Facelift, necklift and lipofill (fat grafting) are surgical procedures which result in rejuvenation of the face and neck.
Facelift surgery addresses excess temporal, mid/lower facial and to some degree neck skin, by smoothing out wrinkles. In addition, it repositions soft tissues which have sagged resulting in ‘squaring’ of the face, loss of cheek prominence and the appearance of “jowls”. A further aim is to restore harmonious facial proportions.
Necklift surgery is often performed in conjunction with facelift surgery to address skin excess, vertical lines (platysmal bands) and double chins. Where appropriate, liposuction techniques may be used in combination.
3. Lipofill (fat grafting)
Fat grafting is a technique of transfering fat cells extracted by specific liposuction techniques from donor sites such as the abdomen or thighs to augment lip volume, address facial contour deformities and hollow cheeks. Approximately half of the injected fat survives long term meaning that multiple treatments may be required. The procedure is performed under a general anaesthetic or with local anaesthetic and sedation in an accredited hospital as a day procedure.
All of these surgical procedures are performed under general anaesthetic in an accredited hospital. The optimal outcome is a rejuvenating “natural” result aimed at turning the clock back a number of years rather than a radical alteration of a patient’s appearance.
1. Facelift Surgery
Patients typically request facelift surgery to address:
• Lateral eyebrow droop that results in a skin fold masking the corner of the eye
• Loss of aesthetic contour of the cheek bones
• Deep nasolabial creases between the nose and corner of the mouth
• Marionette lines at the corners of the mouth
• Jowls which can contribute to a “square appearance” of the jawline.
Facelift surgery results in significant rejuvenation in each of these areas by removal of excess skin and repositioning of the muscle-connective tissue complex under the skin and fat. This increases definition of the corners of the eyes, upsweeps the lateral eyebrows, defines and increases prominence of the cheek, softens the nasolabial creases and marionette lines and increases definition of the jawline. It is often undertaken in combination with neck lift surgery to optimise aesthetic outcome.
2. Neck lift surgery
Patients typically request neck lift surgery to address:
• Excess, lax skin
• Fatty tissue under the chin
• Loss of definition of the cervico-mental angle between the neck and chin
• “Platysmal bands” (vertical lines under the neck skin)
• Prominent submandibular salivary glands under the jaw
Neck lift surgery rejuvenates each of these areas by removal of excess lax skin, removal of the fatty tissue under the chin, creation of an acute cervico-mental angle and management of platysmal bands and submandibular salivary glands.
The decision to undergo facelift and neck lift surgery is significant and adjustment to change in appearance needs be considered in addition to the process of post-operative recovery.
The aim of such a consultation is to ascertain patient expectations and to identify potential limitations to achieving those expectations such as skin quality and excess, facial skeletal structure, facial projection and proportions of the upper, middle and lower thirds of the face and neck. The Surgeon will discuss with you surgical management options for each of these elements. Issues for consideration may include:
1. Management of the upper face
Rejuvenation of the changes of upper facial aging include addressing forehead creases, frown lines and crows feet with injectables or lipofill and can be considered in isolation or in combination with surgical rejuvenation of the temporal and lateral eyebrow complex.
2. Management of the mid face
Rejuvenation of the changes of mid facial aging by removal of excess skin, repositioning of underlying soft tissue structures and the use of skeletal augmentation / lipofill techniques will be considered.
3. Management of the lower face and neck
Rejuvenation of the changes of lower facial/neck aging by addressing jowls, marionette lines, excess neck skin, platysmal (vertical) bands and fatty tissue under the chin will be considered.You will be advised regarding the impact each of these elements will have on your desired aesthetic outcome. Available treatment options, the degree of surgery required to achieve your aims, potential difficulties, controversies and the relative merits of various surgical techniques as applicable to you will be discussed, in conjunction with the extent of surgery which can be safely performed. You will have access to pre and post-operative images to illustrate the potential aesthetic outcomes achievable.
Our doctors will explain the details of your surgery and all of the information about the procedure you have selected.
You will also have an opportunity to review before and after photographs of their patients’ results in their areas of expertise.
Your Surgeon will provide general information on treatments, hospital costs and incidental fees. Pre and post-operative information and a written quote will be provided to you in your consultation.