Facelift / Neck Lift

Facelift Surgery (Rhytidectomy)  

Facelift surgery (Rhytidectomy) is a cosmetic procedure that creates a younger facial appearance. This procedure can reduce sagging or folding skin on the cheeks and jawline and any changes that result from aging. Some cases may require combining the face, eye, and neck to create the overall facial appearance. It is expected that face and neck procedures, such as deep muscle tightening, fat transfer, facial bone augmentation, and facial bone contouring, will be combined to achieve the desired youthful look.

         Kamol Cosmetic Hospital Bangkok offers Facelift and associated procedures. Someone may require one or more procedures, as follows:

1. Mini-facelift / Mid facelift Skin
2. Full Facelift with SMAS
3. Mid Facelift by synthetic absorbable materials
4. Neck lift and Neck tuck
5. Forehead lift / Browlift
6. Restoration of facial fat with fat transfer

A Good Candidate for Facelift

• Aging face
• Healthy for under sedation or general anesthesia
• Positive outlook and realistic expectations 

Preparation for Facelift Surgery

           After consultations with the surgeons and agreeing to proceed with the surgery, the preparation of the facelift will be as the following steps;

• Stop smoking for at least two weeks before surgery
• Stop Aspirin or any medications that interfere with coagulation
• Physical examination and medical history. The surgeons will require the patient's medical records. Most patients aged 40 and above need to consult with medical doctors and cardiologists regarding any possibility of heart complications, as this will be necessary when administering anesthesia
• Facial examination and facial profile analysis
• Before the procedure, hair wash with germicidal soap
• Confirmation of expectations, as the patient should ask any questions they still have regarding the outcome of a facelift, such as an effect on fine wrinkles or symmetry of the face

Procedure for Facelift

           This procedure requires general anesthesia, though sometimes local anesthesia and sedation are possible. A facelift procedure takes approximately 2-4 hours. As the face, eyes, and neck work together to create an overall facial appearance, it usually combines face and neck procedures to achieve each person's goals.

           At Kamol Cosmetic Hospital, we offer six facelifts and associated procedures for those who seek to restore youthfulness to their appearance.

1. Mini- facelift / Mid facelift

         This procedure involves two incisions; the first is a simple skin incision at the temporal hairline, down to the front of the ears, and ends at the earlobe. It is a standard facelift procedure that is still in use today. This operation tightens excess skin and relies entirely on tension to shift the underlying facial soft tissue. The second incision is near the lower eyelash. In this area, the excess skin will be reduced to balance for lifting and tightening the cheek muscles. This procedure suits patients with excess skin and minimal deep, soft skin ptosis.

 This procedure takes around 2 hours under sedation or general anesthesia.

Picture1.  Shows Mini-facelift / Mid facelift 

2. Full Facelift with SMAS

         Our plastic surgeons perform the subcutaneous Facelift with a separate SMAS Flap and SMAS-ectomy. The incision starts from the temporal hairline, down to the front of the ears, and ends behind the ears. Then, the SMAS is pulled upward and backward as tightly as possible. Underlying muscles might tighten, and subcutaneous soft tissue and skin will move following the SMAS flap. The skin is then resected to remove the excess skin. This facelift surgery is a more effective technique with longer-lasting results.

        This procedure is suitable for patients who have a lot of excesses and sagging skin facial muscle ptosis to remove and restore a smoother, firmer, and more youthful appearance to their face.

        This procedure takes around 3-4 hours under sedation or general anesthesia.

Picture 2.Shows facelift by "Deep tissue technique with SMASectomy."

3. Facelift with synthetic absorbable materials

         We provide a facelift by deep muscle suspension with synthetic absorbable ribbon (Endotine®). The incision is in front of the ear up to the temporal area. Endotine® will be absorbable within six months. This procedure can enhance cheek volume and projection for a natural, rejuvenated look. The patient may feel some discomfort a few months after surgery.

This procedure suits patients with midface (inner face) ptosis or who need more cheek volume and minimal ptosis of deep, soft skin.

 This procedure takes around 2 hours under sedation or general anesthesia.

Picture 3. Facelift by deep muscle suspension with synthetic absorbable materials (Endotine)
 

4. Neck Lift / Neck Tuck

         This procedure helps someone with a thick, wrinkled, or sagging neck. The surgeons will perform one or both methods together. Neck tuck is a procedure in which the surgeon makes a small incision under the chin-neck line and carefully lifts and tightens loose neck muscles (Platysmaplasty).  An incision of a neck lift is behind each ear, and a longer incision may also be made to stretch the neck muscle by SMAS. And underlying tissues and remove excess, sagging skin to restore a smoother, firmer, and more youthful appearance to the neck. This procedure is usually performed with a complete facelift.

 This procedure takes around 2-4 hours under sedation or general anesthesia.

Picture 4. Shows neck lift and neck tuck procedures

5. Forehead lift/ Browlift

         A brow lift is repositioning an eyebrow to achieve a more youthful appearance. The incision scar is behind the hairline by 1-2 cm. There are three types of brow lift as follows:

• An endoscopic brow lift, which results in a minimal scar
• A temporal or limited brow lift, where incisions are at the temporal area, both correct and left
• The classic brow lift, where a long incision is made horizontally behind the hairline. (See More)

6.  Facial restoration with fat transfer.

         Fat transfer as a micrograft or nano-graft supports particular areas that need contouring and fulfillment. This procedure is suitable for patients with a slimmer face and loose fat who have undergone facelift surgery with unsatisfactory results due to the lack of volume. Some patients may need more procedures to achieve a desired youthful look. Experienced surgeons can recommend the best options, though the final decision remains at the patient's
discretion.

  This procedure takes around 1-2 hours under sedation or general anesthesia.

Picture 5 shows the areas of facial fat transfer

Postoperative Care for Facelift

• Keep the face elevated as much as possible to reduce swelling
• Gentle movement to support blood circulation
• Wear a compression bandage at all times for the first three days and then at home while sleeping for one month
• Avoid aggressive or strenuous activities for one month after surgery
• Stop smoking or drinking alcohol for at least two weeks after surgery
• Sutures are removed around 5-10 days after surgery
• Keep any follow-up appointments with your surgeon to check the healing process and ask any questions that may concern you
• Follow all postoperative instructions and attend all postoperative appointments

Risks and Complications for Facelift Surgery

         Facelift complications will be managed with the proper care, medication, or surgical correction. The risks include:

• Postoperative hematoma under the skin
• Scarring. Incision scars from a facelift are permanent but typically will be hidden under the hair. It is rare for the incision to become a red, raised scar. Injection of steroids or other treatments will be used to improve the appearance.
• Nerve injury and sensory nerve damage, although the effects are self-limiting, usually recover within 6-12 months.
• Skin loss, though very rare, could still happen. Facelift surgery may interrupt the blood supply, possibly resulting in partial skin necrosis and delayed healing.
• The other risks and complications are similar to those of other major surgeries, including side effects from anesthesia. Lifestyle and preexisting medical conditions may increase risks.

Recovery from Facelift Surgery

• After surgery for a few days, Bruising, swelling, hypersensitivity, and numbness will make you uncomfortable.
• The face and neck will improve after a few weeks, and then a gentle massage will be begun to stimulate the nerve and lymphatic drainage to reduce swelling and recovery period.
• You can return to work 14 days after surgery, but some swelling may still occur.
• You start exercise four weeks after surgery.
• The final result takes 6 – 12 months.

Endotine Lift

An Endotine Lift is a type of minimally invasive facelift procedure that uses small,...

Neck Tuck / Neck Lift

A neck lift, also known as a neck tuck, is a cosmetic surgery procedure that aims to...

Understanding SMAS Technique

A SMAS facelift technique is a surgical procedure that targets the deeper layers...

see more

Before & After of Facelift / Neck Lift

ดึงหน้า-facelift-01

ดึงหน้า-facelift-02

ดึงหน้า-facelift-04

ดึงหน้า-facelift-05

ดึงหน้า-facelift-03

See more

Reviews of Facelift Surgery

Отзывы об операции по подтяжке лица

Отзывы об операции по подтяжке лица

Отзывы об операции по подтяжке лица

Отзывы об операции по подтяжке лица

Отзывы об операции по подтяжке лица

Video: Facelift Surgery (Rhytidectomy)

see more

Why is Kamol Cosmetic Hospital famous for Facelift Surgery (Rhytidectomy)?