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Facelift
Facial ageing is a complex process, but the descent of facial fat from the midface into the lower face is particularly important. Our goal through surgery is not to tighten skin, but rather to re-establish the proportions and tone of youth. We favour the "anterior SMAS plication technique" (initially described by Robbins in 1995), and our experience mirrors his description of a safe, effective, reliable procedure that provides a natural 'non-operated' appearance, 5- 10 years of effect and allows our patients a rapid recovery to normal activities. We do not recommend thread lifts, but will do the S-lift on a patient who does not have a significant problem with loose neck skin.
Caption A
Rhytidectomy patient shown before surgery with deep cheek folds, jowls and loose skin on the front and side of neck.
Caption B
Incisions are made on either side of the face from inside the hairline at the temples, in front of or partially within the ear, around the earlobe, in the crease behind the ear and into the lower scalp.
The design of these incisions may vary from patient to patient and according to the surgeon’s personal technique.
Caption C
Loose skin is pulled up and backward, and the excess is removed.
Caption D
The postoperative patient with smoother, firmer skin on the face and neck.
