Accusculpt technology uses a laser to reduce fat and in principle is similar to liposuction.
The treatment reduces fat in the neck, which may be useful for reducing fat and neck in younger patients. The technology does not benefit facial ageing that has resulted in effects of gravity or skin laxity, i.e. patients with jowls or loose skin, are not treated.
Accusculpt is marketed as a form of a facelift; however, it is not a true facelift. A true facelift involves lifting the layers beneath the skin, where gravity has resulted in jowls or deep lines in the face and removing the remaining loose skin.
Every few years there is a new non-surgical technology that promises results that avoid the need for surgery, although these techniques have a role for some patients there are limitations and cannot be used for all patients.
The risk of an Accusculpt facelift is a fast technique that results in a small improvement that lasts for a short period of months.
A surgical technique that is so fast to be completed relatively quickly can only be superficial beneath the skin, not lifting the deeper facial tissues and hence only lasts a short period.
Facelift techniques vary from mini facelifts, to complete face and neck lifting techniques, and take from 3 to 6 hours. More extensive techniques are usually required as a result of further ageing.
True facelift techniques require general anaesthesia or sedation anaesthesia, the results take several hours to complete and last for years.
The length of a neck lift will depend on the complexity of the surgery, the degree of laxity and facial ageing and patient ethnicity and sex.
On average a neck lift will take from 1 and a half to 3 hours, less than 90 minutes is a short length of time. There is a great deal of individual variation in the neck, and good surgery requires meticulous attention to detail, including measurements and time.
It is important that your surgeon takes adequate time to complete the surgery cautiously and without rushing. Combined face and neck lift takes on average 4 to 6 hours. Dr De Silva allows a minimum of 3-hours for most neck lift procedures and allows additional time to ensure the best possible result.
Dr De Silva generally limits neck lift to 4-hours as, after this time, there can be increased swelling that can affect the appearance of the neck.
In the lower face, this results in a saggy appearance to the neck with loss of the natural neck angle and descent of soft tissue below the jaw that gives rise to the jowls.
Facial cosmetic surgery rejuvenates the soft tissue descent to its site above the jawline and tightens the lax skin.
The salivary glands are located under your jawline (termed submandibular and submaxillary salivary glands) and are usually hidden behind your natural jaw and soft tissue of your neck.
In some people the glands can be lower down and create bulging in the neck, this can create a more bulbous or irregular shape and contour of your neck.
Most people who undergo facial rejuvenation with face and neck lift surgery do not require surgery on their salivary glands. In some people, as a consequence of their natural anatomy and facial ageing, the position of the glands could affect the final surgical result.
In these patient’s partial removal of the salivary glands as part of facelift surgery may be beneficial and improve the result of the surgery.
The anatomy of the salivary glands includes a very powerful blood supply. Hence surgery on the glands needs to be both cautious and reserved for when necessary to avoid the unnecessary issue from surgery.
If your salivary glands are more prominent in your neck, then partial removal of the salivary glands at the same time as facial rejuvenation surgery may improve the results of your surgery.
An assessment is required to determine your individual needs and suitability for this surgery.