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Facelift Surgery, Cheshire

A facelift (Rhytidectomy) is a surgical procedure designed to smooth and firm the skin of the cheeks and neck, providing a fresh, youthful appearance. Throughout life skin progressively loses its elasticity and stress, gravity and other factors cause it to sag and fit more loosely.

Areas of the face and neck in particular around the jowl and jaw line are especially prone to the ageing process. Though these changes are gradual, wrinkles and other signs of ageing can make individuals feel older than they really are.

Douglas McGeorge provides a type of facelift surgery which involves the lifting and realignment of facial and neck skin, usually by lifting the deeper layers of the face and neck.

Gone are the days of pulling hard on the skin, giving patients that windswept look. Surgery should leave a natural appearance. Facelifting is often performed in combination with other facial cosmetic procedures, particularly eyelid surgery.

It can be performed any time signs of ageing begin to appear, however, patients are generally in their forties or older when they elect to undergo treatment.

General Procedure

Facelift surgery is usually carried out under a general anaesthetic and most patients will spend one night in hospital. The skin of the cheeks and neck is undermined, and lifted upwards and backwards, with the excess being removed.

It leaves scars which are placed, to minimise their impact, down from the temple, either in or at the front edge of the hairline, around the ear and then back into the hairline behind the ear.

The length of the scar required is determined by the amount of tissue removed. With younger patients and less skin laxity some of the incision behind the ear can be avoided.

Importantly, modern face lifting involves lifting of the deeper layers, which, being more fibrous, give a better quality of lift and a longer lasting lift. Skin is then simply re-draped to give a more natural result. There are several different facelift techniques that can be employed.

Sometimes an incision is required underneath the chin to allow tightening of the muscles at the front of the neck or removal of prominent fat pads. Sometimes liposuction is used and sometimes volume augmentation is required.

Recovery Process

Immediately after facelift surgery patients are nursed upright, overnight to minimise swelling. Drains may be placed under the skin around the ear to reduce the chance of collections of blood, (haematomas), but there will be some bruising.

Most patients are able to go home on the first post-operative day after a shower and hair wash. Stitches in front of the ear are removed after 5 days and any sutures and clips behind the ear are removed 5-7 days later. Swelling usually lasts about 5-6 days and bruising takes around 14 days to resolve.

Make up can often disguise the bruising from 10-14 days. Most patients have returned to normal day to day activities by 3 weeks, but the neck and cheek tissues will feel stiff for some weeks and numb for a number of months. Impact exercise is best avoided for 4-5 weeks.

Limitations and Complications

Complications are uncommon after facelifting. Infection is rare. Haematomas are unusual and may require drainage to speed up the healing process. The skin of the face and neck is undermined and pulled up leaving scars. These usually settle well.

As modern facelifting techniques involve putting the tension on deeper layers, wound healing problems are uncommon. In lifting the deeper layers there is always a risk of damaging branches of the nerve that works the muscles of the face.

This is very rare. As skin loses its elasticity with age, some laxity of the neck skin may remain as the tissues settle. The neck skin has to allow elevation of the head: Surgery removes the excess.

Listed below are the range of services that we can complete on the face: