Facelift & Mini-Facelift
As we age, the effects of gravity, stresses of daily life and exposure to the sun can be seen in our faces. With increasing age, the brow drops, jowls form and the skin of the neck becomes loose. Deep lines may form between the nose and corners of the mouth. The rate at which faces age varies considerably. Much of this is determined genetically, although the ageing process may be accelerated by excessive sun exposure, smoking and unhealthy lifestyles.
Facelifts are designed to reverse the signs of ageing as much as possible. In general, they involve tightening the underlying facial muscles and redraping the skin of the face and neck so that it no longer hangs in folds or creases. Facelifts may be performed alone, but are often performed in conjunction with procedures such as brow lift, blepharoplasty and fat transfer/grafting.
Facelifts are designed to reverse the signs of ageing as much as possible
There are many different types of facelift and the choice of procedure depends very much on how your individual face has aged. Most facelifts involve making an incision that extends along the front part of the ear and extends along or into the hairline for variable distances.
At 152 Harley Street, Facelift surgery is carried out under Local Anaesthetic & Sedation in our state-of-the-art day case theatre. You will be able to leave shortly after your procedure, but still receive the same thorough and excellent aftercare that you would expect with a general anaesthetic. For those living outside of London, we are able to personally arrange for you to stay in our partner hotel in Marylebone, just a few minutes from 152 Harley Street.
Before your surgery it will be necessary to draw some lines on the face in order to help produce a symmetrical and pleasing result whilst you are asleep.
Whilst you are under sedation, the hair is parted and held in position with hair gel. It is not necessary to shave any hair during surgery. The incisions are made around the ear and generally extend into the scalp. The facelift is performed through this incision. Stitches are used to close the incisions infront of the ear and occasionally metal clips are used in the scalp, because unlike normal sutures they tend not to interfere with hair growth.
A special face and neck dressing is placed to apply gentle pressure to the lifted areas.
All surgery carries some risks. A facelift is usually a very straightforward procedure. There is a small risk of haematoma formation (a collection of blood under the skin that must be removed). Injury to nerves that control the facial muscles can rarely occur, and if it does happen the effects are usually temporary. There is a small risk of infection and poor healing of the scars. These complications are much more common in smokers.
AFTER YOUR SURGERY
Following your procedure, you will be nursed in a semi-sitting position, which helps to reduce swelling.
Facelifts are generally not painful. Most people complain of a feeling of numbness over the cheeks, a sensation of tightness in the face and neck skin. The day after your surgery, the dressings are removed and your hair will be washed by our nurses before going home.
At home, it is helpful to rest and sleep with 3 to 4 pillows for the first week after surgery, in order to encourage the swelling to subside as quickly as possible.
Swelling tends to increase for approximately 48 hours after surgery and then gradually subsides. In the first week, you may notice an increasing amount of bruising in the lower part of the face and neck.
The stitches in front of the ear are removed one week after surgery. Metal clips are placed in the hairline and it is often two weeks before these are removed.
There is often a feeling of tightness in the cheek and neck which may last for 6-8 weeks. The cheeks often feel numb, particularly in front of the ears and this feeling of numbness may last for about 3 months.