Face Lift

A face lift is the most efficient way to reverse the effects of aging and gravity on the mid to lower face. The resultant tightening and firming the cheeks and chin improve the contour of the face.

How can this procedure help me?

By removing excess skin and repositioning fat and muscle upward, the procedure reduces jowls, elevates the cheeks and eliminates wrinkles and sagging. The result is a firmer, fresher facial appearance.

What can I expect in the consultation process?

The first step when you are considering a face lift is a consultation with Dr. Arianayagam. You should frankly discuss your goals and expectations at this consultation.

Dr. Arianayagam will ask you a variety of questions about your current health situation, medications, allergies and any past medical treatments. He will carefully examine your face and take measurements. He will then discuss the options available and his recommendations.

Ideally, a second consultation is had a week or two later to give you the opportunity to come back with more questions and to confirm your decision.

What does the procedure involve?

Dr. Arianayagam prefers the MACS Lift (Minimal Access/Cranial Suspension). This revolutionary procedure uses a much smaller incision and has a much faster recovery time than the traditional full face lift.

With the MACS lift, an incision is made in the crease just in front of the ear, then extended upward along the hairline and downward around the earlobe.  The skin is detached from the cheeks up to the end of the cheek.  The underlying deep fascia is tightened and lifted vertically using loops of sutures.

Liposuction may be used to remove excess fat under the chin. Where additional facial volume is needed fat grafting may be used.

Once all subcutaneous structures are corrected, the skin is redraped and a small excess removed and the incision is stitched up.

The procedure is performed under general anaesthesia at Baringa Private Hospital. The procedure takes  3 hours.

Can I combine a facelift with other procedures?

A face lift is very often combined with a neck lift, forehead lift or eyelid lift. It can also be performed with rhinoplasty and other body surgery.

What is recovery like?

You should expect some bruising and swelling immediately after surgery. The worst of the swelling generally clears in the first 72 hours, but it can take 3-6 months for things to completely settle.

Usually a dressing is applied immediately after surgery and remains in place for at least 2 days.

Most patients feel comfortable returning to work after about 2 weeks. You should refrain from strenuous exercise for 4 weeks.

Will I have scars?

Any surgery will leave scars. However, because the incision is positioned along the hairline it is barely noticeable after a few months.

What complications can arise from this procedure?

As with all surgical procedures, there will always be risks such as post-operative bleeding, allergic reactions, and haematoma.

There are also some risks and complications that are specific to a face lift.

Facial Asymmetry

Very occasionally a face lift may result in facial asymmetry. It is important not to judge too quickly because it can take months for the results of your surgery to settle. However, if asymmetry remains a problem it is possible to address this with corrective surgery.

Altered Facial Sensation

Numbness after any surgery is common. This should be expected to last for several weeks or months following the procedure.

Skin Necrosis

Very rarely a face lift may result in skin necrosis, which is the death of the skin tissue. This happens when not enough blood and oxygen is supplied to the skin area. The risk of skin necrosis is significantly higher amongst smokers.

Facial Nerve Damage

Occasionally a face lift can result in damage to branches of the facial nerves. Usually this is temporary and will resolve itself in 6-12 months.

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