Procedures

Sydney Plastic Surgery

Face Surgery


Facelift


If you have been considering a facelift, you more than likely have a few questions. If so, Dr Turner can assist you every step of the way. Being one of Sydney’s most sought-after plastic surgeons, he is an expert in in creating facial harmony and restoring a youthful appearance. Whatever your needs and wishes are, he can create a customised treatment plan that’s perfect for you.

This time-honoured procedure continues to grow in popularity, and is among the most common cosmetic surgery procedures performed. In 2015 alone, more than 125,000 face and neck lifts were performed in the United States. Combining the latest advances in facial rejuvenation techniques and modern understanding of facial anatomy and its contribution to facial ageing we can offer our patients natural, youthful results with improved safety and the least downtime available.

When our facelifts are combined with adjuvant facial surgery procedures like blepharoplasty and brow lift, as well as non-surgical treatments like laser rejuvenation we can offer comprehensive total facial rejuvenation.

The Benefits of Facelift Surgery

No amount of diet, exercise or beauty products can stop the natural ageing process. Over time, the skin of the face and neck progressively lose its elasticity, combined with loss of fat in the mid face as well as the loss of support from the underlying facial skeleton, this leads to descent of the soft tissues. The cheeks becoming flatter, lines around the mouth deepen, jawline loses definition with jowl formation and the skin on the neck falls into loose folds.

These changes are effectively and safely treated by modern facelift techniques. So if you’re considering a facelift, ask yourself some of the following questions.

  • Would you like tighter, firmer-looking skin?
  • Do you feel as though your skin is worn out and tired-looking?
  • Would you like to achieve a younger-looking appearance?
  • Would you like a more defined jaw line?
  • Would you like to remove sagging skin from your neck line?
  • Would you like to experience greater positive self-esteem and confidence?

If you answered yes to any of these questions, then you could benefit from a facelift. Unlike short-term solutions and remedies, a facelift can help you feel refreshed, leaving you younger looking than you have felt in years. Dr Turner will help you achieve a natural look, without the ‘over pulled’ appearance, as you may have witnessed on other facelift surgery patients within the past.

Are You An Ideal Candidate?

Making this decision is a major step, so we want you to feel good about your decision. If you are interested in a facelift, but wondering whether or not you’re a good candidate, then here’s what you need to know.

Both healthy women and men who are non-smokers are ideal candidates for this surgery. If you suffer from skin laxity around the jowls and neck, loss of facial definition or just feel you look tired, then a facelift can help remedy these concerns. The very first step will be confirming whether or not you’re a good candidate. After all, you need to be confident in your decision.

Depending on what you’re looking to achieve, some candidates are better suited than others. A comprehensive face and neck lift, for instance, is generally best for men and women in the 50’s to 70’s — while a mini facelift is ideal for men and women in their early 40’s or 50’s.

To better understand whether you’re a good candidate, you can meet with Dr Turner for a face and neck lift consultation. After going over your medical history, he will further explain the procedures so that you can better decide which option is ideal for you. When meeting with Dr Turner at his Sydney clinic, he will be honest and thorough, so that you have realistic expectations.

What to Expect from Face and Neck Lift Surgery?

Modern techniques have come a long way, allowing patients to achieve a natural, youthful face with improved safety and longevity. How exactly this procedure will be performed, will be based on your individual needs. While some patients prefer only a mid-face or neck lift, others will desire a comprehensive facelift procedure. Depending on what you choose, here is what you can expect.

Face & Neck Lift Surgery

This procedure is ideal for both men and women who are in their 50’s to 70’s, seeking maximum correction — focusing on both the face and neck. Based on modern facelift techniques of tightening the underlying SMAS and not the overlying skin, allows us to achieve longer-lasting, more natural-looking results.

What is the SMAS?

The Superficial Muscular Aponeurotic System, or the SMAS, is a thin continuous layer of fibromuscular tissue that covers your face and neck. This tissue anchors the facial skin to the underlying skeleton and works with underlying facial muscles to create facial expressions.

Due to the intricacy of modern facelift procedures the operation can take four or more hours to perform. During the procedure, you’ll be under general anaesthesia in a fully accredited Sydney hospital with a qualified Anaesthetist. Most patients require a one-night hospital stay.

A face and neck lift begins with an incision within the temporal hair and extends along the natural contours of the ear and into the posterior hairline. A separate small incision is frequently made under the chin in a crease. Once the incisions are made, the skin and superficial fat is separated from the underlying SMAS and neck platysma muscles.

The neck is lifted first, by suturing the platysma muscle together in the midline and then lifting the sides of the platysma muscle back to its natural position, recreating a youthful neck sling (platysmaplasty). Next, the SMAS is tightened and the excess skin of the face and neck is trimmed and redraped under no tension to give the finest scar possible.

An integral component of modern facelift procedures is the combination of fat grafting to give a volumetric facelift, restoring lose volume associated with facial ageing. This create natural looking volume to your cheeks, lips, under eye areas, or anywhere else that needs extra volume. This often called a volumetric facelift can also be done with facial implants, depending on your unique needs.

Mini Facelift

Ideal for younger patients with minimal need for correction of the neck, who do not yet display significant signs of facial ageing. A short scar facelift or S-Lift is a modern procedure that uses the smallest incision possible, located in front of the ear and temporal hairline only. While a traditional facelift is still the most effective option for lifting and smoothing ageing skin, a short scar procedure creates an incredible result for younger patients.

As you’d expect, this ‘mini’ facelift focuses on the cheeks and jowls, enhancing youthful contours. A short scar facelift is performed under general anaesthesia in a fully accredited Sydney hospital. Depending on the specifics of your procedure, the operation will take around three hours and most patients are sent home the same day with no overnight stay required.

A short scar facelift begins with an incision made at your hairline and extended along the natural contour of your ear. Once these incisions are made, the skin and superficial fat is carefully separated from the underlying SMAS. The deep facial structures are then tightened and the skin is carefully draped over the face with the excess skin trimmed away. You will have minimal visible scars, so you can still wear your hair ‘up’ after healing.

Midface Lift

As you age, your cheeks sag and the lower eyelid becomes more elongated with prominent bulges. For some, this may occur when they are in their 20’s to 30’s before other elements of facial ageing has occurred and creates a tried look that can make you look older than you are.

A midface lift targets your lower eyelid, cheek (malar) and corner of your mouth to create a youthful and natural look. It is ideal for relatively younger patients, looking to enhance their midface to prevent premature facial ageing and desire a fuller cheek prominence.

A midface lift procedure begins with an incision along the lower eyelid lash line extending into an eyelid crease. Dr Turner uses a combination of cheek implants to improve bone support to the midface and a concentric malar lift. This procedure has been specifically designed to keep scars virtually invisible and reducing the potential of complications. This will help you restore a smoother, more youthful look within your lower eyelids and cheeks.

Neck Lift

When aiming to achieve a more youthful-looking neck, Dr Turner can certainly assist in this rejuvenating procedure. Improving some of the most visible signs of ageing, a neck lift will not only remove excess fat, but also tighten loose, wrinkled skin to improve the neck and jawline. This procedure is rarely performed alone, and is generally performed in combination with a facelift as part of a comprehensive rejuvenation of the face and neck.

A neck lift lift procedure begins with a small incision made under your chin and another in front and behind your ears. Once the incisions are made, the skin is separated from the underlying neck muscle (platysma) and any excess fatty tissue is removed directly or with liposuction. The neck muscle is repaired and suspended back to its original youthful position. This lifting and tightening of the neck muscle restores its natural shape and function to support the neck skin tautly.

In those with a weak or receded chin, a chin implant can be placed to improve the chin projection to enhance facial symmetry and create a stronger jawline. After restoring the original look of your neck, the skin is then draped back over the new neck contour. Any excess skin is then removed and the area is closed with minimal tension, leaving a small, fine scar.

Complimentary Procedures

Brow Lift

A Brow lift addresses deep wrinkles of the forehead, as well as dropping eyebrows which can lead to heavy eyelids. This is performed on men and women of all ages and helps creates a natural boost and opens up your face for a more youthful look.

Read more about Brow Lift Surgery here

Eyelid Surgery

Also, known as blepharoplasty, this procedure eliminates excess skin folds and puffiness. This will help you look less tired, enhancing the benefit of any facelift procedure to make you look and feel years younger.

Read more about eyelid surgery here

Facial Implants

Often elevating and tightening the underlying structure of the face and the overlying skin is not sufficient to completely restore the effects of facial aging. While in others they may have suffered with a weak cheek bone or jawline and would like this enhanced during a facelift procedure. Facial implants are a great way to create facial harmony and permanently enhance the cheeks, chin or jawline.

Read more about facial implants here

Skin Rejuvenation

There are some incredible non-surgical options available, from laser resurfacing, medical grade skin care, to cosmetic injectables which not only enhance the results of any facelift procedure but boosts its longevity. At our Sydney clinic, we can create a comprehensive treatment plan that will make you look at feel your best.

Read more about skin rejuvenation here

Your Consultation with Dr Turner

If you’re considering a facelift procedure, the very first step will be to meet with Dr Turner for a consultation. For many patients, we understand that this is a major decision, so we want to make the entire process as comfortable as possible. We’re here to explain each procedure in detail, so that you’re confident with your final decision.

When you’re ready to discuss your potential surgery, our Sydney office will schedule a facelift consultation to discuss not only the procedures, but your answer any questions you may have. This consultation does not require any further commitments — it’s simply intended to thoroughly inform you, so that you can make the best decision for you.

To begin, Dr Turner will help you determine what procedure would be best, based on a number of key factors. Of course, every patient is unique, not only in terms of their skin and facial structure, but also their wants and needs. Dr Turner will guide you, discussing the options available, so that you can achieve the results you desire.

Dr Turner and his staff will:

  • Review all facelift and facial procedures with you.
  • Discuss all potential risks involved with facial surgery.
  • Based on the procedures you’re interested in, we will then provide insight into how the surgery will be performed, step-by-step.
  • Provide an explanation of what you can expect before, during, and after.
  • Offer all pricing details and methods of payment.
  • Address any key questions or concerns you may have.

Frequently Asked Questions

Can I achieve the same effect with non-surgical procedures?

There are a wide range of non-surgical skin rejuvenation procedures that can help you reduce the ageing process with regular treatment. Non-surgical techniques include cosmetic injections, laser rejuvenation, and medical grade skin care. When performed regularly, you can certainly feel fresher and more confident.

With that being said, only a facelift can provide the lasting benefits which you may be aiming to target. If you are trying to reduce sagging, drooping, loss of facial volume, and other significant aspects of skin ageing, then you may benefit from a facelift.

Will I have any scars?

The incisions used during a facelift, will depend on the procedure and the technique used. For instance, the incisions made for a comprehensive facelift will differ from a short scar facelift. Several factors will influence each procedure, such as the amount of skin that needs to be tightened.

Regardless of the procedure, incisions are disguised to minimise any scarring. With incisions made in natural borders, hairlines, and folds, once fully healed, they will be barely noticeable. At first, they may be pink and slightly raised, but within the first few months, they will begin to quickly fade. 

How should I prepare?

To maximise results and support the healing process, Dr Turner will advise you if any special treatments are required prior to surgery. This will be covered in your initial consultation at his Sydney clinic. It’s critical that your medical status is maximised, so that you can recover as quickly and effectively as possible. Some of the factors that Dr Turner may cover, include:

  • Avoiding certain medications, such as aspirin 2 weeks prior to surgery
  • Stop taking any herbal supplements that are not prescribed by your doctor
  • STOP smoking, at least 6 weeks before surgery to help tissues heal
  • Minimise your intake of alcohol for 3 days prior to surgery
  • Continue to take prescribed medications, especially those that control blood pressure
  • Plan who will be taking you home after surgery
  • If you have short hair, growing your hair slightly can help you cover any early scarring

How quickly will stitches be removed? How quickly will I heal?

Once you leave the hospital, a follow-up appointment will be made within the first 7 days. At this time, Dr Turner will assess your wounds and remove stitches. After this step is completed, it’s recommended that you commence topical silicone ointment along the incision line.

Overall, most patients look presentable after the first 2 weeks. The full healing time for soft tissue and skin will be around 6 months. Although scaring may be red and itchy at first, within the first few months, they’ll begin to lighten. After 1-2 years, they will soften and be barely noticeable. 

Will all areas by improved by a facelift? 

Depending on the procedure you choose, this is the area(s) that will be targeted. When performing facelifts, the mid and lower portion of your face, including your cheeks and jowls, as well as the neck will be corrected. If you would like to enhance the upper portion of your face, including your forehead, eyes, and brows, then additional procedures will need to be performed.

Does it hurt to have a facelift?

Like any surgery, a facelift will lead to slight discomfort, which is generally mild or moderate. If you do experience pain, mild analgesics can support the healing process. Patients only typically need stronger pain relief medications for the first 48 hours.

How long will my facelift last?

Due to the natural ageing process and the effects of gravity. Facial ageing will unfortunately continue. With that being said, your face will always look younger than it did if you had never had a facelift done. Overall, this procedure tends to reset the clock, leading to a 10+ year advantage over individuals of the same age. If, over time, you would like an additional facelift, it is generally not as comprehensive as the initial surgery.

How long will I need to take off work?

More patients can return to work after 2 weeks following surgery. Within the first 3 days, you will likely experience swelling, which then settles after approximately 1 week. Overall, the healing process is rapid, and you will be able to return to your regular routine within 2-3 weeks. At 2 weeks, for instance, you can generally begin to perform light exercise, gently increasing activity levels over 6 weeks.

What are the risks of facelift surgery?

Any operation involves some risk. Overall, the techniques used for facelifts are safe and effective. While the vast majority of facelift surgeries are done without serious problems, there are potential complications. Dr Turner will review these risk with you prior to surgery. Here are some of the major possible risks involved:

  • Swelling
  • Bruising
  • Bleeding or Haematoma
  • Hair loss
  • Asymmetry
  • Pigmentation changes
  • Loss of sensation
  • Facial nerve damage with weakness
  • Postoperative Infection
  • Thickened scars or keloid
  • Skin sloughing
  • Alteration of the hairline position

Will I have to wear bandages after my facelift?

Yes. It’s important to use bandages to keep your head in an optimal healing position. Dr Turner will explain to you how to take care of your bandages following your procedure.

Will I need a drain after my facelift?

Yes, in most cases. Drains are used to gather excessive fluid after a facelift procedure. Your drain will be removed the day after your procedure. If you’re having a short scar facelift in a limited area, you might not need a drain. Dr Turner will advise you before the procedure so you know exactly what to expect.

Is there are non-surgical option to remove excessive fat from my neck?

Yes. If you have a good skin tone, CoolSculpting or fat injections with deoxycholic acid can give you incredible results. This procedure is a non surgical option that reduces fatty tissues. Patients with loose skin, however, should opt for a neck lift as it is the only way to address loose neck muscles.

Will people be able to see that I’ve had a facelift?

After getting a facelift, many patients mention that their friends and family make remarks about how they look fresh and rested. People might ask if you have been away on holiday or if you’ve “changed something”. There is no characteristic look of a facelift. Forget about the problems with the old fashioned unnatural face lifts. Modern procedures are undetectable. The procedure simply restores your youthful look and no one will be able to tell you’ve had anything done. You’ll just look like a well-rested and fresh version of you.

What type of anaesthesia will be used for my Facelift surgery?

General anaesthesia is used for the majority of facelift procedures. You’ll be under the close monitoring of an Anaesthetist during the procedure.

Are there Medicare rebates available for my Facelift?

Facelift surgery is considered to be a cosmetic procedure. This means that they won’t qualify for rebates from Medicare or your private health fund.

At Sydney Institute of Plastic Surgery, an estimate of the surgical, hospital, and anaesthetic fees will be provided to you after the consultation for your treatment. This will allow you to be better prepared financially.

Blepharoplasty

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Rhinoplasty

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Facial Implants

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