Facelift and Necklift surgeries are procedures which are performed for a wide variety of reasons, namely treating jowl formation, distorting jaw line, double chin folds, wrinkling and removal of excess skin. These surgeries often can be complex and should be performed by surgeons who have specific expertise in both facelift and necklift surgery.
Why consider facelift/necklift surgery?
Ageing is inevitable and early signs are usually noticed in the face. The common areas of concern are forehead creases, crow’s feet around the eyes, deep furrows around the mouth, a distorted jaw line with jowl formation, a double chin and folds in the neck. These changes often do not reflect our younger inner spirits and persona. Rhytidectomy, or a facelift, and Platysmaplasty, or necklift, as they are commonly called, are operations which address these changes to a variable degree and helps to restore some of the changes related to ageing. This is the reason why facelift and necklift are becoming so popular.
Am I a suitable candidate for facelift/necklift surgery?
Both facelift and necklift surgeries are safe when performed in the right setting. There is no ideal age group for either of these surgeries. However, good general health, including psychological stability and realistic expectations, are prerequisites.
Benefits of facelift/necklift surgery
Both a facelift, as well as a necklift, improves the appearance of the face and neck by correcting deep wrinkles and folds. The removal of excess fat, as well as loose skin at the jaw-line and neck, gives definition to the cheeks and recontours the chin and neck.
Limitations of facelift/necklift surgery
A facelift or a necklift will not stop or reverse the ageing process; nor will it completely remove deep wrinkles and skin folds. It does not get rid of fine wrinkles, acne scars or pigmentation problems, such as age spots.
Consultation for facelift/necklift surgery
During the consultation, all your cosmetic concerns will be addressed in detail. The skin and structure of the face will be examined and discussed. Digital photographs and morphing software are used to aid this process. Individual risks, such as general health, risks of poor healing, anaesthetic risks, unfavourable scars, effects of smoking and bleeding tendencies, will be assessed. Both mental and emotional attitudes will also be considered because a realistic attitude is crucial to the success of the surgery.
These include skin type, ethnic background, degree of skin elasticity and amount of volume of tissue, individual healing, and basic bone structure. Adjunctive procedures, such as chin and cheek augmentation, fat transfer, liposuction and laser/IPL resurfacing, may have to be performed. Pattern of hairline as well as previous scars will affect the outcome and will be discussed during consultation.
How is Rhytidectomy/Platysmaplasty performed?
Incisions vary depending on the individual patient and the desired outcome. Generally speaking, incisions for facelift are made starting at the temple, moving around the ear and are hidden behind the ear and in the hair. Please remember that, in all cases, cuts are placed to follow the natural skin creases for optimal camouflage. After lifting the skin, the underlying muscle and tissues are tightened and secured. Excess skin is trimmed and the incision is closed with fine stitches and/or clips. In some cases, a drainage tube may be inserted.
With necklift, incisions are placed around the ear but do not extend into the front hair line. Behind the ear, the length of the cut varies based on the amount of skin that needs to be re-draped. In addition, a tiny cut is made under the chin, in the chin crease, to remove the fat and access the platysma muscle to perform platysmaplasty.
Some mild pain and discomfort is common immediately after surgery. The dressing and drainage tube for facelift, as well as necklift, are both removed the next day before discharge from the hospital. During the recovery period, we would like you to have the head elevated when lying down, to avoid as much activity as possible and to report any undue discomfort. All stitches and staples are usually removed within 5 to 10 days following surgery.
Recovery usually takes 2 to 3 weeks following which normal activity may be resumed. Scars become less noticeable with time and are easily disguised in natural skin creases, by the hair, or, in persistent cases, by make-up until total healing occurs. This may take up to 18 months. Some relaxation of tissues is inevitable following surgery which relates to scar maturation and the on-going ageing process.
Complications are infrequent but include bleeding, infection, unfavourable scarring, nerve damage and minor cosmetic irregularities. All these will be discussed in detail during the consultation.
Consultations are under no obligation