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Sydney Male Facelift

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Male Facelift with dr turner

A male facelift (Rhytidectomy) & neck lift (Platysmaplasty) surgery involves tightening and lifting the skin and underlying tissues of the face and neck. Dr Turner performs this procedure to address concerns such as jowls, wrinkles, and fine lines on the face and neck while taking into consideration the unique masculine anatomy.

Differences Between a Facelift for Men and Women

The male face has a number of unique anatomical characteristics that must be taken into consideration when selecting the appropriate surgical strategy:

  • Larger and more angular jaws and stronger midface
  • Prominent facial muscle mass
  • Stronger midface with angular cheekbones
  • Low positioned brows
  • Thick, dense, and heavy skin with hair follicles

As men age, we may see changes in the facial skeleton with decreased bone support in the midface and jawline. This can sometimes be combined with loss of soft tissue, laxity of the deep supporting fascia, and fat accumulation in the neck. The male skin is thicker than female skin, which generally puts men at a higher risk for bleeding during and after the face and neck lift procedure.

Suitable Candidates for a Male Facelift

Suitable candidates for this procedure are men who are:

  • Medically and psychologically healthy
  • Close to ideal body weight or BMI (<29)
  • Non-smokers or those willing to quit smoking
  • Willing to adhere to post-procedure instructions and have realistic goals

Male Face & Neck Lift Surgery

It’s important to keep in mind that a face and neck lift in men must be performed using specific techniques and requires a different aesthetic perspective than a traditional facelift.

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01.

Incision Placement

Dr Turner’s preference is to place the incisions along the hairline (pretrichial) using hair follicle preservation incisions (trichiophytic) to reduce scar visibility.

In men with minimal skin laxity in the neck, a ‘short scar’ facelift is recommended as the scar does not extend behind the ear into the posterior hairline.

In female facelift surgery, Dr Turner places the incision inside the ear canal behind the tragus (a small, pointed piece of cartilage that sticks out just in front of your ear canal) to minimise the visibility of the scar. In male patients, the beard makes this approach difficult. So, Dr Turner recommends a pre-tragal incision where the incision is in front of the ear and tragus, as it prevents hair-bearing skin from being pulled into the ear and distorting the natural tragal shape due to the thicker skin in men.

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02.

SMAS Modification

The foundation of any modern facelift procedure is the tightening of the underlying fascial layers of the face and neck. However, male patients have thicker skin, subcutaneous tissue, and beard. Thus, they require a more robust lift to the underlying SMAS.

While there are several approaches to modifying the underlying SMAS layer, the two techniques are recommended by Dr Turner:

  • Deep Plane Facelift – This is the treatment of choice for the majority of men undergoing a facelift procedure. This technique allows Dr Turner to release the facial retaining ligaments and elevate and tighten the SMAS into its new position.
  • SMAS Plication – The SMAS is often thinner and less durable than the younger male patient. In these cases, it is more reliable to perform an SMAS plication to tighten the underlying SMAS.

In both procedures, male face and neck lift patients require modification to the neck. This is performed by addressing the excess fat (lipectomy), tightening of the muscles (platysmaplasty), and removal of excess skin.

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03.

Addressing Facial Volume Loss

Men start noticing changes in the thickness of the facial soft tissue in the fourth and fifth decades of life. Thus, part of any male facelift surgery must include increasing the volume of the treated area.

Fat transfer can address the lost volume throughout the face, including the under-eye and cheek areas. The grafted fat may also be used to add volume to certain areas of the face such as the chin, jawline, and cheekbones.

If there is significant volume loss, fat grafting alone may not produce satisfactory results. In this case, Dr Turner recommends silicone facial implants for the cheek / malar regions or chin.

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04.

Complementary Procedures

First, it’s important to remember that any facelift procedure, whether for men or women, affects the lower two-thirds of the face only. If the upper face needs to be addressed, a blepharoplasty or brow lift may be included in the facelift procedure.

For men with excess skin and fat on both upper and lower eyelids, an upper blepharoplasty and transconjunctival lower blepharoplasty can help. Both procedures can remove excess skin, muscle, and fat from the eyelids.

Although a facelift can address fine lines and wrinkles on the jawline, it will not add projection to a receding chin or compensate for age-related bone reabsorption. A chin augmentation (genioplasty) can be performed to address this concern. This procedure involves using a fat graft or chin implant.

Recovery after a Male Facelift

Postoperative recovery may vary from patient to patient as a result of genetic, physical, and surgical factors. You can return to work after two weeks and sports activities after six weeks. Over the following weeks, swelling, bruising, and discomfort gradually subside. The final results may take several months to become noticeable as swelling resolves and tissues settle into place.

Risks and Complications of Male Facelift

Like any surgery, a male facelift has risks and complications, such as:

  • Wound infection
  • Bleeding or haematoma
  • Poor scarring
  • Allergies or reactions to medications, sutures, or topical treatments
  • Delayed healing
  • Skin flap necrosis
  • Hair loss and changes in hairline or beard position
  • Facial nerve injury and facial animation disturbance
  • Salivary gland/duct injury
  • Seroma formation
  • Chronic pain and numbness
  • Pigmentation changes
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Specialist plastic surgeon

Dr Scott J turner

Dr Turner FRACS (Fellow of the Royal Australasian College of Surgeons – Plastic Surgery) is a Sydney Plastic Surgeon with clinics in the Eastern Suburbs at Bondi Junction and Northern Beaches at Manly.

Dr Scott J Turner has over a decade of experience in private practice solely focused on performing cosmetic surgery.

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Reasons for Male Facelift

A male facelift is a surgical option tailored specifically for men who want to reduce the appearance of visible signs of ageing and change their facial contours. This procedure can address issues like descending skin, facial wrinkles, and loss of muscle tone.

The procedure can be suitable for men who have noticeable skin laxity and excess fat accumulation around the jawline and neck. By repositioning the underlying structures and removing excess skin, a facelift can help address signs of ageing.

Furthermore, men who have experienced significant weight loss may also consider a facelift to remove excess skin that diet and exercise alone cannot address. By removing the excess skin and repositioning the underlying tissues, a facelift can adjust the contours of the face.

Our Philosophy on Male Facelift

At FacePlus Aesthetics, our philosophy on male facelift surgery is deeply rooted in understanding the unique aesthetic and structural characteristics of the male face. We prioritise a conservative approach that focuses on altering the patient’s features in a way that respects their natural masculinity.

Our individualised approach ensures that each facelift is specifically designed to address the distinct signs of ageing that affect men differently than women, such as skin texture, facial hair, and the prominence of facial muscles. During the initial consultations, Dr Turner carefully assesses each patient’s facial anatomy, discusses their specific ageing concerns, and sets out a customised plan that aims to meet their aesthetic goals while maintaining a masculine look.

This personalised planning process is accompanied by an emphasis on educating the patient about every aspect of the procedure—from pre-operative preparation to postoperative care and expected recovery timelines. Our goal is to empower our patients with knowledge and involve them in the decision-making process, ensuring they feel supported in their journey towards achieving their desired outcomes. This commitment to patient education and tailored care helps us maintain high standards of patient safety.

How the Procedure is Performed

The male facelift at FacePlus Aesthetics is meticulously planned and executed to meet the individual needs of each patient. The procedure begins with incisions that are strategically placed in the natural contours of the face or behind the hairline to minimise their visibility. This careful incision placement is crucial as it allows access to the deeper layers of the face while preserving the hair follicles and reducing the visibility of any surgical marks.

During the surgery, Dr Scott Turner addresses the underlying structures that contribute to facial ageing. He meticulously tightens the underlying muscular and connective tissues, which helps elevate descending skin and reduces the appearance of creases. Liposuction might be utilised for patients with excess fatty deposits around the jawline or under the chin.

Following the structural adjustments, the skin is carefully redraped over the new contours. The excess skin is trimmed and the incisions are closed with fine sutures or skin adhesives. Dr Turner’s detailed and cautious approach throughout the procedure ensures that the results are not only effective in addressing the signs of ageing but also in maintaining the masculine characteristics of the patient’s facial features.

Recovery Period

The recovery period following a male facelift is crucial for ensuring good clinical outcomes and requires patients to closely follow Dr Turner’s postoperative care guidelines. Initially, patients will experience swelling and bruising, which is most pronounced during the first few days post-surgery and gradually diminishes over the following weeks. Discomfort is also common but can be managed effectively with medications prescribed by Dr Turner, tailored to each patient’s pain threshold and overall health profile.

During the first few weeks of recovery, patients are advised to take ample rest and avoid any activities that could strain the facial muscles or disturb the surgical sites. This includes any form of bending, lifting, or vigorous physical activity. Keeping the head elevated during sleep is recommended to help reduce swelling. Additionally, Dr Turner may advise wearing a compression garment that helps to support the new contours of the face, minimise swelling, and stabilise the adjustments made during surgery.

Follow-up care is a critical component of the recovery journey. Dr Turner schedules regular appointments to monitor the patient’s healing and response to the surgery. These visits are essential for ensuring that the healing process is on track and for addressing any concerns the patient may have. This consistent monitoring allows Dr Turner to intervene promptly if any issues arise, providing adjustments to care protocols as needed. This meticulous attention to postoperative care helps lower the risk of complications and contributes to the overall success and satisfaction with the surgical results.

Risks and Complications

As with any surgical procedure, a male facelift comes with potential risks and complications. Common issues that patients might experience include reactions to anaesthesia, infection at the incision sites, and bleeding during or after the procedure. Additionally, scarring is an inherent part of surgery, but the placement of incisions in less visible areas and diligent postoperative care can help reduce the visibility of these scars.

Particular risks associated with facelifts include temporary or prolonged changes in skin sensation, such as numbness or tingling, asymmetry in the alignment of facial features, and extended periods of swelling, which may impact recovery times. More serious, though less common, are risks such as nerve damage that could temporarily or permanently affect facial muscle movements, potentially impacting facial expressions and overall facial symmetry.

At FacePlus Aesthetics, Dr Turner employs meticulous surgical techniques and adheres to strict sterility protocols to minimise these risks. The clinic’s protocol includes comprehensive pre-operative assessments and close postoperative monitoring to manage any complications effectively. Before the procedure, Dr Turner performs detailed patient health assessments, including the medical history, current medications, and any existing medical conditions. After the surgical procedure, patients are provided with detailed postoperative instructions to help with their recovery. Regular follow-up visits are crucial to ensure that any issues are addressed promptly, maintaining high standards of patient care and safety throughout the recovery process. This approach helps ensure that each patient is aware of and prepared for all aspects of their surgical journey.