WHAT IS A FACELIFT | NECK LIFT SURGERY?
A facelift, also known as meloplasty or rhytidectomy, is a surgical procedure that tightens and removes sagging skin on the face and neck. Facial muscles may be surgically tightened to improve tone. Excess fat may also be removed or repositioned as part of the surgery.
Most facelifts are performed for people aged between 40 and 65, but older people can also have facelifts.
You may be a good candidate for a facelift if:
- You have sagging skin in your midface and/or jawline
- You have deep creases extending from your nose to the corners of your mouth (nasolabial folds)
- You have lines extending from each corner of your mouth down your chin (marionette lines)
- You have facial fat (volume) that has fallen or is displaced
- You have sagging and loss of muscle tone in the lower face, resulting in jowls
- You have a double chin, resulting from loose skin and excess fatty deposits under the chin and jaw
- You have creased and sagging skin in your neck
THE SURGICAL PROCEDURE
Facelift surgery is performed under a general anaesthetic. The length of the operation will depend on the type and extent of the surgery but could take 2 to 4 hours.
For the majority of facelifts performed, incisions begin just above the temple in the hairline and end behind the ear. The skin is lifted away from the underlying tissues, muscles are tightened and fat is removed. The length and placement of the surgical incision will be different for everyone. It is dependent on factors like how toned the skin is and how much is being corrected.
Facelift surgery is performed at Lingard Private Hospital. You will stay overnight and will be discharged the following morning.
While a facelift should make you look younger, it will not raise sagging eyebrows, remove deep frown lines in the forehead, change your upper or lower eyelids, or get rid of wrinkles around the mouth. Other forms of treatment may be more appropriate for you. Facelift surgery does not stop the ageing process, the normal ageing process will continue after the surgery.
A facelift may also be combined with other surgical procedures such as eyelid, brow lift surgery or rhinoplasty.
RECOVERY & HEALING
You will be required to wear a facial compression garment for 3 weeks to minimise swelling and bruising. You can be back to light work as early as 2 weeks following the procedure.
The results of a facelift usually last between 5 and 12 years.
BENEFITS OF A FACELIFT/NECK LIFT
- Improved facial contours, giving you a smoother, more youthful appearance
- Tighter skin
- Realign plastsyma bands
- Help eliminate a double chin
MEDICARE CRITERIA
Facelift surgery is considered a cosmetic procedure, as such, there is no rebate from Medicare or your health fund. In some patients experiencing facial palsy or post-traumatic injuries a medicare rebate may apply.
With any procedure you choose to undergo, potential risks and complications can occur, and it is vital to understand them before deciding on surgery.
Some possible complications and risks associated with facelift/neck lift surgery may include:
- Heavy bleeding from the operated site
- Wound infection (treatment with antibiotics may be needed)
- Allergic reaction to sutures, dressings or antiseptic solutions
- The formation of a large blood clot (haematoma) beneath an incision site may require further surgery
- Pain, bruising and swelling around the operated site(s)
- Keloids and hypertrophic scars that are raised, red and thickened scars that may form over the healed incisions. These may be itchy, annoying and unsightly but are not a threat to health
- Slow healing, often related to smoking or diabetes
- Separation of wound edges
- Short-term nausea following general anaesthesia and other risks related to anaesthesia
Specific risks and complications associated with facelift/neck lift surgery include:
- Hair loss around the scars, this is usually temporary but sometimes may be permanent
- Loss of skin due to impaired blood supply. This may require a skin graft
- Bruising and swelling
- Numbness around operated sites. In most cases, this is temporary and will improve over many months
- Deformity of the earlobe
- Slight difference in appearance between the right and left side of the face
- Damage to the facial nerve, which occurs in about one in every one hundred patients. It can result in partial loss of movement and a “lopsided” appearance of the face. In rare cases, the damage may be permanent
- Revisional surgery may be necessary to correct complications
Dr Kirstin Miteff will go into more depth about the associated risks and complications during your consultation.