Facial Surgery

Face / Neck Lifting

Why have a Face/Neck Lift?

A face and/or neck lift, are one of the most commonly performed cosmetic procedures for both men and women.

Many people feel deeply unhappy about ageing on the outside when they still feel young at heart on the inside. However, it is important to realise that a facelift will not change your life, though many ex-patients have revealed that the psychological benefits exceeded their expectations.

The best patient is someone with jowls, loose neck skin and a general saggy appearance to the skin on the face and neck. If you also have wrinkles, you will need to combine non- surgical facial treatments for an improved overall result.

What is involved?

This procedure will involve incisions in the natural crease lines in front and behind the ears so post-operative scarring will be virtually undetectable. The scars will always be there as any scars in the body. A Face / neck lift is performed under general anaesthetic and will require a two night stay in hospital.

During your medical consultation I will point out that the skin will continue to age. It is important that you understand that the ageing process will not stop after a facelift. A face lift does not freeze your face. So, in 2 years you will be 2 years older, in 5 years 5 years older. Several studies demonstrate that would take 5 to 15 years for you to have the same excess skin as today, depending on every patient.

If there is a medical indication you can always have eye rejuvenation at the same time to achieve best results.

Face/Neck Lift Aftercare

After surgery

Immediately afterwards, expect to feel some discomfort. Your face will feel quite numb on the cheeks. The areas on your neck that run below your ear to your shoulder will probably be tender. The next morning the pain will inevitably have eased considerably. Any remaining discomfort can be controlled by medication.

A face lift requires a 2 night stay at the hospital so your immediate recovery can be closely monitored by a member of our medical team.

Your recovery

Very often bruising may occur, but this does not tend to last for much longer than two weeks or so. Recovery depends greatly on the extent of the procedure but, as the recovery progresses, a more youthful appearance will begin to develop.

You will need to wash your hair daily. However, be particularly careful around the treated area and dry your hair well. No hair colours or perms should be used for approximately 2 months after surgery.

Post-op appointments

Post-operative follow-up is of paramount importance. Each patient undergoing Face Lifting surgery will be given post operative appointments for wound management and suture removal. Post-operative instructions are vital and we consider it very important that you adhere to them. Failing to follow these guidelines and attend your appointments can adversely affect the outcome of surgery and put patient safety at risk. Following Face Lifting the patient is asked to return on specified appointments fixed by me. Occasionally it may be necessary to return more regularly than those stated.

Face/Neck Lift Risks & Conditions


Smoking increases the risk of complications, and slows down the healing process. It has been shown that a smoking patient has considerably more complications than a non-smoking patient.

Smoking reduces the blood supply to the wound and can impede the healing process. Each cigarette further constricts acutely the blood vessels. It is highly recommended to stop smoking completely 4 weeks prior to surgery and 2 weeks after; no nicotine patches or chewing gum are allowed. The risk of infection and complications in general slowly decreases if the patient stops smoking, but still remains higher when compared to a non-smoker.


The quality of the scar depends on the skin of the patient. For a few months it will be quite visible, but the tendency is to fade. Occasionally patients produce excessive scar tissue, it may be prominent (hypertrophic scar, keloid). This scarring is rare in Caucasian (white) patients, but slightly more common in non-caucasian patients. The scars can be tender and painful, especially during the recovery period, and may even become permanent.

Haematoma (bleeding)

A haematoma is a collection of blood. The risk is higher during the first 24 hours following any surgical procedure, but it can still occur at a later stage. In case of a major collection of blood it may be necessary for patients to return to theatre for a second operation to remove this collection, although extremely rare, excessive bleeding may lead to a blood transfusion and can be potentially a life threatening complication.

The risk of bleeding slowly fades in 3-4 weeks as the healing continues. We recommend that you refrain from any heavy lifting and strenuous activity during this period.


In a very small number of patients, fluid builds up. Additional surgery may be needed to remove this fluid.

Swelling and bruising

Some swelling and bruising will be present after surgery. Usually this subsides in a few weeks, but can last some months post-operatively.


All surgery carries the risk of infection. In order to reduce it, patients are given antibiotics intravenously during the operation. In face lift surgery it is more common behind the ears on the hair area


Most patients will experience pain following surgery, this certainly depends on the pain threshold of the patient. Painkillers are given after the surgery to control the discomfort, a further supply is dispensed at the time of your discharge. It has been reported that pain/ loss of sensation may appear during this period and can become permanent, although this is a rare occurrence.

Loss of hair

Patients may experience some hairloss together with the face lift surgery, this is usual a temporary situation with the expectation that the hair will regrow.

Itching, burning sensation

Post-operatively the patient can expect some itching with possible burning sensations. These symptoms are associated with the procedure and would normally subside within a couple of months of the procedure.

Facial palsy

Facial palsy is a risk associated with the procedure, this is an extremely rare complication caused by nerve damage and would require the patient to undergo a supplementary treatment plan. The injury can become permanent.