Facelift and necklift



Photo album

Mini facelift and face-necklift

The facelift is the most renown treatment of plastic surgery. In in the broadest sense of the term we all regularly use the word facelift. The goal is rejuvenation of the face. The aspect of suturing the deeper skin layers is more important than tightening the skin. The trend is towards smaller procedures, thus is the mini-facelift (S-lift and MACS-lift) recently most preferable. I strive for a natural result.

Photo album facelift

1. Does a (mini) facelift also lift the neck?

The mini facelift, whereby the deeper layers of the skin are lifted as well, will always have a positive effect on the neck. To what extend depends on the degree of lifting, the intensity of aging and the flexibility of the skin.
To achieve a larger effect on the neck, the scar behand the ear will be extended to the hair line. To more extended the lift will be, the more the treatment will be rather a face-necklift than a mini-facelift. During the first consult I will make an assessment and will advise about the optimal treatment and the matching price. Your facelift will be customized, thus the costs as well and that is the reason that you will not find fixed prices in the price list.

2. For whom is this treatment beneficial?

Good results are achieved with those patients who have a less defined jawline, that are not overweight and have facial skin that has good mobility. Sometimes, as described above, a more extended facelift is required to achieve the desired result.

3. Cause?

Loss of skin elasticity is a result of aging and sometimes also a result of weight loss. Decrease in elasticity of the skin combined with the influence of gravity results in deeper vertical lines around the mouth and the surplus under the jawline.

4. Difference between men and women?

The technique used for the mini facelift and for the face-necklift remains the same regardless if a patient is a woman or a man. The only slight difference is the area in front of the ear whereby extra attention is required when placing the scar with men because of the sideburns.

5. The surgery

With the mini facelift an incision is made starting in or behind the hairline of the sideburn, then in front of the ear and finally around the earlobe.
With the more extended face-necklift the incision will be elongated behind the ear up to the hindmost hairline.
For both procedures counts that the skin will be lifted from the incision up to the mouth corner, the jawline and just behind the ear, or when extended up to the neck. Next step is the suturing of the deep layer resulting in the tissue being placed back in its original position. Excess skin will be removed and sutured in such a way that the result looks natural and not too tight.
The surgery takes 2 to 2 ½ hours and can be performed under both local and general anaesthesia.

6. After surgery

After the mini facelift and face-necklift you will experience no pain. During the surgery, regardless if it is performed under local or general anaesthesia, the face will be anaesthetized. Sometimes that causes the facial nerves to be numb causing the facial muscles to be numb as well. There will be a temporary bandage and if needed a drain. When the face is no longer numb you will still feel no pain, but your face can feel a bit tight.
Back in your hospital room you can recover and at the end of the day or the next morning the bandages will be replaced by an elastic mask. If applicable the drain will be removed. The procedure is often done in daycare, so most patients will go home the same evening. The morning after surgery you can remove the mask, take a shower, wash your hair and put the mask back on. The mask will only be worn during the first few days. The sutures will be removed after one week. 

7. Complications

In spite of the fact that the small blood vessels are carefully closed and if needed a drain is used, a bruise might appear. The chance of this happening increases with high blood pressure, after coughing and pressing and with the use of anticoagulants (even though you will stop taking those before surgery). There is no need for intervention when there is only some blue discoloration of the skin, however if there is swelling, than the hematoma needs to be surgically removed. In exceptional cases problems can occur with the blood flow in the skin which causes a longer healing process (the risk is higher with an extremely thin skin and with smokers). Usually I decide not to operate on smokers or to opt for a different technique. Finally a very rare complication is damage to the facial nerve, which will not occur with a skilled surgeon.

Dr. Erik J.F. Timmenga

8. Photos facelift

Facelift. The positive effect on the neck is visible too.