Trish has asked me to talk to you a little bit about facelifts today. The facelift is a very personal thing and has to be modified and fitted to the patient. And younger patients are completely different to older patients. Their quality of skin, the volume of skin is incredibly different and most of these surgeons do show younger patients where it’s easier to achieve a good result and the older ones who have got a lot of skin are often a little bit more tricky. The quality of the skin may be reduced, and so it may be necessary for them to have some dermal therapy before hand in order to prep the skin ready for the operation.
There are multiple techniques, multiple planes on which face lifts can be done. They all have a somewhat similar initial effect. A face lift may be done starting off with a thread lift, where no skin is removed and a thread is put in. And some people say well they’re good for your wedding day and then they start to fade after that.
Then there’s various other forms of thread lifts. And open skin undermining is performed. Threads are put into a couple of areas and the skin is reduced. The round block face lift really takes a heavy duty suture, a 2-0 clear nylon and so it can really support the underlying structures quite firmly.
Then we move on to the planar facelifts. And these may be a SMAS lift or it may be Bryan Mendelson’s composite lift or it may be a deep-plane face lift. Now all of those face lifts, I do believe, need a lot of careful consultation, especially outlining possible complications. In particular some nerve, not necessarily damage but might be. It’s a matter of what I feel is fitted best to the patient. From time to time I may exhibit some concepts from the planar face lift but in general my standard face lift is the round block face lift often combined with an anterior neck lift.
If you’re interested in having a further conversation about having a facelift with me, I’d be delighted to spend some time with you and you can contact me through Plastic Surgery Hub.