In the pursuit of vitality, facelift surgery remains a popular choice for those looking to reverse the signs of ageing. However, it’s crucial to be informed about the potential risks and complications involved with undergoing a facelift procedure. This knowledge equips patients with the understanding necessary to ensure a safe and effective surgery. While Dr Turner Specialist Plastic Surgeon will strive to minimize any risks, they can still occur.
This blog provides detailed insights into the risks and complications associated with facelift surgery, ensuring you are well-prepared for your consultation with Dr. Turner.
Common Risks and Complications with Facelift Surgery
Every surgery comes with inherent risks, and facelift surgery is no exception. Some common risks include:
- Bruising and Swelling
Temporary bruising and swelling are normal after surgery and typically resolve within a few weeks.
- Numbness
Some areas of the face may experience temporary numbness due to the disruption of nerves, which usually resolves over time.
- Infection
Proper post-operative care reduces the risk of infection, but if it occurs, it requires prompt medical attention.
- Haematoma and Bleeding
Haematoma refers to the collection of blood under the skin, which can occur and might require surgical drainage.
Specific Risks and Complications Associated with Facelift Surgery
- Asymmetry
Facial asymmetry, where one side of the face heals differently than the other, can occur post-surgery due to numerous factors. While some level of asymmetry is natural, significant differences may require revision surgery for optimal results.
- Fluid Accumulation (Seroma)
Seroma is the buildup of fluid under the skin after surgery. While not usually harmful, it may require drainage or further treatment to prevent infection or discomfort.
- Sialocele (Salivary Leak)
This is a very rare complication which may occur in patients with a very thin SMAS layer. If a saliva leak develops post-operatively this may require drainage. Usually these then heal with time without any long-term effect.
- Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE)
Although rare, DVT (blood clots forming in the veins) and pulmonary embolism (when a clot travels to the lungs) are serious complications that can occur after any surgery. Surgeons take precautions to minimize this risk, such as encouraging early movement and prescribing blood thinners when necessary.
- Changes in Skin Sensation
Temporary changes in skin sensation, such as numbness or tingling, are common following facelift surgery due to nerve involvement. In most cases, this resolves over time, but permanent changes in sensation can occur in rare instances.
- Fat Necrosis
Fat necrosis is the destruction of fat cells beneath the skin, which can result in the formation of lumps or irregularities. This is more common in individuals who undergo significant tissue repositioning during the procedure or large volume of fat transfer.
- Nerve Damage Possibilities
Nerve damage, though rare, is a potential complication of facelift surgery. Temporary numbness or facial weakness is more common and typically resolves as healing progresses. Permanent nerve damage is rare but may result in lasting facial muscle weakness.
- Delayed Healing and Infection
Delayed healing can extend the recovery period, especially for smokers or individuals with certain medical conditions. Symptoms such as redness, increased pain, or fever should be promptly addressed to prevent further complications.
- Scarring and Skin Irregularities
Scarring is an inevitable aspect of any surgical procedure. Facelift surgery aims to minimize visible scarring by placing incisions within the hairline or natural creases of the face. However, in some cases, more prominent hypertrophic or keloid scars may develop. Skin irregularities like dimpling or puckering can also arise as the tissues heal. Early communication with your surgeon can help address these concerns and ensure satisfactory results.
- Anaesthesia-Related Complications
Anaesthesia is essential for a comfortable surgical experience but carries its own set of risks. Although most patients tolerate anaesthesia well, complications such as allergic reactions or respiratory issues can arise. It’s important to communicate any prior reactions or concerns you have about anaesthesia to ensure your safety during the procedure.
- Unsatisfactory Results
Despite careful planning, aesthetic outcomes may not always align with patient expectations. Factors like natural aging, skin elasticity, and underlying medical conditions can influence the final result, and sometimes revision surgery is required to achieve the desired look. Dr. Turner take extra care to achieve optimal results, but in some cases, follow-up procedures may be needed to refine the outcome.
Emotional and Psychological Impact
Facelift surgery can evoke a wide range of emotions, from excitement to anxiety. It’s important to prepare for the emotional and psychological impact of the procedure. Having a support system of family, friends, or even mental health professionals can help ease the transition and ensure that you feel comfortable throughout the process. Being aware of these emotional factors can contribute to a more positive overall experience.
Factors That May Increase the Risk of Complications
- Smoking
Smoking significantly increases the risk of complications such as poor wound healing, skin necrosis, and infection. It’s strongly advised to stop smoking at least six weeks before and after surgery to promote optimal healing.
- Medical Conditions
Pre-existing medical conditions such as diabetes, high blood pressure, or autoimmune disorders may increase the likelihood of complications. These conditions should be disclosed during your consultation to allow your surgeon to tailor the procedure accordingly.
- Medications
Certain medications, including blood thinners and anti-inflammatory drugs, may increase the risk of bleeding during and after surgery. Your surgeon will provide a list of medications to avoid in the weeks leading up to your facelift.
- Age
While facelifts can be performed on individuals of varying ages, older patients may have an increased risk of complications due to decreased skin elasticity, slower healing, or the presence of underlying health conditions.
How to Minimize Risks and Complications
- Choosing an Experienced Surgeon
One of the most important steps you can take to reduce the risk of complications is choosing a qualified and experienced Specialist Plastic Surgeon. Surgeons who specialise in facial plastic surgery, such as Dr. Turner, can offer the highest standard of care and minimize the likelihood of adverse outcomes.
- Following Pre- and Post-Operative Instructions
Adhering to all pre- and post-operative instructions provided by your surgeon is essential for minimizing complications. This may include avoiding certain medications, following a strict skincare routine, and attending all follow-up appointments to monitor healing.
- Maintaining a Healthy Lifestyle
A healthy lifestyle, including proper nutrition, regular exercise, and avoiding smoking, will improve your body’s ability to heal after surgery and reduce the risk of complications.
Conclusion
Facelift surgery can be a highly rewarding way to rejuvenate your appearance, but it’s essential to be informed about the associated risks and complications. Understanding potential challenges empowers you to make educated decisions and approach the surgery with confidence. By choosing an experienced surgeon like Dr. Turner, adhering to all pre- and post-operative guidelines, and maintaining an open line of communication, you can significantly minimize risks and enhance your overall facelift experience.
For more personalized advice or to explore your options, schedule a consultation with Dr. Turner at one of his Sydney Clinics in Manly or Bondi Junction.
