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Aesthetic Procedures: Face

Aesthetic Procedures: Face

Aesthetic Procedures: Face


Facial Fat Grafting
The most powerful means of facial rejuvenation is via a surgical facelift. This is performed through incisions just in front of and behind the ear. Through this incision, the structures of the face including the skin, muscle, ligaments, and the all-important superficial musculo-aponeurotic system (SMAS) layer of the face can be clearly accessed. Excess skin can be excised using this incision and the scar will be well hidden. Several adjunctive techniques can be used and can vary depending on the intended outcome. These include suture techniques such as SMAS plication or the MACS lift.

Dr Adrian prefers sturdier SMAS modifications to achieve lasting results, such as the lateral SMASectomy to shape the lower face, or the high-SMAS/deep-plane facelift to address ageing of the mid and lower face. Whilst these are slightly more complex procedures, with the proper knowledge and techniques, they are safe and can achieve more lasting, satisfactory results.

How is a surgical facelift performed?

The facelift is performed under local anaesthesia with sedation or general anaesthesia. Depending on the extent of facelift required and whether the neck is to be addressed, a short-scar (mini-facelift) or full facelift (scar extending to behind the ear and the hairline) can be performed. The skin is dissected appropriately to enable visualization of the facial structures that need modification. Closure would involve excising any excess skin and carefully suturing the wound to give a smooth, natural look without an obvious scar.

What to expect after a surgical facelift

This procedure is usually performed as day surgery. Slight pain, bruising, and swelling are to be expected and usually resolved in a couple of weeks. Sutures are removed 1 week after the procedure. Other complications such as hematoma and nerve damage are exceedingly rare. Your surgeon will discuss the procedure and potential complications in more detail at your consult.

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