What is a facelift?

A face and neck lift, also known as rhytidectomy, is a surgical procedure designed to restore a more youthful appearance by addressing sagging skin, deep creases, and loss of definition in the face and neck. It is one of the most effective procedures for facial rejuvenation and is often tailored to meet individual goals and anatomy.

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What are the different types of facelift:

There are several types of face and neck lifts, varying in extent and technique:

• Full (traditional) facelift: This procedure addresses the lower two-thirds of the face and the neck. It involves tightening the underlying facial muscles (SMAS layer), removing or repositioning excess fat, and redraping the skin for a smoother, firmer appearance.
• Mini facelift: A less invasive procedure targeting mild to moderate jowling and skin laxity, typically involving shorter incisions and a quicker recovery time. It is suited to patients with early signs of aging.
• Neck lift: Focuses on the neck area, addressing loose skin, vertical banding, and excess fat beneath the chin. It is often combined with a facelift for comprehensive rejuvenation.

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What the procedure involves:

Facelift and neck lift surgery is generally performed under general anaesthetic in a fully accredited hospital or surgical facility. In some cases, smaller procedures (e.g., mini facelift) may be done under local anaesthetic with sedation.

The surgeon makes incisions around the ears, and sometimes under the chin, to access the underlying tissue. The SMAS (superficial musculoaponeurotic system) layer is lifted and repositioned to restore facial structure and support. Excess skin is then removed, and the incisions are carefully closed to minimise visible scarring.

Ancillary procedures may be performed at the same time to enhance results, including:

• Fat grafting: Transfer of your own fat (often from the abdomen or thighs) to areas of volume loss such as the cheeks or nasolabial folds.
• Blepharoplasty (eyelid surgery): Removal or repositioning of excess skin and fat from the upper and/or lower eyelids to address puffiness or drooping.

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What to expect after surgery:

After surgery, you will be monitored in a recovery area and may stay overnight in hospital depending on the extent of your procedure. Bandages and a supportive facial garment are often applied to reduce swelling and support healing.

Common post-operative experiences include swelling, bruising, tightness, numbness, and mild discomfort. These symptoms usually peak within the first few days and improve significantly over 2–3 weeks. Pain is generally well controlled with prescribed medication. Stitches are typically removed after 5–10 days.

Most patients can return to light daily activities within 2 weeks, though full recovery may take several weeks. Strenuous activities and heavy lifting should be avoided for at least 4–6 weeks. Swelling may persist subtly for several months, and final results are usually appreciated around 3–6 months post-surgery.

A facelift or neck lift will rejuvenate the face, but it does not stop the natural aging process or change the fundamental structure of your face. It is not designed to treat superficial skin changes such as pigmentation or fine wrinkles—these may require additional skin treatments.

The goal is a refreshed, natural appearance not an over-pulled or artificial look. Most patients appear noticeably more youthful and rested, but the best results come from realistic expectations and a clear understanding of what surgery can and cannot achieve.

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