Facelift

A facelift (rhytidectomy) is cosmetic surgery to lift up and pull back the skin on the face to make the face look tighter and smoother.

The procedure is designed to reduce loose skin around the lower half of the face (mainly the jowls) and neck.

If you're thinking of getting a facelift, be absolutely sure about your reasons for wanting a facelift and do not rush into it. The procedure can be expensive, the results cannot be guaranteed, and there are risks.

What does it involve?

A facelift is usually carried out under general anaesthetic. It may sometimes be performed using a local anaesthetic and sedation.

There are many different kinds of facelift, but generally the surgeon will:

◆ Make cuts (incisions) above the hairline at the temples that extend down in front of your ear, underneath your earlobe and behind the ear
◆ Make cuts under the chin if the jawline is also being lifted
remove the surplus facial skin
◆ Pull the remaining skin backwards and upwards before stitching it into its new position
◆sometimes redistribute facial fat and tissue or add fat to the face
◆ Bandage the face to minimise bruising and swelling

It usually takes 2 to 3 hours, and most people need to stay in hospital overnight.

Pain relief is provided if you experience any discomfort afterwards.

Recovery

It takes about 2 to 4 weeks to fully recover from a facelift. You need to take this time off work.

Bruising is visible for at least 2 weeks. It could take up to 6 to 9 months to see the full effect of the facelift.

You will not be able to drive for a number of days after the operation – your surgeon would advise about this.

You will have to avoid showering and getting the bandages wet for the first 2 days, and avoid strenuous activity, saunas and massages for at least 2 weeks.

You also need to keep your head propped up with pillows for a couple of days while resting to reduce the swelling.

After about 7 to 14 days: stitches are removed (unless you had dissolvable stitches).

After several weeks: bruises, scars and changes to your skin colour should have faded.

After 6 to 9 months: you should be able to see the final results of the facelift.

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