Posted by Dr. Julian De Silva | January 20th, 2022
Knowing what is a facelift and what it does helps you make an informed decision about getting the treatment.
If you have been bothered by sagging and wrinkly skin, you most likely came across surgical facelift treatments. You also likely asked, “What is a facelift?”.
As its name suggests, a facelift is a procedure that lifts your face. But how exactly does a face lift procedure do this? How do you find the best plastic surgeon to perform the treatment?
In this article, I will talk about different facelift types you can choose from. I will also answer the most frequently asked questions about facelifts and how you can choose the best facelift surgeon.
Knowing what is a facelift and the types you can choose from lets you properly decide which treatment to have.
Here are the different types of facelifts:
1. Signature Deep Plane Facelift
As the most advanced type of face lift procedure, this requires immense knowledge of the facial structure. Therefore, this procedure is only performed by less than 5% of plastic surgeons in the world.
This facelift procedure was personally developed by me, Dr. Julian De Silva. I tailored this procedure based on my vast experience and extensive research regarding facial enhancement. Additionally, this procedure takes into account the Golden Ratio.
The Golden Ratio concerns the position of the eyes, nose, and chin. This is the basis for an ideal face, which should measure 1.618 from each of the mentioned parts.
The closer the measures are to 1.618, the more ideal the face is.
2. Skin-Only Facelift
A skin-only facelift is a type of face lift procedure that only involves the skin. It does not involve the tissues underneath.
This type of facelift technique is traditional, which a lot of patients prefer. A skin-only facelift does not manipulate the muscles underneath the face.
A skin-only facelift is mostly done on younger patients. Since aging hasn’t affected them much yet, the procedure allows these patients to effectively slow down the signs of aging.
This facelift procedure also produces rapid results. This satisfies the patients, especially those who want immediate effects. Additionally, a skin-only facelift barely induces pain. Its recovery is also not as complicated and long as the other types of facelift procedures.
While its results can last for four to five years, the exact duration depends on one’s body, as the skin can easily stretch.
3. SMAS Facelift
SMAS stands for superficial muscular aponeurotic system. Hence, this kind of facelift targets the mentioned system.
The SMAS is found underneath the skin and subcutaneous tissue. It is one of the most essential structures for the face. Therefore, having it adjusted can improve someone’s appearance.
With age, the SMAS becomes less elastic. Thus, sagging of the cheeks, flashy jowls, and double chin can occur. Cheek fat can also cause your smile lines to become more prominent.
An SMAS facelift counters these issues. This procedure can tighten loose muscles, trim excess skin, and eliminate excess fat.
Specifically, SMAS facelift addresses the following:
SMAS facelift is ideal for patients experiencing any of the things mentioned. Patients who are 50 years old and above, are considered to be great candidates. Nonetheless, their skin should still have elasticity left in it.
4. Mini Facelift
Mini facelifts in London are a type of facelift involving small incisions. Also, it provides a more revitalized look. However, the results of a mini facelift are less dramatic compared to a traditional facelift.
This type of facelift mainly targets the lower half of the face and uses small incisions around the hairline.
During this procedure, excess skin is also removed. This allows the skin to appear tighter. It can also reduce the appearance of wrinkles.
On some occasions, other procedures are done with a mini facelift. This helps maximise the results since mini facelifts only cover the lower half of the face.
If the patient prefers minimal skin removal, this procedure becomes the perfect fit. Although this is not as invasive as the traditional facelift, a mini facelift is still a major procedure. Thus, patients must still consider the risks and benefits entailed in this procedure.
This type of facelift procedure was named after the s-shape incision it uses. This is a more traditional facelift. Thus, it involves fewer risks and minimal recovery time.
This type of facelift also involves the removal of skin from the midface and folding of SMAS.
Specifically, the S-shaped incision used in this procedure starts from the hairline, then continues to the front and the back of the ear.
After the doctor creates the incision, facial tissues will be repositioned and excess fat and skin will be removed.
Here are the most common advantages of an S-lift:
This type of facelift is also ideal for younger patients. However, it can also be performed on older patients who want to have it.
6. MACS Facelift
MACS facelift, or also known as minimal access cranial suspension facelift, is a type of facelift that targets the underlying muscles of the face.
During a MACS facelift, an incision is made from the hairline, down to the front of the ears. The facial muscles are then tightened. Occasionally, the doctor separates the skin from the soft tissue. Some skin has to be removed at times as well.
This type of procedure is ideal for those experiencing early facial aging. Also, it works great for those who experience minimal sagging on their face.
In this section, I address the most frequently asked questions about facelifts.
You must know what is a facelift and the answers to the most asked questions about it.
1. How are facelifts performed?
For traditional facelifts, an incision is made behind and slightly in front of the ears. The skin is lifted from the underlying facial muscles and tissues. The facial skin is then tightened. Next, the surgeon removes the excess skin before closing the incisions. Bandages will be applied on the face after the surgery.
2. How would I know if I’m an excellent candidate for a facelift?
Facelift surgery varies for each patient. In general, the best candidates for facelift surgery are healthy adults who are suffering from signs of aging such as fine lines, wrinkles, and sagging skin.
3. How long will my facelift last?
Usually, the results of a facelift procedure last for several years. Some patients choose to have the procedure repeated, while others feel that they don’t need any more procedures. In some cases, a facelift can last up to a lifetime.
Genetics and lifestyle choices also play big roles in the longevity of the facelift’s result on the patient’s face.
4. How long does a surgical facelift UK take?
You should know what is a facelift and how long the procedure takes.
5. How long is the recovery period?
For the most part, it will take 2-3 weeks to recover, as the swelling gradually subsides. After the surgery, you must rest well and the final result can be as long as 12months. You should also not do strenuous activities. Medications will be prescribed for swelling and pain management.
6. Are facelifts safe?
Every surgery has risks entailed to it. Hence, it is vital to choose your plastic surgeon wisely. The surgeon who will perform your surgery should be reputable and well-experienced.
Before the surgery, a competent and skilled surgeon will provide you with information during the consultation, such as health risks, benefits, preoperative and post-operative care, and costs.
Any underlying health condition that you might have might prompt the surgeon to tell you not to undergo the procedure. The surgeon will also explain to you the risks that come with your surgery so that you can make an appropriate decision whether the risks are worth the try.
7. What is the appropriate age to get a facelift?
Usually, the best candidate for a facelift is a person in their late 40s to 50s. However, this can vary in each individual.
Anyone with poor skin elasticity, sagging skin, jowl, and the like, is a fit candidate for a facelift procedure. If signs of aging bother you, a consultation with a board-certified plastic surgeon should help find a solution for your facial rejuvenation needs.
8. What other procedures can I have with a facelift?
You should know what is a facelift and what other procedures you can have with it.
Other procedures commonly performed along with a facelift include eye lifts, brow lifts, chin implants, lip fillers, and laser resurfacing. Additionally, dermal fillers and injectables might be an option after the surgery for a more flawless touch.
9. How will facelift results look over the long term?
If performed by an experienced, board-certified cosmetic surgeon, the procedure can achieve results that look natural not only for a while but in the long run. The results should age naturally with you.
Although the aging process is inevitable, you should always look years younger after going through the procedure, rather than not having the surgery.
However, there are certain things that you can do to maintain your results at their best. Having a healthy, stable weight is important, as significant weight fluctuations can cause your skin to stretch out again. Adopting a consistent, and quality skin regimen can also help keep your skin healthy and protected from unnecessary signs of aging.
10. Will I have visible scars from a facelift?
Facelift surgeons make incisions on areas where they are not visible and where the light does not reflect on them. During the surgery, the surgeon makes the incision inside and behind the ears. These incisions are called retro-tragal and post-tragal incisions. Additional incisions are cautiously hidden at the hairline, over the mastoid area.
You should know what is a facelift and how to choose the best plastic surgeon for the job.
There are several points that you should consider to decide whether a particular plastic surgeon is right for you. Choosing a qualified plastic surgeon is easier when you look for the following criteria:
1. Look for board certification in plastic surgery.
Any plastic surgeon that you consider to have your surgery with should be board certified. Before booking a consultation with any of the surgeons, check if they have proper credentials.
A surgeon’s credentials help determine if you can trust the surgeon. It also shows the training and qualification they had to perform a facelift on you.
2. Look at the surgeon’s artistry.
Aside from training and medical knowledge, cosmetic plastic surgery requires a touch of artistry. Since everyone’s body is unique, the best plastic surgeon for a facelift must be able to tailor the treatment to meet your goals.
Excellent plastic surgery requires the provider to be able to customise the treatment to suit your needs. Thus, you must check the surgeon’s gallery of patients and before and after photos to get an idea of his work.
During the consultation, ask for pictures, case studies, or patient testimonials. Patient reviews or testimonials typically provide real feedback from patients about their experiences with your potential surgeon.
3. Vet the facility.
You should know what is a facelift and inspect the surgeon’s facility.
Another important thing to look at when choosing a plastic surgeon is the surgeon’s facility.
Since cosmetic surgeries can generally happen outside of the hospital, you should ensure that the facility where your procedure will take place adheres to the highest standards of safety, quality, and patient care.
4. Look for someone you trust.
There is a great difference when you work with a surgeon and surgical staff that you can trust.
When you find a surgeon that you are comfortable with, you’ll feel more confident about your surgery. You will also be able to have an honest and important discussion about goals, lifestyle, overall health, and any questions or concerns that you might have.
Additionally, an excellent provider will give you a realistic recovery timeline based on your medical history, to help you with the recovery process.
5. Value the surgeon’s honesty.
Excellent surgeons will give you honest perspective, direct guidance, and the best approach to your situation with realistic results you can expect.
A surgeon who does not discuss realistic outcomes, including the pros and cons of the procedure, might not be a good candidate to have your surgery with.
Remember, your consultation is your opportunity to discuss your concerns, and ask questions about the treatments that you will have. It will also allow you to see whether the surgeon gives you honest answers and information or not.
6. Examine the surgeon’s experience.
You should know what is a facelift and assess the surgeon’s experience.
Various areas of cosmetic surgery require different skills. With that in mind, cosmetic surgeons can have subspecialties within the field. Choose a surgeon who is board-certified in cosmetic surgery and has substantial experience in performing facelifts.
7. Look for excellent customer service.
When getting a facelift, you must make sure that the staff serves and treats you well. This should be obvious the moment you step in the door of the cosmetic surgeon’s office.
Whether it’s a small center or a giant hospital, you shouldn’t feel tense or anxious― may it be from the smell, look of the place, or the staff’s personality.
Nothing is more frustrating than dealing with a grumpy, and unhelpful staff during your cosmetic surgery experience. Customer service also becomes more important during post-operative care, so you must choose a staff that can kindly assist you during recovery.
8. Get referrals.
You can ask your primary care doctor for a referral list of plastic surgeons. Another option is to ask for recommendations from your family, friends, and other healthcare providers.
You must also take the time to research the doctor’s credentials and experience. Narrow down your list, and book an appointment to meet the plastic surgeons on it.
9. Review testimonials from other patients.
Testimonials can be incredibly helpful in getting a complete picture of what your experience will be like.
Patient testimonials can give you an insight into some important factors, like how the surgeon treats the patients, how trustworthy the surgeon is, and how accommodating the office staff is.
10. Ask questions.
You should know what is a facelift and ask surgeons questions.
Go to your scheduled consultation with a list of questions for potential plastic surgeons.
An excellent and skilled plastic surgeon will also ask patients many questions. They will likely ask about your medical history, lifestyle, goals for the procedure, concerns, and much more.
11. See if the surgeon builds rapport or not.
During your consultation, be wary of red flags. An obvious but important one is a surgeon’s manner.
A consultation is a great opportunity to assess if the plastic surgeon you chose is an excellent fit. Pay attention to the surgeon’s overall demeanor. Observe how the surgeon builds rapport.
A surgeon’s mannerisms and demeanor during the consultation indicate how the surgeon will act during and after your surgery.
12. Know the technology used by the surgeon.
To accomplish excellent outcomes, surgeons should update their skills and knowledge consistently. They must also use the most innovative and proven surgical techniques and technologies available.
Facelift treatments have been around for quite some time. From wrinkles to sagging skin, a facelift can solve several skin issues. Take a look at the facelifts before and after photos of my patients and see for yourself.
If you want to know what is a facelift by talking to one of the best plastic surgeons in London, book a consultation with me now.