Our face is our business card, the part of our body that creates the first impression. We always want our face to look fresh and healthy. As we age skin starts to lose elasticity and volume. Other signs such as wrinkles, brown spots and skin texture changes also occur. Signs of age are part of the normal aging process and may be more or less visible, depending on various factors such as genetics and skin care. Although having loose skin is not considered a health problem many patients who are bothered with aging signs may find a facelift to be a good solution for them to look healthy and fresh.
A facelift also known as rhytidectomy (removal of wrinkles) is a surgical procedure that removes excess skin from the face, neck or both and also repairs the tissues below the skin to improve face appearance and contour. Facelift will remove excess skin and improve the appearance of wrinkles, sagging folds and will provide a more defined structure.
Other surgical and non-surgical procedures can be combined with facelift for optimal results: blepharoplasty, browlift, fat grafting, hyaluronic acid fillers, Botox® and laser resurfacing.
|Local anaesthesia and sedation or general anaesthesia.|
|Outpatient – the patient goes home on the same day.|
|2 weeks to go back to work.|
|Total rest during the first 24 hours; use of cold compresses; take medication according to medical advice; no sun exposure; No smoking until healing process is complete; no strenuous activities.|
Types of Facelift
There are different facelift types and techniques. No two facelifts are the same and each procedure is tailor made to each person´s age, genetic characteristic, degree of sagginess and desired results. However, we can consider two main approaches:
Mini Facelift: this is a less invasive technique that uses shorter incisions to tighten the skin and remove excess tissue from the neck and jawline. It addresses sagging skin on the lower third of the face through small incisions around the ears. A mini facelift is a relatively minor procedure that improves the appearance of your neck, jawline and cheeks and is the perfect option for patients with minor and moderate aging signs.
Full Facelift: a full facelift or traditional facelift will address moderate to advanced aging signs around the face and neck. This type of facelift will reposition deeper tissues beneath the skin, remove excess skin in the face and neck area to smooth folds, winkles and restore a natural and youthful contour of the face and neck. Scars are located behind the hairline and around the ear.
Why have a Facelift done?
As you get older, your face appearance changes caused by the natural aging process. You will notice that your skin becomes looser and thinner and you may lose fat in certain parts of your face which will affect your face contour and structure definition. Aging signs that can be improved by a facelift include:
- Excess skin on your face, neck or both.
- Excess skin and lack of definition of the jawline.
- Loss of volume of your cheeks and hollow eyes.
- Excess fat in the neck area.
- Other aging signs may include excess skin on the eyelids, droopy eyes, wrinkles and brown spots.
Who is a good candidate for a Facelift?
Best candidates for a facelift usually meet the following criteria:
- Face appearance does not reflect their personality.
- You feel self-conscious about how your face and neck look.
- Look after themselves (surgery will improve your face appearance, but you must take care of yourself for long lasting results).
- Good overall health.
- Mentally stable patients with realistic expectations about surgery results (you will not look like someone else, you will look better, a younger version of yourself).
- Loose skin on the face, neck or both.
- Prominent facial folds.
- Good bone structure will provide better results.
STEP BY STEP
Facelift – the surgery step by step
Step 1: Markings
Patient’s face/ neck is marked. Standardized photographs are taken before and after marking for medical records.
STEP 2: Anesthesia
Local anaesthesia with sedation or general anaesthesia is administrated. Your plastic surgeon will recommend the best anaesthesia option for you based on the type of facelift and individual needs.
Step 3 – Preparation
Face skin is deeply disinfected, and blue wraps are placed to protect the face area from external environment.
Step 4 – Incisions
According to the type of facelift, incisions are designed so the resultant scars blend well with the hair/natural lines/creases.
Step 5 –The lift
Deep tissues of the face and neck are lifted and tightened. Excess skin and fat are removed, and the skin is then attached to the new lifted tissue to produce a fresh and youthful appearance.
Step 6 – Closing incisions
Facelift incisions typically are closed with sutures which are removed after 7/10 days.
Step 7 – Bandage
Steristrips are applied over the closed incisions and the face is wrapped in a circumferential ‘hijab-like’ dressing.
Step 8 – Checking final results
Facelift final results are checked before taking the patient to the recovery room. Results will appear gradually as swelling and bruising subside. Final results are expected after at least 3 months.
Is there a right age for a Facelift?
There is no exact age to undergo a facelift procedure. In theory you should be between the age of 35 and 75 to perform a facelift, with the optimal age at 45 to 55. The purpose of the facelift is improving and preserving face features so the sooner the better. If you wait too long to get a facelift done, you may find the change very dramatic. Performing a facelift when aging signs are moderate will provide a natural look and no one will notice you went through surgery.
Combining a Facelift with other face rejuvenation procedures
A facelift is a very common surgical procedure to remove excess skin on the face and neck to restore a youthful appearance. However, it will not treat other aging signs that may interfere with your fear appearance and self-esteem. For optimal results facelift is often combined with other surgical or non-surgical procedures such as:
Blepharoplasty (eyelid surgery): removes excess skin on the lower and upper eyelid.
Browlift or forehead lift: will lift sagging eyebrows and improve the appearance of wrinkles and fine lines across the forehead and glabella (wrinkles between the brows).
Neck liposuction: when there is excess fat on you neck area, you may choose to perform neck liposuction combined with neck lift or full facelift to improve the contour.
Fillers with hyaluronic acid or fat grafting: fillers will restore volume on certain areas of your face. Common areas that change or lose volume/definition with aging are: (chin, cheeks, nasolabial folds, lips, marionette lines/jaws, tear throughs, mouth frowns and mental crease).
Botox: botulinum toxin will improve the appearance of wrinkles around the eyes (“crow´s feet) and forehead lines.
Laser resurfacing: this treatment will improve skin texture and improve the appearance or brows spots and skin irregularities by removing thin layers of your skin.
Advanced plastic surgery techniques allow scars to be hidden extremely well (in the natural creases and other hiding spots whenever possible). As far as facelift scars are concerned incision location will depend on type of facelift / selected technique. Below are the areas where most facelift scars are located:
- In front of the ear.
- Behind the ear.
- Upper hairline.
- Lower hairline behind the ear.
- Under the chin – in case of neck lift.
Facelift - Get prepared for surgery
A facelift or neck lift involves preparation and it is recommended to get ready for surgery and follow medical recommendations. The first step towards your facelift experience includes a medical consultation with your plastic surgeons where the following must be addressed:
Medical history: inform your plastic surgeon about any medical condition or other important issues such as medication you take, allergies, etc. Be forthcoming about your smoking habits as these may have a significant affect on facelift outcome. Herbal medicines may contain blood thinner so tell your doctor if you are taking any herbal medicines regularly. Be ready to answer questions about your health, habits or any other issues.
Expectations: you should share with your plastic surgeon your goals and expectations regarding facelift. Always remember that the goal of any surgery is looking and feeling better and not looking like someone else. Surgery results depend on your initial facial characteristics, your general heatlh, weight and genetics. Your plastic surgeon will be able to confirm if you are a suitable candidate for a facelift and the appropriate techniques to achieve the desired results.
Here are some tips to better prepare for a facelift:
- Medical tests must be performed in advance (it may include blood, and other tests).
- Stop smoking a few weeks before and until the healing process is completed. Nicotine will interfere with healing process.
- Do not take medication that can thin your blood.
- Prepare to take 2 weeks off work.
- Plan for a family member or a friend to pick you up at the clinic – you can´t drive after surgery.
- You should have someone helping you at home during the first 48 hours.
Facelift Recovery Milestones
One of the patients’ most common concern is the recovery process: How will I feel? When can I go back to work, will I feel pain? It´s important to understand that recovery is not the same for everyone and can vary from person to person according to body response and tolerance to pain. However, you should know what to expect after a facelift:
1 to 3 days after surgery
You will wake up from surgery with compression garment which must be used for 1 to 2 weeks. You may experience moderate pain which can be managed through prescribed painkillers. You may also experience moderate bruising and swelling so use cold compresses in your face to reduce swelling. You must take it very easy during the first 3 days as you may feel very tired and sometimes weak. Make sure and contact your plastic surgeon immediately if you feel unexpected symptoms. Drains are usually removed after 48 to 72 hours. Sleeping in an upright position with elevated head is recommended.
1 week after surgery
You will still feel some pain and bruising but you will feel recovery is very quick from this point. If healing is going as expected stitches will be removed. By this time most patients are able to drive and go back to normal daily light activities (strenuous activities are not allowed at this point). You will have a tightness feeling the face and neck.
2 weeks after surgery
By this time swelling and bruising have declined greatly. If you feel comfortable with the way you look, and you have recovered your energy it´s time to go back to work (office jobs). Bruising may last longer that 2 weeks, it depends from patient to patient. You can stat use mineral makeup only. You can also start doing light exercise.
3 to 4 weeks after surgery
You may still have residual swelling and bruising which is easily hidden with makeup. By this time, you will feel comfortable attending social events and you can go back to the gym. It´s very important to look after your skin and always use sun protection. Minor swelling and skin sensitivity may be present for up to a year after your facelift. Scars will look pink but will fade away with time.
What to expect after the surgery?
Although a facelift is not particularly painful, you may experience the following symptoms:
- Mild to moderate pain.
- Skin numbness.
- Drainage from incisions.
Tips for a good recovery
As with any other surgery, full recovery from a facelift takes time. It is important to know what to expect and follow medical instructions for a quicker and more comfortable recovery. Here are some tips for a good and comfortable recovery:
- Get 2 weeks off work.
- Full rest for 24 to 48 hours.
- Wear compression garment.
- Sleep on your back with elevated head.
- Use cold compresses in your face to reduce swelling.
- Take the prescribed medication.
- Do not scratch your face.
- Avoid sun exposure.
- Do not smoke.
- Avoid taking medication that can increase the risk of bleeding.
- Attend the follow-up appointments.
- Avoid strenuous activities.
- Get lots of sleep and rest.
- Eat light meals and drink plenty of water.
- If you have babies or young kids, ask your family to help you at home.
Facelift results - What to expect?
A facelift or neck lift will give you a more youthful appearance (very often patients say they look 10 years younger). Facelift are long lasting, but it is important to understand that surgery does not stop the natural ageing process. As we continue to age, facial skin may begin to droop again but obviously you will look better than if you had not performed a facelift earlier in life. Most patients that perform a facelift surgery are happy with the results for at least 10 to 15 years. If you feel your skin has started to droop again after several years speak to your plastic surgeon to address your concerns and possible solutions. Attend your follow up appointments and speak to your plastic surgeon whenever you have questions or concerns.
Facelift risks and complications
As with any other surgery, facelift or neck lift involves risks and complications but, fortunately, they rarely happen if you follow strictly pre and post op medical recommendations. Below are some possible risks and complications that may occur:
- Reaction to anaesthesia.
- Extended Swelling.
- Fluid accumulation.
- Nerve injury.
- Changes in sensitivity.
- Poor wound healing.
- Skin irregularities.
- Hair loss on the incision spots.
To diminish the risk of complications, you must follow your plastic surgeon’s recommendations before and after surgery. During your facelift consultation, all the surgery potential risks and complications will be discussed in detail and you will be able to ask all your questions and talk about your concerns.
Price of a Facelift in Karachi
The price of a facelift depends whether it´s a full facelift, a neck lift or both. No two facelifts are the same and may require different approaches to achieve good results. Very often facelift is combined with other surgical or non-surgical procedures which will also affect the overall cost. However, the price of a facelift in Karachi starts at Rs 250.000 – includes the cost of surgery, medical and nursing fees, anaesthesia, hospital charges and the disposables and medicines used during surgery. The exact price of your facelift surgery package will be confirmed by the finance department after your medical consultation with Dr Zia. To schedule your facelift consultation in Karachi or for more information on prices and conditions, please contact us today on the following numbers:
- Aga Khan Hospital: +92 21 111 911 911
- Cooper Consultants Clinic: +92 21 35 37 0671 4
Why choose Dr Zia ul Islam for my Facelift procedure?
A facelift is a very meticulous and demanding procedure that requires in-depth knowledge of anatomy and a very high level of surgical skills. For this reason not every plastic surgeon performs facelifts.
Dr Zia is a qualified and experienced plastic surgeon from Karachi with over 10 years of experience in performing facelifts, necklifts and other aesthetic and reconstructive facial surgeries. A good result is not the same for every patient – it´s a result that looks natural for patient´s gender, age, ethnicity and facial features.
- Dr Zia routinely performs facelifts.
- Proven results by before and after gallery.
- Top rated facelift plastic surgeon in Karachi.
- Performs facelifts and other facial surgeries in some of the best clinics in Karachi – Aga Khan Hospital and Cooper Clinic in Karachi.
SCHEDULE YOUR FACELIFT
APPOINTMENT IN KARACHI
Aga Khan Hospital
+92 21 111 911 911
Cooper Consultants Clinic
+92 21 35 37 0671 4
If you have decided on performing your Facelift surgery in Karachi or you simply want to learn more about the procedure, please schedule your appointment with Dr. Zia.
Facelift – Frequently Asked Questions
What type of anaesthesia is used for Facelift?
Dr Zia uses local anaesthesia and deep sedation or general anaesthesia for facelifts. The type of anaesthesia will depend on your case and type of lifting.
Will I see visible scars after surgery?
You will see visible scars after surgery. The will look pink at the beginning but most scars fade away within 6 months with results in up to 12 months. Mini facelifts require smaller incisions than a full facelift. Although scars are permanent, they are generally hidden extremely well (in the natural creases and other hiding spots).
What is the recovery time for Facelift?
Each patient is different and go through different recovery experiences. Facelift complete recovery ranges from two to four weeks but most swelling and bruising subsides after ten to fifteen days – patients are ready to go back to work after fifteen days.
What is the main difference between a mini facelift and a full facelift?
While a mini facelift treats the neck, jawline and cheeks (lower part of the face), full facelift addresses skin sagging in both lower part and upper part of the face including the neck. A full facelift is often performed with other facial rejuvenation procedures.
Will the facelift result last forever?
A facelift provides long lasting and permanent results, but the natural aging process will continue, and you may experience changes in your face. Most patients are happy with their facelift results for at least 10 years but may need additional surgery in the future to maintain results.
Will results look natural?
To star with you must communicate with your plastic surgeon and share with him what type of results you are looking for: minor or more dramatic changes. If you don’t want anyone to notice that you have gone through surgery, make sure you let you doctor know about it. A good result is not about changing the facial appearance, it´s about looking fresh and youthful preserving your natural features.
Will facelift get rid of wrinkles?
A facelift is a procedure to treat excess skin, it may improve the appearance of wrinkles and folds, but it will not get rid of them. There are other treatments that can be combined with facelift to improve the appearance of wrinkles, fine lines and skin irregularities – fillers, Botox® and laser resurfacing.
Can anyone get a facelift done?
Yes as long as you are eligible for facelift, have good overall health and have realistic expectations. During your facelift consultation your plastic surgeon will confirm if you are a good candidate for surgery.
What is the success rate of facelift?
Facelift has been a very successful procedure in patients who are good candidates for surgery, have followed pre and post-surgery medical advice and have realistic expectations about the surgery´s results.
Can I have nerve damage with a facelift?
It is possible to suffer minor nerve damage during surgery but even if it happens most nerves spontaneously restores after some time. In very rare cases the nerve is permanently damaged. Nerve damage symptoms include numbness and inability to more the face in a certain face area.
Is facelift recovery painful?
Facelift is not a particularly painful procedure, but you may experience mild to moderate pain specially on the first week after surgery. Most swelling subsides within two weeks and from this point you will notice a quick recovery.
When can I see the results?
During the first two weeks you will be swollen and bruised so you won’t have a realistic idea about how your face will look. Results are best seen after swelling and bruising subside completely – after 3 to 4 weeks. You will continue to improve with results expected after 3 to 6 months.