Facelift Surgery

If you’re sick of people saying you look tired when you’re not or you get a shock at the ageing face staring back at you in the mirror when you still feel 21 inside, a facelift could be your answer to more confidence and a better quality of life.
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A facelift can help with:
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- Improving the signs of aging
- Sagging jowls
- Undefined cheek bones
- Permanently freshening up your appearance
Who can have a facelift:
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- Most male and female adults
- More common with older patients
- Younger patients with specific issues
- Those with smokers lines and wrinkles
- Patients between the ages of 40 and 50, where the cheeks appear to be sagging and the nasolabial area has skin folds or laxity (“smile lines” or “laugh lines”)
A guide for patients - illustrations reprinted with permission of Australian Society of Plastic Surgeons Inc., The Australasian Society of Aesthetic Plastic Surgery and Mi-tec Medical Publishing. The complete pamphlet is available from your surgeon.
The Procedure
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The facelift procedure tightens the muscles beneath the skin (SMAS) and the sagging skin itself, while removing or replacing fat and improving the appearance of the face overall.
Dr Zacharia will use his extensive experience and knowledge to ensure the incision lines are as discreet as possible, which may occur in the hairline or near the ear.
There are many different types of facelifts that can be performed:
- Standard or conventional facelift: designed to lift sagging skin and its deeper structures. The incision lines are hidden in the hairline.
- MACS Lift: The incision is directly in front of the ear and the temporal hairline and the layers are moved and pulled up and laterally. This lift is for the lower third of the face. The jaw line, jowls and sometimes the neck can be smoothed this way. This is a minimal incision lift and suits patients who have minimal sagging of the skin, usually younger patients with good quality skin.
- Lower Facelift: This is the same procedure as a facelift but addresses the lower face, including the jowls, and refines the jawline and, to some degree, the neck. It involves more extensive dissection and removal of skin than the MACS lift, can be combined with a neck lift, and is usually performed in older patients.
- Brow Lift: This is usually done endoscopically via a few small incisions in the hairline. Sometimes an anchoring device, which is absorbed by the body, is used to hold/lift the tissue up. This procedure takes the heaviness and 'hooding' away over the eyes.
- Neck Lift: This procedure addresses the neck only and is commonly performed in combination with a facelift procedure. Incisions are made both behind the ear and in the hairline. The procedure can involve simply tightening the skin or may require more extensive tightening of the underlying muscles.
Not all patients require the same scope of facelift and varying facial conditions determine the scale of the facelift. Patients will either have a deep plane lift or a mid face lift, with the key differences being the type of incision, the number of tissue layers affected, the area of the face treated and the invasiveness of the procedure.
Deep Plane Facelift:
- The surgery will take two to four hours and may require an overnight stay.
- The deep plane facelift treats the underlying tissue layer or a combination of tissue layers and muscles to provide the longest and most natural looking facial rejuvenation.
- The deep plane lift puts less tension on the facial skin itself, resulting in a very natural-looking face, designed to avoid an overly tightened look.
- Older patients with severe facial sagging and laxity typically benefit most from a deep plane lift and will see a dramatic improvement.
- The deep plane lift creates dramatic changes in the mid face area, including the cheeks, nasolabial folds (nose to mouth), jaw and chin.
- The procedure often requires incisions along the hairline so that the facial muscles and upper fatty tissue layers can be easily lifted and repositioned in the area of the cheekbone and mid face.
- During the procedure, tissue in the mid facial region and the cheekbones is lifted and repositioned. The skin and tissue lifted is thicker, so there is less interruption of the blood supply to the area.
- The facial muscles are lifted and repositioned along with the fatty layer above them; these are then secured to achieve a more youthful appearance.
- This is often a great technique to use for smokers.
The Mid Facelift:
- The surgery will take two to four hours and may require an overnight stay.
- During our 30’s, 40’s and 50’s the soft tissue from around the cheekbones starts to sag, creating nasolabial folds (nose to mouth). These can often have an effect on the female by flattening the face and giving a harsh, more masculine appearance.
- The procedure often requires several small incisions along the hairline and inside the mouth so that the fatty tissue layer(s) in the affected areas can be lifted and easily repositioned. This means scars are nearly nonexistent.
Alternative facelifts:
- Patients may also opt for a less invasive facelift, such as the subperiosteal lift. This is where tissue on the bone is lifted in patients and is more appropriate for patients who require an actual change in facial appearance, including the possible use of facial implants.
- There is also the option of a skin lift, which is the procedure of lifting and repositioning the surface skin layer. This is most common in patients who require a less significant change in the appearance of the face.
- The mini-facelift term has been used to describe the least invasive approach that provides for a more temporary solution in younger patients who are not yet true facelift candidates.
- Consumers may also hear the term S-Lift, which describes the type of incision that is used in the procedures. This incision starts at the base of the sideburn and continues on the inside of the ear to form an S shape.
- A short scar facelift is used to describe the short length of the scar. A full scar facelift is used to describe the longer scar.
Complications and Risks
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Dr Zacharia will discuss with you in detail the procedure and while considered safe, the facelift is like any surgery and there is a possibility of risks or complications. General surgery risks include: adverse anaesthesia reaction, infection, or excessive bleeding.
- You will experience initial puffiness and some bruising and swelling which may take several weeks to subside. The extent of the procedure affects the level of swelling and bruising.
- You should be able to resume normal activities within two weeks and begin exercise within 3-4 weeks.
- Maximum discomfort should occur in the first few days, improving each day thereafter. You will experience bruising, swelling, numbness, tightness and tenderness of skin for 10-14 days or longer but by the third week you will look and feel much better. You face may look and feel strange from the swelling. Final results are not fully realised for approximately 6 months.
- You may experience numbness in the lip which may last for two to six weeks.
- Treatment for complications ranges from oral medications to surgical intervention.
- While facelift surgery is popular with those who smoke, smoking reduces blood flow to areas of the facial skin, so you shouldn't smoke a month before and a month after surgery. Stopping smoking will help the healing process.
- You should be satisfied with the benefit for about ten to fifteen years, after which, you may opt for a secondary facelift procedure. Since the deep plane lift offers the most dramatic benefits, the secondary procedure is typically much less invasive than the deep plane lift.
If every day you look in the mirror and wonder what happened to your youthful appearance, perhaps it’s time to bring your face back to life.
Before & After images
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