Facelift and Neck Lift Surgery

A natural part of the ageing process is that skin loses its elasticity, and the soft tissues of our face deflate and droop.

Treatment details

Stress, smoking and sun exposure take their toll on our faces. Folds and smile lines deepen, the corners of the mouth droop, the jaw line can sag and the skin on the neck becomes slack. Eyebrows can droop and the skin on the eyelids may gather in looser folds.

Some of this can be improved by non-surgical treatments and a good skincare regime; but reversing these changes to a more effective extent will generally require cosmetic surgery.

Face and neck lift surgery are usually performed under general anaesthetic. Initially, I inject some fluid into the face which reduces the amount of bleeding and bruising after surgery. A small incision is made just in front of the ear, and for a full facelift it extends around the back of the ear and sometimes into the hair-bearing scalp behind the ear.

Once the skin has been dissected attention turns to the muscle layer beneath, called SMAS. This is lifted, tightened and then sewn back in place, creating a more youthful look. Any excess skin is then removed and the remaining skin is meticulously stitched back together. A mini (or MACS) facelift is similar but avoids the scar behind the ear. The main disadvantage of a MACS facelift is that there is less improvement to the neck.

There is scarring following either procedure. Carefully placed within the creases around the ear and hairline to ensure that it is as minimal as possible.

Our technique

The aim of face lift and neck lift surgery is to create a more youthful appearance around the face, jaw line and neck by lifting and re-positioning the skin and tightening the underlying muscles to improve the tone and contour of the skin. I normally use liposuction on the neck and jaw line. Scars are initially visible but can usually be concealed by make-up, and fade to become inconspicuous after a few weeks.

The face lift is often combined with other facial surgery, such as eyelid rejuvenation (blepharoplasty). It is a requirement for smokers to stop before their surgery. Failure to do so produces an unacceptable risk of the skin near the scars scabbing and crusting, leading irreversibly to poor scars.

Fulvio's advice

Before embarking on cosmetic surgery always do your research and find a reliable surgeon with a good local reputation. Check they are registered with the GMC and other relevant bodies, such as BAPRAS and BAAPS. Developing a rapport with you surgeon is essential. You need to be able to trust your surgeon and be able to ask as many questions as you need to without feeling pressured. I would urge those considering cosmetic surgery to insist on a pre-operative consultation with the surgeon (not a nurse or company representative) some weeks before considering surgery to discuss all your options and concerns. At least half an hour is usually necessary to get through all the important topics, including the risks involved. Also ensure that your surgeon will be available to look after you following the procedure.

Aftercare
  • Analgesia (pain relief) – Ibuprofen and paracetamol can be taken
  • Complete rest will be necessary for 48 hours
  • Daily tepid showers will be possible after 48 hours
  • The hospital or surgeon should be contacted if you develop a temperature, bleeding or rapid swelling
  • Patients should take care not to over exert themselves in the first few weeks and to keep
    pressure off their wounds
  • Wounds will be checked and most sutures removed after 1 week
  • I will see you routinely at 1, 2 and 6 weeks after surgery
  • Dressing care nurses may see you more often
    Swelling reduces after a few weeks
Procedure statistics

General Anaesthetic

Reasonably mobile: 1-2 days

Hospital stay: 1 night

Washing: Immediately. Wash gently.

Surgery time: 2-4 hours

Driving: 2-4 weeks

We advise patients to stop smoking 2 week before and after any surgery

Time off work: 3-4 weeks

Exercise: 4 weeks

Before and after procedure

Before
After
  • I would like to express my thanks for the care and kindness you have shown me. It has made such a difference in what has been a difficult time. Many thanks

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  • To Dr Urso-Baiarda and wonderful team. Thank you for looking after me and making this journey for me. I am so happy with my results!

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  • Hi Fulvio, Thank you again for everything, not only the fantastic results (I’m beyond thrilled) but also the level of care you have shown. I would love to see what can be achieved, and if the photo can help, that is great. Take care of yourself, and happy changing people‘s lives, one surgery at the time. See you in a year.

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  • Dear Fulvio and team, Thank you so very much for performing my operation and all the care that I received post operation too. You are an expert with in your field, I feel exceptionally lucky that you were my surgeon. My experience is nothing short of outstanding. You have an exceptional bedside manners are kind and a good sense of humour to boot. Never underestimate the difference you make to your patients.

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