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What is a Facelift?

A facelift is also known as a rhytidectomy or rhytidoplasty. A facelift is a broad category which refers to a number of procedures that will change the look of the upper face and lower face, including cheeks, jowls, and neck. The procedure entails incisions placed in front of and behind the ear.

Facelift procedures:

The full face lift (or ‘traditional’ facelift, scientifically known as a rhytidectomy) is perhaps the most well-known of all face surgery procedures. The aim of a full face lift is to lift, pull back and trim excess skin on the face (and jaws if sagging in this area is a problem) in order to create a tightened, more youthful appearance. A Mid facelift involves the eyelids and cheek area, and is usually done in conjunction with a lower facelift, which includes the neck, cheeks and jowls.

The mini facelift procedure is also known by a variety of other names. Some are more scientific or technical (the ‘mini rhytidectomy’) whilst others describe the cosmetic surgery technique itself such as the ‘short-scar face lift’ (S-lift) or variety of mini facelift (MACS mini facelift being one of the most popular types).

Necklift surgery is a surgical procedure commonly used to tighten and smooth out neck skin which makes you look more youthful, radiant and relaxed. Sometimes neck liposuction is performed at the same time to enhance the results further.

How can a facelift benefit me?
  • 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 of fat deposits to achieve a more aesthetically pleasing facial contour. Facial fat grafting can also be performed to create extra volume.
Facelift - a solution for the aging face

A facelift surgery is mainly popular for being able to stop the aging 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.

Even though no one is able to reverse time, signs of aging can be prevented by removing any trace of excess fat and skin and straighten the facial muscles. This intervention can be performed as an individual operation or in combination with other similar procedures, such nose reshaping or eyelid surgery.

Am I a Candidate for a Facelift?

The best candidates for a facelift procedure are men and women with a face and neck that are starting to look older, but with an elastic skin and a very well defined bone structure. Even though most patients are around 40 to 60, face lift can be successfully performed in patients between 70 and 80 as well.

A facelift with our surgeons will restore a more youthful appearance, helping to correct many of the visible signs of aging in the face and neck area. Reasons for having a facelift include:

  1. Sagging in the mid-face area
  2. Deep creases below the lower eyelids
  3. Deep creases along the nose extending down to the corner of the mouth
  4. Loose skin and excessive fatty deposits under the chin area, resulting in a “double chin” or “turkey neck”
  5. 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.

The benefits of combining eyelid surgery with a facelift

Eyelid surgery is the most commonly surgical procedures for facial rejuvenation.  It can also be combined with a facelift. Facelifts are performed wit 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:

  1. Puffiness around the eyes that make you look older than you actually are.
  2. Hooded eyelids that make you look ly fatigued, even if you are full of energy.
  3. Hooded eyelids that are affecting your eyesight and your ability to see
  4. 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 to 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.
Facial Fat Grafting
Facial fat grafting is an innovative facial rejuvenation technique that helps reverse the signs of ageing providing a more youthful appearance. Our surgeons use this process to restore lost facial volume that is a result of the aging process.

Facial fat grafting can be used to enhance the results of facelifts or even be performed in its own right as a standalone procedure without any incisions being performed. The procedure adds facial volume by acting as a scaffold for the skin, recreating a vibrant and youthful appearance.

With age, many people tend to gain fat in the body, but lose it in the face. This, combined with the loss of facial volume in the form of muscle and bone, makes the face look older. During youth, the face is usually heart-shaped in appearance; however, as people age, the heart shape falls to form a rectangular appearance. The distribution of facial fat loss varies from person to person.

By analysing the pattern of facial ageing in a 3-dimensional fashion, a qualified facial plastic surgeon can restore fat to areas of the face where volume has been lost. Facial fat transfer can be performed around the entire face and temples, as well as to only specific areas.

What happens during facelift surgery?

The facelift surgery is  performed using twilight anaesthesia. 

Incisions are performed in front of the ears, in the temple region and behind the ears. The skin is carefully raised from the lower face and neck area, followed by liposuction and fat grafting as required. Finally, excess skin is carefully removed and and the skin is sutured back together.

Because incisions are carefully placed within the natural folds found in front, inside and behind the ear, and the finest sutures are used, the scars fade to being whitish lines. This type of surgery produces a natural, long-lasting effect, with very little post-operative discomfort.

Sometimes extra procedures are performed, such as blepharoplasty. The eyelid surgery will be done once the facelift part of the surgery is completed. Extra recovery instructions will be given to you if you have eyelid surgery.

The Recovery Process

Post Surgery

There might be short-term headaches or nausea if a local anaesthetic was used during surgery. The surgeon will apply a large, soft dressing taped in place on the face. It is important to keep this bandage in place for as long as the surgeon recommends, usually a day or two. It can then be removed and replaced by an elastic covering that will help to contain and reduce swelling. The surgeon may do a quick follow-up within the first few days. These first dressings are extremely important and should be left in place for the exact duration stipulated.

Following Days

The following days of recovery may produce some discomfort or localised pain in the face region. A patient can ask their doctor for his recommendation of the most appropriate painkiller. A simple pain medication like paracetamol might be all that is needed. Some, or a lot of swelling, may occur from 24 to 48 hours (or sooner) after the procedure. There might be indications of bruising which produce black and blue areas on the face. The bruising and swelling is the natural healing ritual of the body and is quite normal, lasting for about 2 weeks or so. Some puffiness may linger as well as some facial asymmetry, but this is normal and should pass after the 2-week mark. Cold compression to the face will aid in reducing the bruising and swelling.

Mini Facelift

What is a mini facelift?
A mini facelift is less invasive than traditional facelift procedure and leaves a shorter scar. A mini lift delivers aesthetic results that are equal to those that can be achieved using more invasive techniques. The surgery involves smaller surgical cuts; because of this you can expect less complications and risks and shorter recovery time.

This mini facelift technique was pioneered by surgeons in Belgium and is suitable for men and women in their 40s onwards

What it Involves?
In mini facelift surgery, a plastic surgeon makes smaller incisions along the hairline and in front of the ears, and tightens fibrous tissues under the skin using non-absorbable stitches. The sagging tissues are lifted and firmly attached to the deep strong structures of the temples. Mini facelift can be done on an outpatient basis while you are under local anaesthesia with sedation. The surgery takes about two hours to complete versus the four to five hours required for a standard facelift.

What It Can Do?
The mini facelift mainly rejuvenates the neck and jawline area. Minor jowling on the bottom part of the face and laxity at the jaw line can be treated successfully with this minimally invasive form of facelift. The folds and fat deposits that that appear between your nose and mouth can also be reduced with this facial surgery.

What it Can’t Do?
A mini mini facelift will not remove wrinkles from around the eyes or forehead, or treat sun-damaged skin. It produces a limited improvement to the naso-labial folds (from the nose to corner of the mouth).

Who is a Mini Facelift Candidate?
The mini facelift is ideal for the people with sagging skin on the cheeks and mid-face. This facial rejuvenation surgery is probably best suited to the patient between the ages of 40 and 60. Other good candidates may be those who have started to notice jowling and sagging skin on the face and neck after drastic weight loss.

What are the advantages?
A mini facelift is not quite as invasive as a traditional facelift technique, resulting in less facial swelling and bruising. The operation requires short incisions to remove excessive jowling, which minimizes the probability of post-operative bleeding and circulatory disturbances. The surgery involves relatively little undermining and produces better cosmetic results with minimal scarring when compared with a traditional face lift. Limited skin undermining (lifting the skin from the muscle), shorter operative time, faster recovery time, and less potential for risks and complications are other advantages of the mini facelift surgery. The procedure gives you refreshed and youthful skin. A mini facelift can be combined with other facial rejuvenation procedures such as rhinoplasty, blepharoplasty, neck lift, and brow lift.

Possible Side Effects
A mini facelift patient may experience some bruising, particularly around the eyes. Swelling may persist for a few months after the operation particularly in patients who are susceptible to fluid retention. Infection, haematoma, skin discolouration and delayed wound healing are other possible complications associated with the mini facelift surgery.

What does the facelift procedure involve?

The traditional facelift is performed by making an incision on the hair or hairline which is used to lift, pull back and trimexcess 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.

Am I a good candidate for facelift?

Facelift is offered to both men and women with most patients aged between 40-60, the time when most people start seeing signs of aging. Nevertheless, the procedure can also be successfully performed on people aged between 70-80.

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. 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 aging as possible with visible results, then facelift is a better option.

How do I prepare for my facelift surgery?

Quit smoking ideally few weeks before your procedure. Avoid taking anti-inflammatory drugs and herbal supplements as they can cause bleeding.

How long does the procedure take?

The procedure can take up to three hours for completion.

Is the procedure going to be painful?

Most people do not feel any pain throughout the procedure while there are few who might feel mild pain and pain medication can be taken to reduce any discomfort.

Will I be left with scars?

Scars are unavoidable when incisions are made, however, because the incision for 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 assosiated with the procedure?

There are rarely any major risks associated to 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 2 weeks. We recommend our patients to try cold compression on the face to aid with the swelling and bruising.

How 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 aid to the swelling and bruising.

What results can I expect after my facelift surgery? Is it ?

Yes, the results of facelift surgery is , however, the aging 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, facelift cannot stop the aging process and neither can it change the quality of your skin.Nevertheless, facelift can give you a younger and refreshed appearance after the procedure.

I have sunburns, can facelift help get rid of it?

Unfortunately sun damaged skin cannot be treated with facelifts, however, we do offer skincare treatments that can help. Click here to read more.

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