Each face is unique and inherently beautiful. Natural changes in the appearance of the face affect us differently. 

 

Our faces would naturally change with time. These changes are unique to each individual, but there are certain patterns of change which we all have in common. Most people would tend to lose elasticity of the skin and the volume of the face which causes sagging and loss of natural fatty compartments in the face. These changes affect different individuals differently particularly in terms of a degree of change and a specific area of the face. 

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Factors that contribute to the changes in the appearance include stress, environment, gravity, sun-damage, genetics, skin type and aging. 

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Modern procedures to rejuvenate the face are designed to restore the natural look as opposed to produce 'windswept' unnatural look. There are number of procedures ranging from minimally invasive to more extensive which aim to reposition the structures and support to the face and redrape the skin. They are often combined with structural fat grafting aiming to restore the volume and rejuvenated appearance of the face. 

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Facelifts will not address fine lines or pigmentation changes to the face. 

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What to expect from the consultation

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During the consultation, you will be asked about which areas of the face bother you and in what way as well as anything else related to the appearance of the face that you feel is important to you. This will help the doctor to understand your expectations and determine whether they can realistically be achieved. You could be a good candidate for surgery if you are in good physical and mental health and have reasonable expectations. You will be asked about your medical history, previous surgery and non-surgical treatments, medications, allergies, smoking and family history. Your face will be examined and evaluated carefully including examination of facial expressions. Medical photographs might be taken as well. 

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What does the surgery entail

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Procedures are individual to the patient. Incisions are usually hidden on the side of the face by the ear and sometimes behind the ear as well. If structural fat grafting is required, minimal liposuction would be necessary to obtain fat grafts. Fat grafts are usually taken from flanks or hips. 

 

Certain type of facelifts can be carried out under local anaesthetic. However, most facelifts usually require general anaesthetic. You might need to stay in the hospital overnight depending on the type of facial cosmetic surgery you are having. Stitches will need to be removed in approximately a week. Swelling and bruising is relatively normal after surgery and settles down within a couple of weeks.

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Recovery takes 4-6 weeks depending on the procedure. ​You would require a nurse appointment a week after surgery and a consultant appointments 4-6 weeks after surgery or earlier if required.  ​

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The procedure, alternatives, implications and risks will be discussed in detail during the consultation and summarised in the letter. Second consultation before committing to the procedure would also be required to go over things and have the opportunity to address any questions or concerns. Cooling off period would always be required. 

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