could address these ageing changes effectively without the invasiveness and risks of a full facelift. Compared with a full facelift, the results of a mid facelift are commonly seen as subtle in nature without the longevity of a full facelift. It is rare for our surgeons to perform a mid-facelift on its own. A mid facelift is commonly combined with other complementary procedures including eyelid surgery (both upper and lower blepharoplasty), brow lift and fat grafting to the face.
A mini facelift is a less invasive form of a traditional facelift. Mini facelifts are often very suitable for patients with mild degrees of ageing and facial descent in the lower third of the face. The most common age range for a mini facelift is patients in their 30s to early 50s who may not need a more extensive full facelift but may still benefit from improvement of the facial contours in particular the jowls and more defined jawline. Mini facelifts have experienced a surge in popularity recently and may go by a number of catchy names and are often promoted as being able to be performed under a local anaesthetic with minimal downtime. Unlike a traditional facelift which involves incisions being made both in front of and behind the ears, a mini facelift or short-scar facelift often has incisions primarily in front of the ears without the extension into the posterior hairline. A mini facelift may not be as effective for ageing changes affecting the neck in addition to the lower face. It is important to understand what the mini facelift will address for your face. Your surgeon will be able to advise you what the mini facelift can address at your consultation.
Incisions for facelift surgery
In facelift surgery, the positioning of the skin incisions is vital for avoiding the impression that you have just had surgery. The vast majority of patients prefer a natural and rejuvenated look without features of visible incisions or scars. The expert facelift surgeon takes great care to place incisions in areas that are as well concealed as possible. The skin incisions are best placed in the natural folds both in front of and behind the ear with the incision extending to the hairline where a neck lift is required. The position of the ear and hairline should be preserved and remain in the same position after surgery. The gold standard method for a facelift is to gently lift the deeper tissues to reduce tension on the skin layer which reduces the risk of skin stretching. This means a more cosmetically acceptable scar is possible. Patients are often concerned about the risk of possible hair loss from the incision. To reduce this risk, the surgeon will perform a bevelled incision technique to facilitate proper hair growth. This is very important as it means patients are not restricted to wearing their in certain hairstyles to hide the incisions due to their visibility. Not all surgeons take this level of care and attention in scar cosmesis. All our surgeons are skilled in placing their incisions along the borders of the ear and behind the tragus of the ear. The incisions are much better concealed as opposed to placing incisions in front of the ear which looks more visible. The incision behind the tragus is closed in such a way as to minimise distortion of this structure. It is important to have a truly artistic eye when it comes to facelift surgery. Patient satisfaction is much higher when the results are natural with restoration of youthful vitality without the telltale signs of having had a surgical procedure.
Non-invasive facial rejuvenation:
Fotona 4D and SmoothEye are non-invasive treatments delivered using our state of the art Fotona SP Dynamis dual wavelength laser to improve the appearance of wrinkles, fine lines, texture and loss of volume – all without injectables or more invasive surgery. For those who are not yet ready for a facelift or indeed have had a facelift and would like to maintain their results can now have non-invasive laser rejuvenation at Centre for Surgery.
The gold standard for treatment of the lower face and jowls, neck skin laxity and neck banding remains the 2 layer SMAS facelift.
Centre for Surgery have pioneered the day-case full facelift – you will be able to return home the same day as your facelift procedure is performed.
You may also be suitable for a necklift. A neck lift is a surgical procedure commonly used to tighten and smooth out neck skin which makes you look more youthful, radiant and relaxed. Sometimes submental liposuction is performed at the same time to enhance the results further.
Loose or crepey neck skin can also be addressed with non-ablative Er:YAG laser over the course of 3-4 sessions.
Non-surgical facelift is an excellent procedure for the restoration of a natural and younger facial appearance with the use of anti-wrinkle injections and dermal fillers. Facial injectable treatments are commonly used for the replacement of loss of facial volume and filling in of lines, wrinkles and deeper skin folds. A non-surgical facelift is a powerful technique that is completely non-surgical with little to no downtime and minimal risk. Non-surgical facelift is performed in the clinic using specialised combinations of wrinkle relaxing injections and dermal fillers to stop the facial ageing process. Your surgeon will first apply a topical anaesthetic cream for 30-45 mins to optimise patient comfort during the injection part of the procedure. Patient downtime is minimal and is characterised by minor swelling and bruising which settles quickly. Patients can apply make-up after treatment to allow full resumption of their activities of daily living.
Although a non-surgical facelift has many benefits including its safety and effectiveness, there are disadvantages to be aware of. The main drawback is that the results are not permanent in nature. Dermal fillers last for up to 12-15 months depending on the type of filler used and location of its placement. The ideal strategy to maintain results is to have maintenance top-up treatments every 6-9 months. Anti-wrinkle injections need more frequent top-ups and this is often around every 3-4 months. Before committing to having a non-surgical facelift, it is important for patients to understand the need for regular maintenance treatments to maintain results. Non-surgical facelifts have surged in popularity in recent years however if a patient has moderate to severe skin laxity, the use of anti-wrinkle injections and dermal fillers may not be enough to achieve the desired appearance. By having access to the full range of treatment options, both surgical and non-surgical, our surgeons will be able to advise you on the best treatment for you.
|Surgical facelift||Non-surgical facelift|
|Long lasting results (10-15 years)||6-9 months for fillers, 3-4 months neurotoxin|
|Substantial facial correction||More subtle facial correction|
|Invasive||Non-invasive (no incisions or scars)|
|More risks||Less risks|
|Longer downtime||Little to no downtime|
Traditionally, the recovery after facelift surgery was relatively painful and recovery was a long process often over 2-3 weeks. Modern methods used by surgeons at Centre for Surgery have made facelift surgery a procedure with a much more pleasant recovery thanks to more modern anaesthesia techniques, the use of local anaesthetic and more delicate surgical techniques. The recovery is now much shorter and as with all procedures, a better recovery is facilitated when the patient fully complies with the postoperative instructions given by their surgeon. Patients also are shown how to look after the skin better and this complements the natural healing ability of the individual patient. At Centre for Surgery, the vast majority of patients report feeling amazing after a facelift. When patients see themselves in the mirror a week later, their satisfaction soon makes any discomfort seem very much worth it.
With any procedure, there is a usual expected period for normal recovery. The length of recovery depends on the extent of the facelift procedure and if the patient suffers from any preexisting medical problems such as diabetes or high blood pressure. Patients often return to normal activities within 10-14 days. Significant pain is not commonly reported after facelift surgery although your surgeon will prescribe a course of painkiller medication to smooth your recovery.
A large, soft dressing will be taped in place on the face. These first dressings are extremely important and should be left in place for the exact duration recommended by the surgeon, usually a day or two. It can then be removed and replaced by an elastic covering that will help to contain and reduce swelling. Sleeping with the head of the bed elevated will also aid in pain relief and also in accelerating the resolution of bruising and swelling.
You will experience some swelling and bruising for 24 to 48 hours following the surgery but it is part of the healing process and it should lessen within two weeks. We recommend our patients try cold compression on the face to aid with swelling and bruising.
Risks and complications of facelift surgery
With any cosmetic surgery procedure, there is always the potential for complications whether minor or major in nature. At Centre for Surgery, our facelift surgeons take extra precautions to keep the risk of complications at as low a level as possible. Despite this, it is still very important to be aware of the range of complications that could occur with facelift surgery.
Potential risks of facelift surgery
- Anaesthetic risks
- Postoperative haematoma – a haematoma is a collection of organised blood clots beneath the skin. A haematoma after facelift surgery is one of the most common complications after facelift surgery and usually arises early often within 24 hours after surgery. If a haematoma is suspected, your surgeon will assess you urgently to decide the best course of action. Most haematomas can be removed with a simple needle and syringe in the clinic. Some haematomas will require surgical removal under local anaesthetic.
- Surgical site infection (SSI) – SSI’s are always a potential risk after any surgical procedure. Bacteria can enter wounds through small entry points leading to localised infection. Clinical features of infection include redness, swelling, heat and pain in the affected area. SSI’s need treatment with a course of antibiotics.
- Nerve injury – during undermining of the skin flap, the nerves of the face could be injured leading to numbness, tingling or weakness of the affected facial muscles. Most nerve injuries are temporary in nature and often settle after a few months. A minority of nerve injuries are permanent in nature.
- Scarring and hair loss – Scars from facelift surgery are hidden in the natural hairline and natural skin folds. In some people, hypertrophic scarring can develop. Thickened scars can lead to either temporary or permanent hair loss in the region of the incision lines. Injection of steroids and or hair transplantation can address this issue effectively.
- Skin necrosis – skin necrosis refers to the death of the skin flap due to an insufficient blood supply to the area. Skin necrosis is a rare complication of facelift surgery but the risk is increased in patients who smoke.
Many potential complications of facelift surgery can be effectively managed with meticulous postoperative care. Our postoperative support programme was described as outstanding by the CQC. At your consultation, it is important to understand all the potential risks and complications of facelift surgery. Please take care to follow all of the surgeons pre- and post-operative instructions to maximise the chances of successful healing.
Pixie Ear Deformity
The importance of making precise incisions for facelift surgery cannot be emphasised enough when it comes to preventing an unnatural look on the earlobe, also known as a pixie ear deformity. The pixie ear deformity develops as a result of inaccurate correction of the earlobe after the re-draping of the facial skin. Often earlobe distortion develops from excessive traction being placed on the earlobe. The stretched earlobe extends downwards and is a tell-tale sign of recent facelift surgery. It is commonly associated with older methods of performing facelift surgery with much of the tension being placed on the skin rather than the deeper soft tissue layers. Our skilled plastic surgeons avoid this unnatural appearance with modern techniques of performing facelift surgery.
Revision facelift surgery is a facelift procedure performed for patients who have previously had a facelift procedure. There are a number of reasons why patients may choose to have a revision facelift. In all cases, patients must weigh up the pros and cons of revision facelift surgery before proceeding with another procedure. In many cases, patients were happy with the results of the first facelift but due to ongoing ageing, the results have diminished with time. Facelifts cannot stop the ageing process however successful the first procedure was. A well-performed facelift procedure lasts up to 10-15 years. Patients who have had less invasive facelift procedures may notice their results to last about 5 years. Ageing of the face is a normal and natural process and different people age at different rates depending on both intrinsic and extrinsic factors. Revision facelift is commonly performed for patients who have experienced the natural ageing process. The timing of surgery depends on a number of factors. Your surgeon will be able to advise you of the most appropriate options.
Reasons to undergo revision facelift
- Visible and unsightly scarring
- Facial asymmetry
- Use of older methods of facelift surgery (skin-only technique)
- Major weight loss after facelift surgery
- The wind tunnel look
- Uneven results with ridges or dimpling
- Use of PDO threads
- Inadequate degree of tightening with the first procedure
Revision facelift surgery is a more complex procedure compared with a primary facelift. The underlying soft tissues have been distorted by the previous scar tissue with the formation of dense scar tissue. A revision facelift carries more risks compared with primary facelift surgery. At Centre for Surgery, our facial plastic surgeons are masters in facial anatomy and have specialist expertise in performing advanced facelift surgery. It is important to choose a surgeon who has sub-specialisation in facelift surgery to create results that are natural, symmetrical and youthful.
There are a number of factors that will determine the overall cost of the facelift procedure and the final quotation will be given after your face to face consultation with your specialist plastic surgeon.
- Type of facelift – SMAS, deep-plane, composite
- Local anaesthetic or general anaesthetic
- Primary or revision facelift
- Facelift as a standalone procedure or combined with other procedures such as blepharoplasty, fat injections or laser resurfacing
Why not call 0207 993 4849 and speak to one of our expert patient coordinators who may be able to give you a rough costing prior to having a consultation for a facelift.
Always remember that price should never be the determining factor when it comes to choosing the right provider for facelift surgery. A properly performed facelift is a major undertaking. We feel that safety and quality of service should be your number one priority and instilling in you the confidence that our team will look after you before, during and after your procedure to the best of their ability.
Procedures to have with a facelift
Can I have a mini facelift?
What is a mini facelift?
What is a facelift and should I have one?
Different types of Facelifts
What is pixie ear correction?
The Centre for Surgery approach to aftercare
Our aftercare programme was recently described as ‘outstanding’ by our regulator, the Care Quality Commission.
Our postoperative support team call all our patients the day after their procedure and then every other day thereafter for the first two weeks. The proactive nature of our postoperative support gives every patient the best opportunity for a smooth postoperative recovery free of complications. In many cases, if complications were to occur, their impact is markedly lessened by early detection, prompt clinical assessment and correct treatment. Where a patient expresses concern to our team over the phone, then we often call patients on the same day for assessment with one of our expert nursing team. Even if there is no significant issue, the careful explanation and calm reassurance provided by our team can help to alleviate any worries you may have experienced.
What are the benefits of a mini facelift?A mini facelift performed at Centre for Surgery in London can result in impressive facial rejuvenation effects that can make a patient look over 10 years younger. A mini facelift differs from a traditional full facelift in that it involves repositioning of tissue using gentle techniques compared with lifting of the skin and deeper tissues with a deep plane facelift. A mini facelift is performed with TIVA general anaesthesia but can also be performed under local anaesthetic and sedation in selected cases. The mini facelift procedure takes around 1.5 to 2 hours to perform. The incisions are located both in front of and behind the ear. A mini facelift can be combined with other facial procedures such as eyelid surgery, brow lift and injectable treatments based on what you are trying to achieve.
Is a mini facelift a suitable procedure for me?The mini facelift procedure is designed to improve facial rejuvenation with minimal risk of risks, complications and less downtime when compared with a full facelift. Although mini facelifts can be suitable for most patients, it is ideally suited for younger individuals with early to moderate signs of ageing. Ideal candidates will often find they are unable to accept the facial ageing changes but are not yet ready to commit to a more major facelift and necklift. Centre for Surgery also offer a full range of non-surgical treatments such as injectables, chemical peels and laser treatment to reduce the need for early surgical intervention. In the past, it was often the case that patients had a limited number of treatment options for facial ageing with most being quite invasive in nature including a full facelift. The results of a traditional facelift can be very impressive and often reduced or even eliminated the need for further surgical treatment. In the last 5 years, patients now are not unable or unwilling to undergo major surgery as a first-line option and prefer less invasive treatment. A mini facelift should be viewed as part of a combination treatment approach and is routinely combined with facial fat grafting to tackle volume loss and laser t=skin tightening for enhancing tissue tightness and skin quality. The use of skin resurfacing treatments such as fractional laser resurfacing or chemical peels are an excellent complement to surgical treatment. Speak to one of our highly knowledgeable patient coordinators to learn more about all the anti-ageing treatments we offer.
What should I ask the surgeon during my consultation for a facelift?The consultation with the surgeon is the ideal time to gain an in-depth understanding of the procedure by asking as many questions to enable you to be fully informed about the procedure and what it involves before deciding on surgery. All patients should make sure they have all the facts before proceeding and the face to face consultation is the key part of the patient journey to impart the necessary education on what a facelift involves.
The following are examples of questions you could ask your facelift surgeon:
Am I suitable for a facelift?
What can I expect to achieve from the facelift procedure?
Am I being realistic on what I am hoping to achieve
Am I able to see before and afters of similar patients who have undergone a facelift?
What does the recovery period involve and is there anything I can do to optimise my recovery?
What level of aftercare do you provide?
What happens if I am not happy with the results achieved from facelift surgery?
How long does a facelift take to perform?A facelift procedure has evolved over the years into a highly advanced facial rejuvenation technique that takes about 2-3 hours to perform. The most commonly used method is a SMAS facelift combined with facial fat grafting also known as a "lift and fill" facelift. Older methods of facelift surgery such as the deep plane facelift used to take well over 5 hours to perform and carried a higher risk profile. The deep plane facelift was often a more painful procedure and with significant postoperative swelling with a prolonged recovery and long healing period. The facelift procedure performed at Centre for Surgery results in a much faster recovery with less risk. Our surgeons are highly specialised experts in facial surgery with years of experience in performing meticulous facelift surgery.
What happens after my facelift procedure?After the facelift surgery, you will need to attend a postoperative wound check-up appointment with one of our experienced nursing staff at between 1 and 2 weeks in the clinic. Your dressings will be removed and the incisions will be inspected to make sure they are healing as expected. Any permanent sutures will be removed and fresh dressings may be applied. At 6 weeks you will come in to see your surgeon who will review your healing and assess the early results. From the moment you get home after your procedure, you will have our postoperative support team closely supervise your healing and are on hand to answer any questions you may have. If you have any concerns, the team will book you in to see a nurse the same day if necessary. It is important you have full postoperative support to give you peace of mind that any concerns can be managed in a proactive manner. Our aftercare programme was described as 'outstanding' by the CQC.
When can I resume physical exercise?It is recommended to avoid strenuous exertion for at least 3 weeks after the facelift procedure but working from a computer at home is perfectly ok from the next day. You may experience a degree of bruising and swelling particularly around the incisions but this is temporary and will settle with time usually over the course of a week. It is fine to return to work after 2 weeks depending on the nature of the job. The old style facelifts used to result in significant downtime with patients being at home for many weeks and even months especially if it was a deep place facelift. The deep plane facelift involved the repositioning of tissues from the underlying bone and this often lead to very considerable swelling. At Centre for Surgery, our surgeons do not perform deep plane facelifts as we believe the risks and complications of such an invasive style of facelift considerably outweigh the benefits. The key to modern facelift surgery is using delicate techniques that minimise swelling and downtime resulting in much better results in the medium and long term.
What does a facelift involve?The traditional facelift is performed by making an incision on the hair or hairline which is used to lift, pull back and trim excess skin to create a tightened appearance.
Whereas the mini facelift surgery has a smaller incision along the hairline and in front of the ears with which the plastic surgeon tightens fibrous tissues under the skin.
Full facelift or mini facelift, which option is right for me?The right option for you can be determined by looking at the area of the neck. A mini facelift is ideal for people who have minimal issues on the face and neck area and do not expect to see drastic changes. However, if you wish to get rid of as many signs of ageing as possible with visible results, then a full facelift is a better option.
How do I prepare for my facelift surgery?Quit smoking ideally a few weeks before your procedure. Avoid taking anti-inflammatory drugs and herbal supplements as they can cause bleeding.
What can I expect to experience once the facelift procedure has been completed?Once the TIVA anaesthetic has been stopped, your anaesthetist will wake you up at the end of the procedure. The recovery after TIVA anaesthesia is more smooth compared with a traditional general anaesthetic. Once you are fully recovered from the effects of the anaesthetic, your nursing team will give you water and something light to eat. Once you are fit for discharge, you will be allowed to leave the clinic with a responsible adult escort. It is not uncommon to experience a degree of discomfort after the procedure which will settle with simple over the counter painkillers. You have access to our postoperative support team at any time after your procedure.
Will I need an escort to take me home after my facelift procedure?Yes. You will require a responsible adult escort to accompany you home after surgery. You must not travel home alone. You will also require a responsible adult person to look after you for at least the first 24-48 hours after the facelift procedure.
How soon can I return to work after a facelift procedure?It is perfectly sensible to be able to work from home the day after your surgery. Some patients choose not to work outside the home for the first week after a facelift if they do not want others to know what procedure they have had done. However, you will not affect the results from a facelift by leaving the home.
When can I expect to see the final results of my facelift?After a facelift, the final results are typically evident at about 6 weeks after the procedure with further improvement being noticeable beyond the first 6 weeks was the healing of the soft tissues has completed. This can take up to 12 months. At your consultation, your plastic surgeon will advise you on how long your results make take to appear.
Will I be left with scars?Scars are unavoidable when incisions are made, however, because the incision for a facelift is made within natural folds found in the front, inside and behind your ears, there won’t be any visible scarring. At Centre for Surgery, we use the finest sutures that will make the scars fade away.
Are there any risks associated with the procedure?There are rarely any major risks associated with facelift other than the most common potential risks such as bleeding, scarring, infection and poor healing. With maximum safety optimisation, these risks can be completely avoided.
Will I experience swelling and bruising after the surgery?You will experience some swelling and bruising for 24 to 48 hours following the surgery but it is part of the healing process and it should lessen within two weeks. We recommend our patients try cold compression on the face to aid with the swelling and bruising.
What is the recovery like?A large, soft dressing will be taped in place on the face. These first dressings are extremely important and should be left in place for the exact duration recommended by the surgeon, usually a day or two. It can then be removed and replaced by an elastic covering that will help to contain and reduce swelling. Cold compression is recommended to help reduce the swelling and bruising.
What results can I expect after my facelift surgery? How long do the results last?The results of facelift surgery are long-lasting, however, the ageing process cannot be stopped and will affect it making it difficult to tell how long the results will last as everyone ages differently.
Are there any limitations to the results I can achieve?Unfortunately, a facelift cannot stop the ageing process and neither can it change the quality of your skin. Nevertheless, a facelift can give you a younger and refreshed appearance after the procedure.
Can smoking or alcohol affect the results of a facelift?Certain lifestyle factors can increase the risk of complications during and after your surgery. These include smoking, drinking alcohol, being overweight and taking drugs (for medical or recreational use.)
Those who smoke before facelift surgery place themselves at greater risk of developing a postoperative wound infection as the constituents of tobacco smoke interfere with the natural healing processes of the body. It is strongly recommended to stop smoking at least six before facelift surgery. It is also recommended to stop alcohol usage at least one week before surgery and one week after to improve wound healing and also to facilitate a safer anaesthetic as alcohol is metabolised in the liver in common with anaesthetic drugs.
We would also recommend keeping physically active before surgery and maintaining a healthy BMI and avoiding all recreational drug use.
I have sunburn, can a facelift help get rid of that?Unfortunately sun damaged skin cannot be treated with facelifts, however, we do offer skincare treatments that can help.
What To Expect
The facelift consultation
We always recommend a face to face consultation with one of our specialist plastic surgeons as the first step in your journey towards facial rejuvenation. When you meet with one of our surgeons, your surgeon will take time to listen carefully to what you hope to achieve from the facelift procedure and give you an expert opinion on what can and cannot be achieved after performing a thorough physical examination. Your surgeon may use computerised digital imaging to map the structure of the face and neck in detail to give you an idea of what your face could look like after your procedure.
Your surgeon will also take a number of measurements as part of a detailed facial analysis. Finally, high-resolution photographs are taken in a number of views. Your surgeon will also discuss with you the potential risks and complications of facelift surgery and what to expect in the postoperative phase during your healing and recovery. It is important to know what medicines you taking as some medicines can interfere with blood clotting and may need to be stopped. Any history of medical conditions or previous surgery will also be recorded and all the compiled information is used to make a decision on your medical fitness for the facelift procedure. After a recommended two week "cool off" period and provided you are appropriate for the procedure, you can then make an informed decision on whether you would like to proceed with the facelift procedure. If you are unsure about any aspect of the facelift procedure and what it entails then we would invite you to return for as many follow-up consultations with your surgeon as you like to make sure that facelift surgery is right for you. The consultation lasts about 45 minutes on average. It may take longer if your procedure is going to be more complex or is a revision procedure. We would actively recommend coming in for a follow-up consultation to ensure all your questions are answered.
Before your facelift procedure
Once you have decided to move forward with facelift surgery. Our preoperative assessment team will be in touch to assess medical fitness prior to coming in on the day of surgery. There are a number of instructions to follow before your procedure including stopping any aspirin-containing medicines as these can increase bleeding and ideally stopping smoking. Smokers have a higher risk of slower wound healing as well as more chance of wound complications. On the day of your procedure, you must follow the preoperative fasting guidance which includes no food for 6 hours prior. Only clear fluids (water) is allowed up to 2 hours before your procedure. If you have mini facelift surgery under local anaesthetic only, there is no need to fast beforehand.
On the day of your facelift procedure
When you arrive for your facelift procedure, you should aim to arrive on time to allow the admission process to proceed smoothly. One of our nurses will formally admit you and will check a number of items including making sure you have your postoperative medications. You will have your vital signs measured including blood pressure and heart rate. The anaesthetist will then meet you to perform a preoperative airway assessment. Finally, your surgeon will consent you for the planned procedure followed by a detailed preoperative marking of the areas to be treated.
Facelift surgery takes about 2-3 hours to perform and if you choose GA, our anaesthetists use TIVA general anaesthesia to keep you comfortable throughout the procedure. Depending on the type of facelift surgery, the surgeon makes small incisions both in front of and behind the ear followed by separation of the facial skin from the underlying muscles. The SMAS layer is tightened followed by trimming of the redundant skin folds and the skin is carefully closed. This procedure is repeated on the other side also. Neck liposuction may also be performed to remove excess fat from the neck and chin. After the procedure is complete, you will spend time in our recovery suite where you will be prepared for nurse-led discharge once you have met all the discharge criteria. It is important to have a responsible adult such as a friend or family member to accompany you home and to look after you for the first 24 hours.
After the procedure
Once you are safely at home, you can be assured of having access to our specialist postoperative team round the clock. You will be given a contact number to contact your surgeon in the first 24 hours after surgery if there is any concern. Facelift surgery is associated with very little in the way of postoperative discomfort although a bruised and swollen appearance is common for the first week after surgery. Bruising should start to subside after 7-10 days. You should avoid intense sunlight after the procedure to reduce the risk of pigmentary changes. You should wear the postoperative support garment continuously for the first 2 weeks after the procedure. Our postoperative team will look to call every day for the first 2 weeks after your procedure. This is so we can monitor your levels of comfort and can alert your surgeon if there is any concern. Our proactive approach allows the detection of any potential issues early which results in more effective treatment. You are advised to rest for at least a few days after your facelift procedure which will also help with pain control. Heavy exercise should be avoided for at least the first 4 weeks. Our postoperative clinical team will assess you face to face at your 1-week post-operative appointment to ensure healing is progressing normally and the site of the wound is healthy. Your sutures will be removed if your surgeon used non-absorbable sutures. You will be booked for your surgeon follow-up appointment for 6 weeks after your procedure.