PROCEDURE

Facelift

As the face ages, the underlying structures undergo various changes leading to the emergence of visible signs of ageing. The skin loses its elasticity and collagen, resulting in sagging and the development of fine lines and wrinkles. 

The volume of subcutaneous fat diminishes, causing the face to lose its youthful plumpness.  This loss of volume together with the effects of gravity with time leads to deepening of the the nasolabial folds, which run from the sides of the nose to the corners of the mouth. In addition, the jawline loses its definition, leading to the formation of jowls that can result in a more square face, an older-looking face. And, lastly, the bones of the face resorb over time, further altering facial contours. Altogether, these changes contribute to a more aged appearance.

However, wrinkles, fine lines, and those dreaded crow’s feet can often feel like more than mere signs of ageing; they can become burdens, casting shadows on your confidence, making even a brief trip outside feel like a test of courage.

A facelift isn’t just a procedure—it’s a transformative experience. Unlike the fleeting promises of wonder creams and ointments plastered across the media or indeed of energy-based treatments which can temporarily tighten the skin, a facelift in London delivers a permanent and rejuvenating change. 

This minimally invasive procedure puts life back into sagging skin, erases age-telling lines, and offers a natural, more permanent solution to youthfulness by repositioning tissues to where they belong. After all, you deserve to age on your own terms, with complete confidence.

At a glance

Procedure Length:
Procedure Length:

Typically 2-5 hours

Anaesthesia:
Anaesthesia:

Typically performed under general anaesthesia, though local with sedation may also be used.

Downtime:
Downtime:

Usually 10-14 days, with full activity resumption in 4-6 weeks.

Hospital stay:
Hospital stay:

Typically an outpatient procedure, but some may require an overnight stay for observation.

Showering:
Showering:

Wait 48 hours post-surgery before showering to protect incisions.

Smoking:
Smoking:

Refrain from smoking at least 4 weeks before and 4 weeks after surgery.

Makeup:
Makeup:

Refrain from applying makeup for at least 7-10 days.

Sun exposure:
Sun exposure:

Avoid direct sun exposure for at least 6 weeks and always wear a high SPF ouside.

Driving:
Driving:

Avoid for at least 7-10 days post-surgery.

Sleeping:
Sleeping:

Sleep elevated and avoid sleeping on your side for the first few nights.

What are the benefits of a facelift?

Ageing, a process unique to each individual, is influenced by genetics, environment, and personal choices. For example, factors like significant weight loss, smoking, or pursuing an occupation that calls for long sun exposure can further alter the way we look. To combat these signs of ageing, facelifts, also known as “rhytidectomy,” have evolved to become simpler and more accessible, providing a rejuvenated and youthful appearance. Here’s a deep dive into the many benefits of a facelift:

  • Target multiple symptoms:

    Facelifts offer a comprehensive solution, addressing multiple signs of ageing simultaneously. They seamlessly tackle sagging skin, pronounced wrinkles, creases, and the notorious double chin, presenting a holistic approach to revitalising your appearance.

  • Get that “chiselled” jawline look:

    Excess skin, whether due to age or weight loss, often culminates in unsightly jowls. Facelifts rejuvenate by sculpting and tightening the jaw and upper neck regions, reinstating the definition of a strong jawline

  • Get rid of loose or sagging skin:

    Concentrations of collagen, the skin’s natural repair molecule, diminish with time. While some solutions may provide temporary relief, a facelift offers a longer-term remedy by removing excess skin and fortifying the underlying structures, producing a smooth, taut look.

  • Say goodbye to wrinkles:

    Beyond sagging, our skin becomes home to deep wrinkles as collagen depletes. Facelifts, sometimes paired with other minimally invasive cosmetic procedures, effectively diminish these deep-seated lines, especially the prominent ones around the mouth and nose.

  • Natural results:

    The objective of a modern facelift isn’t just restoration but doing so subtly. Today’s techniques ensure tightened skin and refined contours, all without the stereotypical “done” look.

What are the different types of facelift?

Each facelift technique caters to specific needs and desired outcomes. Choosing the right facelift procedure for you depends entirely on your goals and individual characteristics. Just because one type of facelift worked for one individual, doesn’t mean it’s best for you. An in-depth consultation with Mr Kshem Yapa will help you determine the best approach tailored to your individual goals and facial anatomy. The different types of facelift surgeries offered are:

 

Mini Facelift.

A less invasive alternative to a traditional facelift, the mini facelift primarily targets the lower face, addressing minor jowls and early signs of ageing. Utilising small, discreet incisions often concealed within the hairline, this procedure tightens and elevates the skin, eliminating excess tissue. Learn more about this procedure here.

 

Deep Plane Facelift.

The deep plane facelift delves beneath the skin, going beyond mere surface-level adjustments and targeting the musculoaponeurotic system (SMAS). Positioned near expressive facial muscles, the SMAS layer, when reshaped and repositioned, results in a smoother and youthful appearance. Learn more about this procedure here.

 

SMAS plication.

A SMAS plication is a technique where the SMAS is folded and subsequently sutured to create tension, essentially lifting the lower face and neck. While it might not be quite as powerful in addressing the mid-cheek region as a deep plane facelift, which operates in the sub-SMAS plane, this method is particularly safe and can be very effective in the right patient.

 

Smasectomy.

This approach involves the excision of the redundant section of the SMAS as it is lifted and tightened. After making the initial skin incision, there’s widespread undermining, often extending towards the nose, lips, and even the neck, before addressing the excess in the SMAS. Excising this excess, or occasionally transposing it to other regions, results in tighter SMAS alignment.

How is a facelift procedure carried out?

Facelift surgery is a safe procedure when carried out in the right hands. Nevertheless, as with any surgical procedure, it is not totally risk-free.

The steps to this procedure are as follows. Please bear in mind that the procedure is not the same for all types of facelifts.

  • Anaesthesia

    Prior to the surgery, an anaesthetist will first apply a mixture of medicines to help put you into a state of comfort. The nature of facial surgery typically mandates general anaesthesia, ensuring you’re in a restful state although facelifts can also be done under sedation and with the appropriate pain relief.

  • Making the incisions

    While under, Mr Kshem Yapa makes a series of discreet incisions, tailored to your desired outcome and chosen facelift variant. Standard incisions will be placed at the hairline, extending around the ear, and occasionally beneath the chin, especially if complemented by a neck lift. Strategically placed within natural contours, these incisions are designed to minimise visible scarring

  • Doing the “lift”

    Once incisions are placed, Mr Kshem Yapa will identify the most appropriate technique to follow depending on the type of facelift you have opted for and the results you hope to achieve.

  • Finalising with Sutures

    Once the SMAS layer has been tightened and elevated Mr Kshem Yapa will secure your new look in place while removing any excess skin. Occasionally but not frequently to aid healing, a drain might be introduced to prevent the build-up of fluid. The incisions are then sutured.

Side effects and recovery

The body recovers differently depending on your underlying physiology – i.e. how healthy you are, and how your body reacts to the surgery. Generally speaking, however, the recovery timeline follows a similar trend for all.

 

Immediately after the procedure, and depending on the type of facelift you have had, you will wake up with your head cosily tucked up in a bandage. This is just to help keep the surgical sites dry and safe. You may be asked to stay in the clinic overnight for observations.

 

Some patients report some discomfort or feeling of tightness for the first 48 hours after their treatment. Swelling and bruising are common, so we recommend that you sleep more upright with a few extra pillows to help swelling come down.  

 

During the first couple of weeks, you may be asked to wear a compression garment around your face. This will help relieve pressure and ease some of the pain. Be sure to avoid any heavy lifting and generally take it easy while you recover.

 

In the third and fourth weeks, you’ll notice that the swelling has gone down a considerable amount, but you may have some slight bouts of numbness here and there, which are entirely normal. 

 

From weeks six to twelve, you’ll be coming to the end of your recovery period. Mr Kshem Yapa should clear you for activities and get you back to living life, albeit with a younger look. 

 

You will be provided with a direct phone line to our experienced specialist cosmetic surgery nurse who provides an on call service 24 hrs a day, from the moment you have surgery, for any questions or concerns you may have or any other support you may need. We take pride in making sure our patients are well looked after following surgery and want you to feel well supported throughout your journey with us. 

Book your consultation

If you would like to discuss this procedure in detail and understand if it’s the right procedure for your goals, book a consultation with Mr Kshem Yapa.

CONTACT US

Get in touch today

If you would like to book a consultation with Kshem Yapa or learn a little more about our procedures and services please contact us via the form below to request a call back. We offer face-to-face consultations at our Harley Street Clinic and virtual consultations for those unable to attend our clinic.