Facial Plastic Surgery (Facelift)

As skin ages, the number of collagen and elastic fibers reduce. The firmness of the skin decreases, becoming more flabby, and begins to sag. This loss of elasticity of the skin and the subcutaneous muscle tension leads to increasingly pronounced formations of folds and wrinkles on the skin’s surface, creating an “older” appearance.

In addition to the individual’s genetic predisposition for early aging, certain factors strongly influence and can accelerate the skin’s natural aging process, such as extreme weather factors, sun exposure, the consumption of alcohol, smoking, lack of rest, stress, and certain illnesses, such as liver disease, arteriosclerosis, high blood pressure, diabetes and taking certain medications over long durations.

The aim of facelift surgery is always the same: to restore a younger and more “attractive” look. There are several types of intervention: the classical facial left, the mini lift and the Silhouette lift.

Facial plastic surgery can be performed either partially, or on the whole face, in order to achieve the desired result as outlined with the plastic surgeon in the surgical plan, and can be performed under local or general anaesthetic.

The procedure is lengthy, requiring careful preparation. Generally, an incision is made at the hairline close to the temple, and behind the ear at the nape, as inconspicuously as possible. The purpose of a facelift is to tighten the facial and neck skin and remove unwanted flabby skin for a more youthful, rested look. The incisions are closed by plastic sutures and bandaged tightly.

Facial surgery is typically followed by swelling and discoloration, for which the patient must be prepared. Eye drops or cold compress on the eye area may be advised to reduce swelling.

After remaining in clinic for observation, the patient is allowed to go home with a carer, usually a friend or family member. Organizing home after care and keeping to the instructions of the plastic surgeon are the responsibilities of the patient.

After Facial Plastic Surgery

Compression bandage is applied to the head after surgery and remains for a day or two. It is rarely necessary, but occasionally the surgeon may choose to install a temporary drain into the wound behind the ear. In the case of surgery performed under general anesthetic, the Da Vinci Private Clinic requires the patient to remain in clinic for an additional night for observation, however this is also suggested after surgery using local anesthetic.

Hemorrhage may occur on and around the face, which fades within 2 to 3 weeks. The compression bandage is removed after a week, and the sutures are removed after two weeks. The desired result following a facelift will begin to be noticeable six weeks later.

  • It is not required that hair along the incision line be shaved before surgery, but the day before and immediately before surgery a thorough antiseptic wash is required.
  • Hair can be washed 5 to 6 days after surgery, and about three weeks later makeup can be applied. It is advisable to sleep with extra pillows so as to diminish movement in sleep, and to eat pulpy, easily digestive food for 2 to 3 days following surgery.
  • Any activity that causes plethora (flushing) of the face is contraindicated, and certain seemingly “harmless” activities should be avoided, such as strain, sunbathing, saunas, hot or strongly seasoned food, and the consumption of alcohol or strenuous physical activity.
  • The use of a hairdryer is contraindicated for at least 3 weeks following surgery, and sunbathing should be avoided for at least 6 weeks, and afterwards should be in moderation.

Advantages of Face/Neck Lifts: Rejuvenating, fewer wrinkles, increased self-confidence
Method of Anaesthesia: Local or general anaesthesia
Duration of Surgery: 2 to 3 hours
Duration of Clinical In-patient Treatment: Outpatient or one night in-patient observation
Wearing of Bandage or Compression Headband: 10 to 14 days following surgery
Suture Removal: 7 to 10 days following surgery
Return to Work: About 10 to 14 days following surgery

Facelift – MACS-lift

In addition to the “classic” facelifts, the Da Vinci Private Clinic can also offer advanced, highly modern techniques such as the MACS-lift (also known as the “Tonnard” lift), to modify facial aesthetic while avoiding the “unnatural” look that has been sometimes associated with traditional facelift techniques.

The duration in surgery is less, and the incisions are smaller compared to other facelift techniques. In a MACS-lift, not only are the top layers of the skin lifted and tightened but the deeper layers are lifted as well. As a result, the after-effects are longer-lasting and the risk of damage to the facial nerves is lessened. The surgery is performed under general anesthesia and only a few days of post-operative observation are required.

The MACS-lift may be a preferred course of treatment if the laxity of the patient’s facial or neck skin is significant, if muscle tone has weakened, if the mouth wrinkles and nasolabial sulcus have deepened, or if pronounced facial and neck wrinkles can be seen. The MACS-lift can also be preferred if the facial and neck counters have changed, or if the patient feels when looking in the mirror that tired and sad facial features have “developed”.

The Results of a MACS-lift

MACS-lifts surgically restore the face and neck to their youthful, rested natural contours, and are generally suggested as a less invasive alternative to other facelift techniques, leaving behind smaller scars. By “pulling threads”, the MACS-lift tightens the loose skin on the neck, chin and face, and tenses the deep tissues for a natural, younger-looking effect.