Face and neck lift surgery is frequently performed under general anaesthesia in a fully accredited hospital with the assistance of a qualified anaesthetist, however for short scar facelift procedures this may be undertaken under local anaesthesia with oral sedation in Dr Turners rooms. You can expect the operation to take anywhere from three to six hours, while you may be discharged the same day, an overnight stay is recommended.
Modern Face Lift Techniques
The aim facial rejuvenation is to reverse the anatomic effects of ageing on the face by repositioning the skin, fat and the underlying facial supports or superficial myoaponeurotic system (SMAS). The SMAS facial layer is the key to tightening the underlying tissue for a long lasting, natural, ‘refreshed’ effect – the hallmark of modern face lifts – not the skin tightened stigmata of years past.
Neck lifting addresses the loosening of skin, muscle and fat that obscures the natural lines that separate the chin from the neck. In this procedure, a separate incision is made under the chin and a combination of liposuction and suturing of the muscle under the neck (platysmaplasty) is performed to restore a youthful contour.
What about the incision?
Short Scar Face Lift
In a short-scar facelift, the scar is an S-shaped incision (S-lift) which usually starts in the temporal hair line just above the ear and is then extended in the natural crease immediately in front of the ear, but then stops at the base of the ear rather than extending behind the ear.
As with all modern face lift techniques the underlying SMAS is elevated and tighten with the overlying skin excess removed. Short scar facelifts are designed to rejuvenate the face with minimal downtime and scarring. Short scar face lifts are best for younger patients with mild to moderate aging.
To address fat pads underneath the jaw, neck liposuction frequently accompanies a short-scar facelift. A short-scar facelift is best for people primarily looking to refine features of the central and lower thirds of the face around the cheeks and jawline but who do not have large amounts of loose neck skin.
Traditional Face lift
The traditional (full) face lift corrects all the midface, jowls and neck, allowing excess skin to be removed. The traditional approach is performed by making an incision that runs in front of and behind the ear and extending into hairline in the temporal and behind the ears. The underlying SMAS is tightened, and excess skin and fat from the lower face and neck are removed.
A formal neck lift is always part of a full facelift and by combining either liposuction or direct fat excision with tightening the underlying neck muscles – the platysma to restore a more youthful neck line.
• Fractional Laser Resurfacing
• Brow lift
• Fat Grafting
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 face lift 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:
Risks Associated with Surgery
• Wound breakdown and delayed healing
• Bleeding or haematoma
• Postoperative infection
• Poor Scarring including keloid scars
• Revision surgery to correct or improve outcome
Specific Risks Associated with Facelift Surgery
• Hair loss / change in hair line position
• Skin flap necrosis
• Facial nerve injury with weakness
• Pigmentation changes