Facelift Surgery (Rhytidectomy)
Clinical Indications for a Facelift
Natural changes to the skin, muscle, fat, and bone structure of the face occur over time. These changes typically involve a reduction in soft tissue volume, decreased skin elasticity, and the descent of facial tissues due to gravity. These factors can alter the appearance of the cheeks, jawline, and perioral (mouth) area. A facelift is a clinical procedure intended to address these structural changes.
The Surgical Procedure
A facelift is a major surgical procedure that repositions the underlying tissues of the face. Different surgical techniques (such as a deep-plane or SMAS facelift) may be utilised depending on the patient’s unique anatomy and clinical presentation. In some instances, a facelift is performed in conjunction with other procedures, such as neck lift surgery or blepharoplasty (eyelid surgery), to address multi-regional facial concerns.
Recovery and Aftercare
The recovery process is unique to each individual. Post-operative swelling and bruising are expected clinical outcomes in the initial weeks and generally subside over several months. It may take up to six to twelve months before the final surgical outcome is fully evident. Dr Ricketts will provide a tailored recovery plan based on your specific procedure.
Surgical Scarring
Facelift incisions are strategically placed in front of or behind the ear, and may extend into the hairline. All invasive surgery results in permanent scarring. While scars typically mature and fade over time, the final degree of scarring is influenced by genetics and individual healing capabilities.
Duration of Outcomes
The outcomes of facelift surgery vary significantly between individuals. While the procedure addresses existing concerns, it does not stop the natural ageing process or further changes to facial structure over time. Surgical outcomes cannot be guaranteed.
Neck Lift Surgery
Clinical Indications for a neck lift surgery
The contour of the submental area (under the chin) and the neck is influenced by skin elasticity, platysma muscle changes, and adipose (fat) distribution. Patients may seek neck lift surgery to address a loss of definition in this region caused by tissue laxity or structural changes.
The Surgical Procedure
Neck lift surgery is a surgical procedure that may involve the excision of excess skin, tightening of the neck muscles (platysmaplasty), and the removal or repositioning of fat. Neck lift surgery may be performed as a standalone procedure or as part of a combined facial rejuvenation surgery.
Risks and Possible Complications of Surgery
All surgical and invasive procedures carry inherent risks. Dr Sophie Ricketts is committed to ensuring her patients are fully informed before choosing to proceed with surgery. While every precaution is taken to minimise complications, it is essential to understand that outcomes cannot be guaranteed and individual results vary.
General Surgical Risks
These risks apply to almost all surgical procedures performed under general anaesthesia:
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Anaesthesia Risks: Potential adverse reactions to general anaesthesia, including respiratory or cardiac issues.
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Infection: Post-operative infection at the incision site may require antibiotics or, in rare cases, further surgery.
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Bleeding and Haematoma: A collection of blood under the skin that may require surgical drainage.
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Seroma: An accumulation of clear fluid under the skin that may necessitate aspiration.
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Deep Vein Thrombosis (DVT) and Pulmonary Embolism: The risk of blood clots forming in the legs, which can be life-threatening if they travel to the lungs.
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Poor Wound Healing: Slow healing or skin breakdown, which is significantly more common in smokers or those with certain medical conditions.
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Permanent Scarring: All surgery results in scars. While these typically fade, their final appearance depends on individual healing and genetics.
Specific Clinical Risks
Depending on the specific procedure (such as breast, facial, or body surgery), other risks may include:
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Nerve Injury: Temporary or permanent numbness, or altered sensation in the treated area.
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Asymmetry: No two sides of the body are identical; natural variations or differences in healing can result in asymmetry.
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Fat Necrosis: Firmness or lumps under the skin caused by the death of fatty tissue.
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Skin Contouring Irregularities: Visible or palpable ripples, bunching, or unevenness in the skin surface.
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Implant Complications (if applicable): Risks such as capsular contracture, rupture, or displacement.
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Need for Revision Surgery: In some cases, a secondary procedure may be required to address complications or to refine the aesthetic result.
Your Consultation Process
A consultation with Dr Sophie Ricketts, Specialist Plastic Surgeon, is a comprehensive clinical assessment to determine your suitability for surgery. This process is designed to ensure you are fully informed of the potential risks, expected clinical outcomes, and available non-surgical alternatives relevant to your circumstances.
In accordance with the Medical Board of Australia’s mandatory guidelines for cosmetic surgery:
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Clinical Evaluation: Dr Ricketts will assess your medical history and physical anatomy to determine if the procedure is clinically appropriate.
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Psychological Screening: A mandatory assessment for Body Dysmorphic Disorder (BDD) and psychological readiness is required for all patients.
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GP Referral: You must provide a valid referral from your General Practitioner prior to your initial consultation.
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Two-Stage Process: A minimum of two pre-operative consultations is required.
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Cooling-Off Period: After your second consultation, a mandatory 7-day cooling-off period must elapse before any surgery can be booked or payments made.
Gallery
Individual results vary. All surgical procedures carry risks and require a consultation to determine suitability.
These images are for illustrative purposes only and do not guarantee a specific outcome. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
Videos
FAQ
How do I know if a neck lift surgery might be considered?
The appearance of the neck and area beneath the chin is influenced by genetics, skin quality, and fat distribution. Some people notice changes over time such as skin folds, prominence under the chin, or a lower position of tissues in this region.
Does neck lift surgery address wrinkles?
Neck lift surgery is a surgical procedure that repositions skin and underlying tissues in the neck area. This may lead to some changes in the appearance of skin creases, but the procedure is not designed as a specific wrinkle treatment.
Other non-surgical options, such as injectable treatments, may be considered separately. During a consultation, Dr Ricketts, Specialist Plastic Surgeon, can discuss whether neck lift surgery or another treatment is more appropriate for your circumstances.
Who might consider a Neck Lift surgery?
Neck lift surgery may be discussed with individuals who are in general good health and who have concerns about changes in the neck area, such as loose skin or excess fat beneath the chin.
Suitability depends on factors including medical history, lifestyle factors such as smoking, and individual anatomy. In a consultation, Dr Sophie will discuss your individual circumstances, outline the potential risks and alternatives, and advise whether this procedure may be appropriate for you.
What does Facelift surgery (Rhytidectomy) aim to do?
A facelift surgery is a surgical procedure that repositions facial tissues. It may change the way the cheeks, jawline, and areas around the mouth appear. The specific changes differ for each person and depend on factors such as anatomy, skin quality, and surgical technique.
As with all surgical procedures, facelift and neck lift surgery carry potential risks and complications. These may include bleeding, infection, delayed wound healing, scarring, numbness or changes in skin sensation, asymmetry, skin loss, fluid collection (haematoma or seroma), temporary or prolonged swelling, changes in hairline, and complications related to anaesthesia. In some cases, additional procedures may be required.
In a consultation, Dr Sophie Ricketts will discuss your individual circumstances in detail and outline the specific risks, expected recovery, and alternatives, as well as whether this procedure may be appropriate for you.
What to expect right after a Facelift surgery (Rhytidectomy)?
After a facelift, it is normal to experience some swelling, bruising, and discomfort. Here are some of the things you can expect during the immediate recovery period:
- Bandages and dressings: You may have dressings covering the sides of your face and neck to protect the incisions and reduce swelling. These may be removed after a day or two.
- Swelling and bruising: Swelling and bruising are common after a facelift and may last for several weeks. Applying cold compresses to the affected areas can help reduce swelling and discomfort.
- Pain and discomfort: It is common to experience some pain and discomfort after a facelift. Most patients do not find the pain is severe, rather a feeling of tightness. You will be prescribed pain medication to help manage this.
- Drainage tubes: You may have small, soft drainage tubes placed near the incision sites to prevent fluid buildup. These are typically removed the day after your surgery.
- Follow-up appointments: You will have follow-up appointments with your surgeon to monitor your progress and remove any sutures that were used to close the incisions. The first appointment is usually about a week after surgery.
- Rest and recovery: It is important to rest and avoid strenuous activities for several weeks after a facelift to allow your body time to heal.
It’s important to follow your surgeon’s post-operative instructions carefully to ensure a smooth and successful recovery. If you experience any unusual symptoms or have any concerns, contact the practice and speak with our nurse or Dr Ricketts.
