Facelift is the most effective and radical management for facial skin laxity. The facial skin is lifted backwards and upwards, any skin excess is removed.
Types of Facelift
There are many ways to classify facelift. It can be simply divided into full-facelift (long scar) or mini-facelift (short scar). When the facelift is extended upwards, it can include a temporal lift. When extended downwards, it incorporates a necklift. The scar is sited in just front of the ears and may extend backwards behind the ears to provide lifting to the neck.
Endotine facelift is done via small incisions in the hairline. Endotine fixation devices are inserted. They are absorbable strips which bear small claws to lift up the cheek, jowl and neck. They are absorbed in about 3-6 months. Endotine lifting is suited for patients who do not have significant skin excess.
The facelift procedure can be done under sedation or general anaesthesia.
Face lift can be combined with “double eyelid surgery ( incisional blepharoplasty )“, “Fat grafting to the face”, and “laser skin resurfacing” for skin rejuvenation and skin tightening.
Fat transfer to the face is commonly done during a facelift.
Fat is harvested from the abdomen or thighs. It is injected after processing into the cheeks for volume augmentation and to further improve the nasolabial fold, nasojugal fold and Marionette lines.
Erbium Yag Profractional laser skin resurfacing is another commonly combined procedure. This tightens the skin and improves the texture of the aged skin left behind after the face and neck lift.
Post surgical bruising may last for up to 2 weeks. Sutures are removed after a week.
The scar and recovery period for a mini-facelift is slightly shorter due to less dissection involved.