Overview

Also known as: face lift, rhytidectomy, neck lift

With age, the skin and soft tissues of the face gradually lose elasticity and descend under the effect of gravity. This can lead to sagging along the jawline, deeper folds around the mouth and loose skin on the neck.

A facelift and neck lift is an operation that repositions and tightens the deeper soft tissues and the skin of the lower face and neck. The aim is a more rested, natural appearance, not a change in features or a “pulled” look.

A facelift does not stop the natural ageing process. What effect can be expected depends on the skin, anatomy, age and lifestyle, and is discussed realistically at consultation.

When to seek a consultation

  • Sagging of the skin and soft tissues along the jawline.
  • Loose skin or folds in the neck.
  • Deeper folds between the nose and the corners of the mouth.
  • A wish for a more rested appearance related to age-related changes.

What treatment may involve

  • A detailed discussion of expectations and general health, including current medicines and smoking.
  • Examination of the skin, soft tissues and proportions of the face and neck.
  • Surgery may involve repositioning the deeper tissues and removing excess skin, with incisions usually placed around the ear and within the hairline.
  • It is carried out under anaesthesia, the type of which depends on the extent of the procedure and your general health.

What to bring to the consultation

  • An identity document.
  • Information about any previous surgery or procedures on the face.
  • A list of your current medicines, known allergies and chronic conditions.

Recovery and follow-up

In the first days and weeks there is usually swelling, bruising and a feeling of tightness or numbness in the face and neck. These settle gradually, at a pace that differs from person to person.

Following the aftercare advice — on head position during sleep, physical activity and wound care — and attending follow-up visits are important for recovery. Not smoking supports healing.

Risks and alternatives

Besides general surgical risks, there may be a collection of blood under the skin (haematoma), altered sensation, temporary or, less often, permanent effects on the facial nerve, delayed healing, visible scars, changes to the hairline or asymmetry.

Alternatives include deciding not to have surgery. Whether surgery is suitable and what can be expected is assessed individually after consultation.

Every surgical procedure carries general risks — for example those related to anaesthesia, bleeding, infection, delayed healing or scarring. The specific risks depend on your health, and on the type and extent of the procedure.

Possible alternatives — including observation, non-surgical treatment or referral to another specialist — are discussed openly during the consultation.

Outcomes and recovery time vary between individuals and cannot be guaranteed in advance.

Frequently asked questions

At what age is a facelift done?

There is no set age — the decision depends on the degree of change, the condition of the skin and general health rather than age alone.

How long does a facelift last?

This varies between individuals. Surgery does not stop natural ageing, and the face continues to change over the years.

Does a facelift leave scars?

Every operation leaves scars. In a facelift the incisions are usually placed around the ear and within the hairline, and the way they heal varies between individuals.

How much does a facelift cost?

The fee depends on the extent of surgery and the individual plan, and is discussed after consultation and examination.

This information does not replace a medical examination. Whether treatment is suitable for you is assessed individually after a consultation.

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