What is a Rhytidectomy?

A facelift or rhytidectomy is a surgical procedure to reverse the signs of aging.

As we age our skin loses elasticity and volume causing it to sag. Facial muscles and fat deposits under the skin change too. This procedure reverses the effects of aging by lifting and removing excess skin and repositioning fat deposits in the face, neck, and chin area. I perform various techniques, including the deep plane facelift.

The results of a facelift are a firmer face and neck with fewer folds, creases, and wrinkles and less sagging of cheeks and jowls.

chin augmentation


How do I plan for my facelift?2020-12-31T10:06:32+02:00

During your first consultation we will discuss your expectations so that you have a good understanding of what can be achieved and what the realistic expectations should be.

I will take photos of your face and examine the bone structure, skin texture and shape of the face. We will discuss the various facial cosmetic surgery options so that you can make an informed decision to go ahead.

What is the facelift procedure?2020-12-31T10:08:20+02:00

My “standard” facelift (deep plane rhytidectomy) involves skin excision and re-draping with a shortening of the SMAS (a tissue layer over the facial muscles). I believe the best results come from concentrating on the finer details:

  • Attention to concealing the scars
  • Attention to the ear position and occasionally reducing the earlobe size
  • Avoiding undue pulling on the mouth (the “face-lift look”)
  • Addressing the neck – this involves dealing with the platysma muscles in the neck and may be combined with conservative liposuction
  • Microfat grafting – facial ageing involves loss of facial fat. For optimum results fat frequently needs to be replaced as part of a facelift.
How should I prepare for surgery?2020-12-30T20:06:34+02:00

Before your surgery, you may be asked to stop smoking for 2 – 4 weeks prior to the procedure. Nicotine retards the healing process, and quitting for as long as possible before surgery helps improve blood flow.

You might also have to have a blood test before surgery is performed.

You should stop taking certain medication, like aspirin and some anti-inflammatory drugs. You may need to stop taking some vitamins and supplements so be sure to disclose what you are taking. Let your surgeon know whatever medication you use since you may need to adjust these. Avoid recreational drugs.

Be sure to arrange for transport to and from the clinic, since you will not be able to drive yourself after the procedure.

What can I expect after a facelift?2020-12-31T10:10:40+02:00

You can expect some bruising and swelling and discomfort. Drainage tubes are often used for the first 24 hours, to remove fluid and some blood, as well as cold compresses.

Keep the dressing dry for at least 48 hours. The stitches along the incision lines will dissolve on their own. Avoid hot baths, hot tubs for about 6 weeks. Swimming is generally fine after 2 – 3 weeks. Sleep with your head elevated for the first few nights.

Expect to return to work within 1 – 2 weeks and gradually return to normal activities within 4 – 6 weeks. Take it slowly to build back up to your original strength and fitness regime.

Eat soft foods for the first few days after surgery. I will give you a full list of what you can and can’t do as well as when and how to ease into your normal activities.

What are the risks of a facelift?2021-04-26T14:52:21+02:00

With any surgery, there is a (low) risk of post-operative infection, bleeding and swelling.

More rare complications can include blood collecting under the skin (haematoma), facial nerve injury and numbness (usually temporary), hair loss near the incision, raised scarring, skin discolouration and skin loss due to interrupted blood supply.

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Enhancing your appearance can have wonderful positive effects on your self-esteem, confidence and happiness.
It’s an empowering decision that is yours to make, and we are here to help you reach that dream.



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