Facial Cosmetic Surgery


With age, the effects of gravity, exposure to the sun, and the stresses of daily life can be seen in our faces, with changes in its deep structures.

The aging face not only loses skin elasticity and develops looser droopy skin, but also loses fat and muscle tone.

There is a downward descent of the facial fat and skin, which comes to rest at natural places in the face, such as the creases by the nose and mouth, along the jaw line, and in the neck.

Changes in the neck and eyes also occur, including the accumulation of fat and loose skin.

A facelift [rhytidectomy] can't stop this aging process but it can "set back the clock," improving the most visible signs of aging by removing excess fat, tightening underlying muscles, and redraping the skin of your face and neck.

By repairing muscles and restoring the underlying structures, patients can achieve a refreshed look without exaggerated skin tightness.

A face lift does not get rid of skin wrinkles. Skin treatments such as chemical peels, microdermabrasion or laser resurfacing improve skin quality and can be performed before or after a face lift.

For cosmetic surgery purposes the face is divided into 3 zones.

The goal of facial surgery should be to restore the facial structures to a natural, more youthful position. Discrete placement of incisions following the natural curves of the ear blend easily and do not attract visual attention.
The procedures used depend upon age, skin condition and facial area.


Upper Face


Mid Face


Lower Face

The majority of work is performed on the structures beneath the skin, with each layer adjusted back to their natural proper position such that the natural shape and the curves of the face are restored. Following this, excess stretched skin is removed and the skin is gently redraped over the face.


Quick Fix Face Lifts

In these procedures, only the skin is stretched, no underlying tissue replacement is done. This results in distortion of facial features and a pulled, mask-like appearance. The face is flattened but not rejuvenated.These "skin-only" face lifts are of very short duration and should be avoided.

A facelift can be done alone, or in conjunction with other procedures such as a chemical peels, implants, dermal fillers, Botox, forehead lift, eyelid surgery, or nose reshaping.


Face Lift Procedure

Most procedures are performed in an outpatient setting.

  1. An incision is made starting in the hair or hairline above and in front of the ear (the temporal region), extended downward in front of the ear, under the ear and then upward behind the ear ending in the hair or hairline behind the ear.
  2. The skin and fatty tissues is lifted off the underlying muscle and tissue as far forward as is necessary to correct the loose skin problem.
  3. The underlying muscle and tissue can be tightened with sutures if the surgeon feels it is necessary.
  4. The skin is pulled back and upward and the excess skin removed.
  5. The opening is closed with sutures and skin staples.
  6. A drain often placed in the wound to remove excess blood.
  7. Bandages are applied.


After Care

  • Dressings are removed after approximately 3-5 days.
  • Recovery time is usually one week but activities can begin the day after surgery.
  • Pain and discomfort are usually minimal.



These may include:

  • Bleeding, haematoma, bruising
  • Infection
  • Temporary loss of muscle function or sensation
  • Widened or thickened scar
  • Loss of hair around the incision site
  • Asymmetry between two sides
  • Skin necrosis


Face Lift Results

A face lift results in an overall more youthful appearance, and is generally very satisfying to patients. The effects last about 10 years, when repeat procedures may be carried out.