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Facelift

A facelift is also known a rhytidectomy. Rhytids are lines or wrinkles and -ectomy is the term for removal hence the name rhytidectomy. There are many different methods of facial rejuvenation from non-surgical to surgical options. The facelift is a procedure to help give the face a more rejuvenated and youthful look. The ageing process results in loss of facial volume and loss of skin elasticity. This consequently gives an older appearance with lines, wrinkles and sagging of the jawline or neck areas. There are a number of different types of facelift that can be combined with other procedures such as a blepharoplasty (eyelid lift), lip lift, laser resurfacing, and neck lift.

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What Are The Types Of Facelift?

There are a number of different techniques for facelift with varying degrees of downtime, recovery and invasiveness. Some of these are discussed below:

  • FaceTite is a minimally invasive technique that uses a radio frequency probe placed just under the skin to cause skin tightening. This procedure is performed under local anaesthetic and as a day case. 
  • Mini-Facelift is a less invasive procedure compared to a full facelift. There is usually less skin dissection during this and so recovery is shorter. This is suitable for in certain patients that do not have too much skin laxity. This can also be combined with the FaceTite procedure to improve the results of this if some skin removal is also required. 
  • Full Facelift is a more invasive procedure that has a longer recovery and performed under a general anaesthetic. This will provide a longer term outcome. This facelift involves tightening of the deep tissues such as the SMAS layer and removal of excess skin. 

Am I Suitable For A Facelift?

A facelift is performed for many reasons and these include:

  • Improve self confidence
  • Help maintain or regain a youthful appearance
  • Reduce the signs of ageing
  • Improve sagging or loose skin of the face and neck
  • Restore volume loss with facial ageing
  • To help improve asymmetry

What are the risks of rhytidectomy or facelift?

The face and necklift is performed under general anaesthetic. The procedure involves making an incision around the ear and hairline then tightening deeper structures then removing loose skin. Some potential risks with facelift surgery are discussed below although your surgeon will discuss these and more during your consultation.

Bruising, Swelling, Bleeding

It is normal to get some swelling after any treatment and this usually takes a few weeks to settle. Some patients may also experience bruising or bleeding which is can be related to medication being taken. Some medicines such as aspirin and herbal supplements can increase your risk of bleeding and bruising. A haematoma occurs if there is bleeding beneath the skin.

Scar

There will be a permanent scar around the ear and along the hairline. The scar heals well in most people but some people may develop raised or lumpy scarring known as hypertrophic or keloid scars.

Asymmetry

All patients have some degree of facial asymmetry and sometimes following surgery these may become more noticeable or you may become more aware of these. We will try to highlight some of these asymmetries preoperatively. There always some anatomical differences between each side of the face.

Change in Sensation

Any procedure can result in change in sensation to the skin of the face. This is due to some of the sensory nerve being cut during the procedure to make room for the implant or swelling. These changes may result in numbness or increased sensitivity. They may be temporary or permanent.

Nerve Injury

Motor nerve injury can happen during a facelift procedure. This can result in loss of facial movement. This may be temporary following surgery due to swelling or bruising to the nerve. In some cases, injury may be permanent.

Infection

Infections are uncommon following these procedures although they may occur. You will usually be provided given antibiotics during the procedure and to take home with you afterwards. If infection occurs you may need some antibiotic tablets.

Residual Laxity

There may be some residual skin laxity or fine lines. There are some other treatments such as laser resurfacing or Morpheus8 that can help the surface of the skin. A facelift is helpful for the deeper tissues but the surface of the skin may need other treatments to get the best results.

Changes with Time

A facelift procedure is not a permanent solution and facial ageing will continue. It is difficult to predict how long the results will last and there will be variation between individuals.

Facelift Frequently Asked Questions

What happens during the facelift consultation?

Your surgeon will ask about your desired results and outcomes. They will assess your medical history and perform an examination of the face. It is important to provide information about any previous facial procedures such as fillers, threads, devices and surgery. Some of these previous procedures may have an important impact on facelift surgery.

When can I go back to work after a facelift?

Most people will go back to work about 1-2 weeks following surgery. During the first week, you will have dressings and a head bandage which will be wearing. The dressings are usually removed after a week but you will wear a compression facial garment for the next 6 weeks.

What type of facelift is most suitable for me?

During your consultation, the surgeon will discuss all options with you highlighting the advantages and disadvantages of each technique. In some patients, non-surgical options may be better suited but in others may need a full surgical procedure.

When should I get a facelift?

There is no specific age when you should be considering a facelift. The decision to have any surgical procedure is based on your own opinion. The surgeon will help aid you as to what option would be most suitable for your desired outcome. Patients that commonly have facelifts are usually from 40 to 70 years in age.

How long will the results of the facelift last?

The longevity of the results from a facelift will depend on many factors. Some of these factors include: your age; skin quality; genetics; medical history; sun exposure or other environmental factors; and, technique used.

How much is a facelift?

The price for facelift will vary depending on the type required. The price from FaceTite is from £4950; Mini Facelift from £7500; and, Full Face Lift from £10500.

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