As recently as the early 1980’s, the only operation that the plastic surgeon had to offer was the “standard” facelift. This was a one-dimensional operation- a simple tightening of the skin by removing the excess skin. Today, more attention is given to the deeper layers of the face which, like the skin, are affected by age and gravity. These multi-level procedures require less pulling on the skin, providing natural, less “surgical” and longer lasting results. Even in the limited incision procedures attention to correction of these layers is made.
A limited incision facelift is generally performed as a day procedure at Shire Cosmetic Medicine Clinic or at a day hospital facility. It may be combined with other procedures, such as cosmetic eyelid surgery and/or a brow lift. Before anesthesia is given, a detailed “map” of the skin and/or fat to be removed or replaced is drawn on your skin using a special marking pen.
After anesthesia is given, incisions are made in concealed areas of the scalp and around the cartilages of the ear. A small incision may also be made under the chin if liposuction is to be undertaken. The skin is elevated from the fat and muscle below. Fat may be trimmed or suctioned from around the neck and chin to improve the contour. The underlying muscles and fascia are tightened. The skin is pulled back, and the excess is removed. Great care is taken to avoid a “pulled” appearance or a change in your natural expression. Platelet-Rich Plasma (PRP) and/or fibrin glue may be applied to encourage healing and reduce bruising. These can be discussed with Dr Evans preoperatively. A surgical drain to evacuate bloodclot is used uncommonly. The incisions are then closed with fine stitches.
At the completion of the surgery, a bandage of cotton and linen is applied to your face and neck and a special elastic face helmet fitted. The operation usually takes between 2 and 4 hours. Local anaesthetic as well as systemic pain relief are given to reduce discomfort.