Patients suitable for a full face lift surgery would present with substantial skin laxity and droopiness in the neck.
A full or "traditional" facelift addresses the sagging upper and lower neck skin and (platysmal) vertical neck bands, jowls, lower and mid nasolabial folds and marionette lines.
Facelift Surgery usually takes around 3-4 hrs in theatre, it would be carried out under General Anaesthetic and usually requires a 1-2 night stay in hospital.
The incisions are made discreetly above the hairline and extend down either just inside the cartilage at the front of the ear or down the front of the ear and into the natural line, they would then continue around the back of the lobe and towards the crease behind the ear and off into the lower scalp with undermining of the skin and tightening of underlying support tissues.
The skin is then sutured so that is it lifted upwards and backwards similarly to what you would see when you lift your own skin in the mirror to imagine how the surgery may look. Surgical drains are usually inserted during the surgery to drain away any excess fluid and to reduce swelling and bruising.
The Mini Facelift is recommended for a patient who describes minimal signs of ageing in the forehead and neck area but is concerned about skin laxity in the cheeks and loose skin in the mid face and jaw region. A patient suitable for a mini-facelift would have relatively good skin elasticity and relatively mild changes in the lower third of the face and neck. The surgery involves incisions from the temple scalp, along the front of the ear (inside the mid part for women) but ending at the level of the earlobe (in front or in back) – as much as 40% less scarring than the full face lift, the recovery time is shorter compared to a full face lift.
“I had a wonderful experience with Patrick, he is not only a great surgeon but he has extraordinary empathy and I always felt totally at ease with him.”
The following frequently asked questions and answers (FAQs) will give you a basic understanding of the procedure – when it can help, how it’s performed, and what results you can expect. These may not answer all of your questions, since a lot depends on your individual circumstances.
A Face Lift can make you look younger and fresher, and it may enhance your self- confidence in the process. But it can’t give you a totally different look, nor can it restore the health and vitality of your youth. Before you decide to have Face Lift surgery, think carefully about your expectations and discuss them with your surgeon.
The best candidate for Face Lift surgery is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well defined. Most patients are in their forties to sixties, but Face Lifts can be done successfully on people in their seventies as well. If you’re physically healthy and realistic in your expectations, you may be a good candidate.
The procedure for Face Lift surgery is highly personalised. At your initial consultation, your surgeon will evaluate your face, including the skin, underlying muscle, fat and bone layers, and discuss your surgical options and personal goals for the surgery.
He will also check for medical conditions that could cause problems during or after surgery, such as uncontrolled high blood pressure, blood clotting problems, or the tendency to form excessive scars. Be sure to let him know if you smoke or drink excessively, are taking any drugs or medications, especially aspirin or other drugs that affect clotting. Smoking has a major impact on skin circulation, and raises the chance of a complication occurring after surgery. It therefore reduces the range of surgical options significantly, and in many cases is not compatible with surgery.
If you decide to have Face Lift surgery, your surgeon will also provide explanations about general anaesthesia, the hospital where the surgery will be performed, and the Practice manager will go over the costs involved. Don’t hesitate to bring your surgeon any questions you may have written down beforehand, especially those regarding your expectations and concerns about the results.
Your surgeon will give you specific instructions on how to prepare for your Face Lift. These may include guidelines on eating and drinking, stopping smoking, and taking or avoiding certain vitamins and medications. We will give you a pre-surgical kit to boost your healing capacity, including a range of homeopathic medicines such as Arnica, and massage oil that is particularly effective in softening your scars postoperatively.
Whilst making preparations for surgery, you should arrange for someone to pick you up on discharge from the hospital and be available to drive you home. It is also advisable to have someone help you around the house for a few days, to plan a soft diet for the first week and to get ready to sleep using a couple of pillows.
If your hair is very short, you might want to let it grow out before Face Lift surgery, so that it’s long enough to hide the scars while they heal. Make sure you wash your hair thoroughly the day before surgery, and do not book any hairdressing appointments until at least a fortnight after surgery.
Your Face Lift will be performed at one of several of London’s best private hospitals, according to your preference and the availability of operating time.
You will usually be admitted on the day of surgery. An overnight stay in hospital is generally advised and you will be discharged home the following day at about 10:00am. If you have the surgery as a day case you will be discharged later that day.
Face Lifts are usually performed under a general anaesthetic, so you’ll sleep through the entire operation. Newer types of anaesthetic that reduce the risk of nausea after surgery are used, and the experience is usually safe and comfortable.
Every surgeon approaches the procedure in his or her own way. Some complete one side of the face at a time, and others move back and forth between the sides. The exact placement of incisions and sequence of events depends on your facial structure and your surgeon’s preferred technique.
Incisions usually begin above the hairline at the temples, extend in a natural line in front of the ear (or just inside the cartilage at the front of the ear), and continue behind the earlobe to the lower scalp. If the neck needs work, a small incision may also be made under the chin. Tiny incisions may be required to place fat grafts into the cheeks or lips, which heal rapidly and are not conspicuous.
In general, the surgeon separates the skin from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. The surgeon then tightens the underlying muscle and membrane, pulls the skin back, and removes the excess. Stitches secure the layers of tissue and close the incisions; metal clips may be used on the scalp.
Following surgery, a small, thin tube may be temporarily placed behind your ear, under the skin, to drain any blood that collects there. This tube is called a drain, and is usually removed the day after surgery. Another, very small drain may be kept in your neck for a little longer, to prevent fluid accumulating and expedite your healing. The surgeons may also wrap your head loosely in bandages, or apply a facial garment, to minimize bruising and swelling.
A Face Lift usually takes several hours and can take somewhat longer if you’re having more than one procedure done. For extensive procedures, some surgeons may schedule two separate sessions.
Any discomfort experienced post operatively can be controlled with medication prescribed by your surgeon, but a face lift is usually a surprisingly painless operation.
Your surgeon may ask you to keep your head elevated and as still as possible for a couple of days after surgery, to keep the swelling down. Bandages, or facial garments, if used, are usually removed after one to five days. Don’t be surprised at the pale, bruised and puffy face you will see at this stage post operatively, just bear in mind that it will soon have subsided considerably.
Most of your stitches will be removed after about five days. Your scalp may take longer to heal, and the stitches or metal clips in your hairline will usually be left in a few days longer.
You should be up and about in a day or two, but plan on taking it easy for the first week after surgery. This includes refraining from household chores. Be especially gentle with your face and hair, since your skin will be both tender and numb, and may not respond normally at first.
Your surgeon will give more specific guidelines for gradually resuming your normal activities. They’re likely to include these suggestions: avoid strenuous activity for at least two weeks (walking and mild stretching are fine) and avoid alcohol, steam baths, and saunas for up to three months. Above all, get plenty of rest and allow your body to spend its energy on healing.
At the beginning, your face may look and feel rather strange. Your features may be distorted from the swelling, your facial movements may be slightly stiff and you’ll probably be self-conscious about your scars. Some bruising may persist for two or three weeks, and you may tire easily.
By the third week, you’ll look and feel much better. Most patients are back at work about ten days to two weeks after surgery. If you need it, special camouflage makeup can mask most bruising that remains temporarily.
The chances are high that you’ll be happy with your Face Lift, even though the results may not be immediately apparent. After the swelling and bruises are gone, the hair around your temples may be thin and your skin may feel dry and a little rough for several months. Daily moisturising and skin care is essential. Men may find they have to shave in new places where areas of beard-growing skin have been repositioned.
You will have some scars from your Face Lift, but they’re usually hidden by your hair or in the natural creases of your face and ears. In any case, they’ll fade with time and should be inconspicuous with time.
Having a Face Lift doesn’t stop the clock. Your face will continue to age with time, and you may wish to repeat the procedure, perhaps five or ten years down the line. But the effects of even one Face Lift are lasting as, years later, you’ll continue to look better than if you’d never had a Face Lift at all.
As with any surgery there are potential risks and complications to be aware of. The most common risks are numbness, bruising and swelling particularly around the ear where the scars are located. There are also some more uncommon complications which include Infection, haematoma, seroma, skin necrosis and nerve damage. Our team of nursing staff monitor the progress of patients for signs of these complications very carefully post operatively and patients are given contact information should they need medical assistance once discharged from the hospital.