Overview 

A facelift is intended to rejuvenate the face, particularly the cheeks, jowels and neck. This procedure can best be undertaken in conjunction with eyelid surgery and brow lifts as part of an overall strategy to rejuvenate the face and improve facial harmony.

A full facelift operation involves an incision in front of the ear, back up behind the ear and transversely across the hairline. Redundant underlying connective tissue (the ‘SMAS’ layer) is tightened and redundant skin is excised. This is usually performed with a one to two night stay. Mr Banwell also performs the MACS lift (minimal access cranial suspension) which has the distinction of utilizing a shorter scar which is often useful for the younger patient.

Frequently Asked Questions

  • Are there any options?

    Patients may wish to have a full facelift or, if suitable, a smaller S-lift (MACS) which involves a shorter length incision.

  • Are there any adjuvant procedures?

    As well as eyelid surgery and forehead lifting (brow lift), botox can be used to reduce the appearance of wrinkles around the outside of the eyes and between the eyebrows. A neck lift involves an incision under the chin and recontouring of a sagging neck line. The neck muscles (platysma) may need to be tightened and fat removed by direct surgical excision although liposuction may also be needed for this purpose. In addition, 3-D fillers or fat injections can be used to enhance the contour of both lips and other under-filled areas of the face. These procedures all have their own indications and risk profiles that you should speak with Mr Banwell about.

  • What are the risks?

    There are both general and specific risks to the treatment and Mr Banwell will talk to you in detail regarding these. General risks include bruising and swelling, bleeding, wound infection, problems with general anaesthetics, abnormal scarring and keloid scarring. Specific risks include haematoma (collection of blood under the skin), excessive scar formation, poor healing, possibly associated with tissue necrosis (skin death), hair loss around the scars (alopecia), deformity of the ear lobe, asymmetry, numbness, loss of movement to the facial muscles of expression and disappointment with the extent of improvement in both the contour of the face and neck.

  • What happens after the surgery?

    You will have bandages around your neck and forehead for one day. After you leave hospital and go home, the hospital nursing staff or our office will contact you after the operation to ensure that you have no problems during your convalescence. For a period of a few weeks there will be significant swelling and bruising of your face. There will be two drains to drain any extra fluid and these drains will generally be removed the day after surgery. Your sutures will be removed on day five. The clips in the hair will be removed after 10 days.

  • Will my face continue to age?

    Whilst facelift surgery may make you look considerably younger, your face will continue to age at a rate that it otherwise would have, but you should always remain more youthful than you would have been without the surgery.

  • What costs are involved?
    • Surgical fees 
    • Hospital fees 
    • Specialist anaesthetist fee
    • Specialist surgical garments
    • Specialist post-operative massage and manual lymphatic drainage

Please contact Mr Banwell's office on 01342 330302 or email help@paulebanwell.com for further information.

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Skin Care

At a Glance

SURGERY TIME
3 - 4 Hours

HOSPITAL STAY
3 nights

ANAESTHETIC ASSESSMENT
Yes

PRE ADMISSION TESTS
Yes

SLEEPING POSITION
Sleeping on back recommended for 4 weeks.

REASONABLY MOBILE
48 hours rest

WASHING
Shower after 2 days.

DRIVING
2 week

EXERCISE INCLUDING GYM
8 weeks

SEXUAL ACTIVITY
Restricted activity after 8 weeks

FULL RECOVERY
6 - 8 weeks

TIME OFF WORK
2 weeks

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help@paulebanwell.com