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Face Lift

Facelift Surgery in Newcastle & Sydney NSW by Dr Turner

If you have been considering a facelift, you more than likely have a few questions. If so, Dr Turner can assist you every step of the way. Being one of Sydney’s most sought-after plastic surgeon, he is an expert in creating facial harmony and restoring a youthful appearance. Whatever your needs and wishes are, he can create a customised treatment plan that’s perfect for you.

Face and neck lift surgery still remains the ‘gold standard’ in facial rejuvenation to reverse the signs of ageing and restore a youthful appearance. Dr Turner takes great care to ensure the effects of your face lift give a natural and proportional rejuvenation, and does not betray the fact that you have had plastic surgery.

This time-honoured procedure continues to grow in popularity, and is among the most common cosmetic surgery procedures performed. In 2015 alone, more than 125,000 face and neck lifts were performed in the United States. Combining the latest advances in facial rejuvenation techniques and modern understanding of facial anatomy and its contribution to facial ageing we can offer our patients natural, youthful results with improved safety and the least downtime available.

Are you Suitable for a Face lift??

Making this decision is a major step, so we want you to feel good about your decision. If you are interested in a facelift, but wondering whether or not you’re a good candidate, then here’s what you need to know.

Both healthy women and men who are non-smokers are ideal candidates for this surgery. If you suffer from skin laxity around the jowls and neck, loss of facial definition or just feel you look tired, then a facelift can help remedy these concerns. The very first step will be confirming whether or not you’re a good candidate. After all, you need to be confident in your decision.

Depending on what you’re looking to achieve, some candidates are better suited than others. A comprehensive face and neck lift, for instance, is generally best for men and women in the 50’s to 70’s — while a mini facelift is ideal for men and women in their 40’s.

Benefits of a Facelift Surgery

No amount of diet, exercise or beauty products can stop the natural ageing process. Over time, the skin of the face and neck progressively lose its elasticity, combined with loss of fat in the mid face as well as the loss of support from the underlying facial skeleton, this leads to descent of the soft tissues. The cheeks becoming flatter, lines around the mouth deepen, jawline loses definition with jowl formation and the skin on the neck falls into loose folds.

These changes are effectively and safely treated by modern facelift surgery techniques. So if you’re considering a facelift, ask yourself some of the following questions.

•  Would you like tighter, firmer-looking skin?
•  Do you feel as though your skin is worn out and tired-looking?
•  Would you like to achieve a younger-looking appearance?
•  Would you like a more defined jaw line?
•  Would you like to remove sagging skin from your neck line?
•  Would you like to experience greater positive self-esteem and confidence?

If you answered yes to any of these questions, then you could benefit from a facelift. Unlike short-term solutions and remedies, a facelift can help you feel refreshed, leaving you younger looking than you have felt in years. Dr Turner will help you achieve a natural look, without the ‘over pulled’ appearance, as you may have witnessed on other facelift surgery patients within the past.

Types of Facelift and Neck lift

Modern facial rejuvenation techniques have come a long way, allowing patients to achieve a natural, youthful appearance with improved safety and longevity. How exactly this procedure will be performed, will be based on your individual needs. While some patients may only require a mid-face or neck lift, others will may desire a comprehensive facelift procedure. Facelift surgery is performed under general anaesthesia in a fully accredited hospital with the assistance of a qualified anaesthetist and the operation take anywhere from three to six hours, while you may be discharged the same day, an overnight stay is recommended.

What is the SMAS?

The superficial muscular aponeurotic system, or SMAS, is a thin continuous layer of fibromuscular tissue that covers your face and neck. This tissue anchors the facial skin to the underlying skeleton and works with underlying facial muscles to create facial expressions.

The SMAS is the facial supportive tissue that is the key in tightening the underlying tissue for a long lasting, natural, ‘refreshed’ result – the hallmark of modern facelift surgery – not the skin tightened stigmata of years past. All modern facelift surgery techniques modify the SMAS layer by either elevating the SMAS – High SMAS, SMASectomy or tightening the SMAS – SMAS plication.

Face & Neck Lift Surgery

This procedure is ideal for both men and women who are in their 50’s to 70’s, seeking maximum correction — focusing on both the face and neck. Based on modern facelift techniques of elevating and tightening the underlying SMAS, with minimal tension on the overlying skin, allowing Dr Turner to achieve longer-lasting, more natural-looking results.

A full face and neck lift begins with an incision within the temporal hair and extends along the natural contours of the ear and into the posterior hairline. A separate small incision is frequently made under the chin. Once the incisions are made, the skin and superficial fat is separated from the underlying SMAS and the neck platysma muscles.

The neck is lifted first, by suturing the platysma muscle together in the midline and then lifting the sides of the platysma muscle back to its natural position, recreating a youthful neck sling (platysmaplasty). Next, the SMAS is elevated by a high SMAS technique and the excess skin of the face and neck is trimmed and redraped under no tension to give the finest scar possible.

An integral component of modern facelift surgery is the combination of fat grafting or facial implants to give a volumetric facelift, restoring lose volume associated with facial ageing. This create natural looking volume to your cheeks, lips, under eye areas, or anywhere else that needs extra volume.

Mini (Short-Scar) Facelift

Ideal for both men and women who are in their 40’s with early signs of facial ageing and minimal need for correction of the neck region. A short-scar facelift or S-Lift surgery uses a smaller incision, located in front of the ear and temporal hairline only. While a traditional facelift is still the most effective option for lifting and smoothing ageing skin, a short scar procedure creates an incredible result for younger patients.

A short scar facelift begins with an incision made at your temporal hairline and extended along the natural contour of your ear. Once these incisions are made, the skin and superficial fat is carefully separated from the underlying SMAS. Next, the SMAS is tighten by a SMAS plication technique and a small amount of the overlying cheek excess skin removed. You will have minimal visible scars, so you can still wear your hair ‘up’ after healing.

As with the traditional facelift surgery, a mini facelift often combines fat grafting to give a volumetric facelift to enhance the youthful contours of the cheeks and jowls. To address minor excess fat under the jawline (submental fat), we frequently add neck liposuction with a short-scar facelift.

Midface Lift

As you age, your cheeks sag and the lower eyelid becomes more elongated with prominent bulges. For some men and women with less prominent cheek bones, this may occur when they are in their 20’s to 30’s before other elements of facial ageing has occurred and can make you look older than you are.

A midface lift targets your lower eyelid, cheek (malar) and corner of your mouth to create a more youthful and natural look. It is ideal for younger patients, looking to enhance their midface to prevent premature facial ageing and desire a fuller cheek prominence.

A midface lift or concentric malar lift begins with an incision along the lower eyelid lash line extending into a lower eyelid crease (crows feet line). Dr Turner often uses a combination of cheek implants and fat grafting to improve the midface contours. This procedure has been specifically designed to keep scars minimal and help reduce potential complications.

Neck Lift

Improving some of the most visible signs of ageing, a neck lift will not only remove excess fat, but also tighten loose, wrinkled skin to improve the neck and jawline. This procedure is rarely performed alone, and is generally performed in combination with a facelift as part of a comprehensive rejuvenation of the face and neck.

A neck lift lift procedure begins with a small incision made under your chin and another in front and behind your ears. Once the incisions are made, the skin is separated from the underlying neck muscle (platysma) and any excess fatty tissue is removed directly or with liposuction. The neck muscle is repaired and suspended back to its original youthful position. This lifting and tightening of the neck muscle restores its natural shape and function to support the neck skin tautly.

In those with a weak or receded chin, a chin implant can be placed to improve the chin projection to enhance facial symmetry and create a stronger jawline. After restoring the original look of your neck, the skin is then draped back over the new neck contour. Any excess skin is then removed and the area is closed with minimal tension, leaving a small, fine scar.

Procedures commonly combined with a Facelift

Brow Lift

A Brow lift addresses deep wrinkles of the forehead, as well as dropping eyebrows which can lead to heavy eyelids. This is performed on men and women of all ages and helps creates a natural boost and opens up your face for a more youthful look.

Eyelid Surgery

Also, known as blepharoplasty, this procedure eliminates excess skin folds and puffiness. This will help you look less tired, enhancing the benefit of any facelift procedure to make you look and feel years younger.

Facial Implants

Often elevating and tightening the underlying structure of the face and the overlying skin is not sufficient to completely restore the effects of facial ageing. While in others they may have suffered with a weak cheekbone or jawline and would like this enhanced during a facelift procedure. Facial implants are a great way to create facial harmony and permanently enhance the cheeks, chin or jawline.

Skin Rejuvenation

There are some incredible non-surgical options available, from laser resurfacing, medical grade skin care, to cosmetic injectables which not only enhance the results of any facelift procedure but boosts its longevity. At our Sydney clinic, we can create a comprehensive treatment plan that will make you look at feel your best.

Recovery After Your Facelift Surgery

Our recommendation after a facelift is to relax for two weeks to ensure optimum healing. Most people can resume normal routines after this time. Recovery is generally rapid; with dressings ‘debulked’ the next day after surgery and any drains are removed.

Expect to wear an elastic support for two weeks or so, to minimise swelling and help maximise your new neck contour. Skin stitches are removed between five to seven days after surgery. At two weeks, swelling should have subsided considerably. Remember, it will be several months before the final result can be fully appreciated.

The sensation of numbness and tightness subsides with healing. Any discomfort can usually be controlled with medication.

Dr Turner will discuss your recovery in detail at your second consultation. After assessment of any individual health risks, such as high blood pressure and personal scarring tendencies, you will be given a tailored recovery treatment plan to follow after surgery.

Risks Associated with Facelift Surgery

As with any surgery, it is important that you are fully informed of the potential risks associated with facelift surgery. While all care is taken to minimize these complications, they may and do occur despite the best medical care.

It is important that you carefully read and understand the potential risks and they will be discussed in further detail when you have your consultation with Dr Turner.

Some risks are more likely to occur than others:

•  Wound breakdown and delayed healing
•  Bleeding or haematoma
•  Postoperative infection
•  Poor Scarring including keloid scars
•  Revision surgery to correct or improve outcome
•  Hair loss / change in hair line position
•  Skin flap necrosis
•  Facial nerve injury with weakness
•  Numbness
•  Pigmentation changes
•  Asymmetry

Your Facelift Consultation with Dr Turner

If you’re considering a facelift procedure, the very first step will be to meet with Dr Turner for a personal one on one consultation at one of his Sydney or Newcastle clinics. For many patients, we understand that this is a major decision, so we want to make the entire process as comfortable as possible. We’re here to explain each procedure in detail, so that you’re confident with your final decision.

To begin, Dr Turner will help you determine what procedure would be best, based on a number of key factors. Of course, every patient is unique, not only in terms of their skin and facial structure, but also their wants and needs. Dr Turner will guide you, discussing the options available from non-surgical techniques to improve your facial appearance, to mini-facelift techniques through to full face lifts for the maximum benefit so that you can achieve the results you desire.

DR TURNER AND HIS STAFF WILL:

•  Review all facelift and facial procedures with you.
•  Discuss all potential risks involved with facelift surgery.
•  Outline in detail how the surgery is performed
•  Provide an explanation of what you can expect before, during, and after the procedure.
•  Provide detailed cost and payment information.
•   Answer all your questions.

Facelift FAQS – Questions about Facelift Surgery

Can I achieve the same effect with non-surgical procedures?

There are a wide range of non-surgical skin rejuvenation procedures that can help you reduce the ageing process with regular treatment. Non-surgical techniques include cosmetic injections, laser rejuvenation, skin tightening devices and medical grade skin care. When performed regularly, you can certainly feel fresher and more confident, however if you have moderate ageing they only have limited success and short term benefits. If you are trying to reduce sagging, drooping, loss of facial volume, and other significant aspects of skin ageing, then you may benefit from a facelift.

How should I prepare for a facelift?

To maximise results and support the healing process, Dr Turner will advise you if any special treatments are required prior to surgery. This will be covered in your initial consultation at his Sydney clinic. It's critical that your medical status is maximised, so that you can recover as quickly and effectively as possible. Some of the factors that Dr Turner may cover, include:
 · Avoiding certain medications, such as aspirin 2 weeks prior to surgery
 · Stop taking any herbal supplements that are not prescribed by your doctor
 · Stop smoking, at least 6 weeks before surgery to help tissues heal 
· Minimise your intake of alcohol for 3 days prior to surgery
 · Continue to take prescribed medications, especially those that control blood pressure
 · Plan who will be taking you home after surgery 
· If you have short hair, growing your hair slightly can help you cover any early scarring

Will all areas by improved by a facelift?

Depending on the procedure you choose, this is the area(s) that will be targeted. When performing facelifts, the mid and lower portion of your face, including your cheeks and jowls, as well as the neck will be corrected. If you would like to enhance the upper portion of your face, including your forehead, eyes, and brows, then additional procedures will need to be performed.

What areas cannot be improved with a facelift?

The mid and lower portion of the face including the cheeks and jowls, as well as the neck are what a traditional facelift surgery corrects. A facelift will not enhance the upper portion of the face, such as the eyes, eyebrows or forehead, unless a brow lift or blepharoplasty is performed. The surgery cannot rid wrinkles around the mouth and will not do much for the smile lines.

When should I have a facelift?

There is no defined age that is best to undergo facelift surgery – we all age differently according to our genetics and environmental experiences such as sun exposure, skin care and smoking. Facelifts can be performed from early 40′s to late 70′s. Benefits usually last longer when a facelift is performed on a younger person who still have good skin elasticity.

How long will my facelift last?

Due to the natural ageing process and the effects of gravity. Facial ageing will unfortunately continue. With that being said, your face will always look younger than it did if you had never had a facelift done. Overall, this procedure tends to reset the clock, leading to a 10+ year advantage over individuals of the same age. If, over time, you would like an additional facelift, it is generally not as comprehensive as the initial surgery.

Will people be able to see that I’ve had a facelift?

After getting a facelift, many patients mention that their friends and family make remarks about how they look fresh and rested. People might ask if you have been away on holiday or if you’ve “changed something”. There is no characteristic look of a facelift. Forget about the problems with the old fashioned unnatural face lifts. Modern procedures are undetectable. The procedure simply restores your youthful look and no one will be able to tell you’ve had anything done. You’ll just look like a well-rested and fresh version of you.

Do you do fat transfer as part of a facelift?

Fat transfer are an integral component of any facelift surgery, to give complete rejuvenation of the face. The concept of the volumetric facelift, combines the benefit of restoring facial volume associated with ageing with fat injections combined with lifting and tightening the deeper facial structures with a SMAS facelift procedure. There are very few patients that don’t benefit from the addition of fat grafting as part of a facelift procedure.

Will I have any scars?

The incisions used during a facelift, will depend on the procedure and the technique used. For instance, the incisions made for a traditional facelift will differ from a short-scar facelift or midface lift. With incisions made in natural borders, hairlines, and folds, once fully healed, they will be barely noticeable. At first, they may be pink and slightly raised, but within the first few months, they will begin to quickly fade.

How quickly will stitches be removed? How quickly will I heal?

Once you leave the hospital, a follow-up appointment will be made within the first 7 days. At this time, Dr Turner will assess your wounds and remove stitches. After this step is completed, it's recommended that you commence topical silicone ointment along the incision line. Overall, most patients look presentable after the first 2 weeks. The full healing time for soft tissue and skin will be around 6 months. Although scaring may be red and itchy at first, within the first few months, they'll begin to lighten. After 1-2 years, they will soften and be barely noticeable.

How long will I need to take off work?

More patients can return to work after 2 weeks following surgery. Within the first 3 days, you will likely experience swelling, which then settles after approximately 1 week. Overall, the healing process is rapid, and you will be able to return to your regular routine within 2-3 weeks. At 2 weeks, for instance, you can generally begin to perform light exercise, gently increasing activity levels over 6 weeks.

Will I need a drain after my facelift?

Yes, in most cases. Drains are used to gather excessive fluid after a facelift procedure. Your drain will be removed the day after your procedure. If you’re having a short scar facelift in a limited area, you might not need a drain. Dr Turner will advise you before the procedure so you know exactly what to expect.

Do hairlines shift after a facelift?

During your consultation with Dr Turner we evaluate which incision placement is best suited for you. If you require a large amount of skin removal than an incision placed along the hair line will minimize any hairline shifts which are an unfortunate stigma of having a poorly executed facelift surgery.

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