Face Lift
Face lift surgery is a cosmetic procedure to improve the appearance of the face by repositioning some of the skin and muscle tissue of the face and neck to counter sagging and looseness caused by gravity as the patient ages. Wrinkles around the mouth and eyes may benefit little from face lift surgery. For complete face correction other procedure such as blepharoplasty, chemical peel, or dermabrasion, also may be necessary.
Most of the time general anesthesia is preferred but can be done under local anesthesia with sedation Type of incision and procedure In a typical facelift surgery, the surgeon begins by making an incision within the hairline just above the ear. The incision continues down along the front edge of the ear, around the earlobe, and then up and behind the ear extending back into thehairline. The location of this incision is designed to hide any sign of theprocedure later. This is repeated on the other side of the face. The surgeon raise the skin in subcutaneous plane upto the cheek(nasolabial area), below the chin and neck . the smas muscle is also tighened and fixed in new position Medication and things to avoid medications that can alter the way their blood clots including female hormones, aspirin, and some non-aspirin pain relievers for they inctrease the risk of haematoma smoking to be avoided both pre op at least 4 days and 7 days post
   Post Op

Immediate post op the pressure bandage is given and antibiotics are given both intraop and in post op period to avoid any infection. Patient is kept in the recovery room for few hrs to check for any bleeding. Patient to be discharged after 24 hrs preferable but if done under local can be discharged on the same day. Ice packs for the first few days can help to reduce swelling and lower the risk of hematoma. Patients continue taking an antibiotic until the first stitches come outabout 5 days after the procedure. The balance are removed 7-10 days later. Many patients return to work and limited activities within two weeks of the procedure.


The major complication following face lift surgery is a hematoma, which might require the patient to return to have the stitches reopened to findthe source of the bleeding. Most hematomas form within 48 hours of surgery. The typical sign is pain or swelling affecting one side of the face but not the other. Another risk of face lift surgery is nerve damage which can affect the patient’s ability to raise an eyebrow, distort his smile, or leave him with limited feeling in his earlobe. Most nerve injuries repair themselves within 2-6 months. Some swelling and bruising is normal following face lift surgery. Other complications of face lift surgery include infection, scarring, andhair loss near incision lines.


The patient are back to work after about 10-14 days.swelling may be persisting by that time for complete swelling to go takes about 6-8 weeks Mid face lift(SOOF lift) Primary goal: Elevation and tightening of the soft tissues (fat, muscle) of the cheek this result in decrease of the nasolabial fold and also decrease the hollowness of the tear trough area and improve the malar bag area.


Most of the time general anesthesia is preferred but can be done under local anesthesia with sedation There are a number of very different surgical approaches: The midface may be lifted from incisions subciliary i.e placed on the front of the lower eyelid, on the back of the lower eyelid (transconjunctival), above the brow, inside of the mouth (buccal), on the temple behind the hairline, or at the canthus.the plane a can be through the orbicularis or pre periosteal or subperiosteal i.e below the periosteum. The operation may be accomplished under direct exposure utilizing large incisions or through the endoscope using smaller incisions. After exposure the suture is passed through the fat and fixed to the periosteum or to the fascia at the temple area.


Midface lift may produce a more natural appearance (less pulled) around the cheek and mouth than with a “classical” face lift, which pulls tissue more towards the ear. Lifting the cheek upward restores a more youthful contour that is lost as the cheek descends under the influence of gravity. It can only correct the midface and no effect is there on the jowls.


Swelling and bruising may be pronounced; subperiosteal dissections may result in swelling lasting up to three months.


Distortion or puckering in the region just beyond the lateral corner of the eye is not uncommon.There is a risk of infection, poor perfusion, bleeding, and scarring. A well-performed midface lift is, comparatively, not an easy operation for the surgeon; proper suture placement is difficult and skillful.

   SOOF lift

(A related but less aggressive procedure directed primarily at repositioning a single smaller fat pad of the upper cheek rather than the entire midface) is a helpful addition to the blepharoplasty .

   Feather lift

There are threads available to suspend the midface with open surgical procedure. Neck lift A neck lift or ‘platysmaplasty’ is often preferred over a face lift although it can be performed at the same time. The neck is one of those places on the body which clearly shows the affects of the ageing process and one way of dealing with this is to undergo a neck lift. This tightens and firms loose skin around the neck which gives a clearly defined jaw line and a youthful appearance.


Neck lift can take about two hours to complete, under a general anaesthetic. If it is performed along with a face lift then this time will increase. Overnight stay is usually needed small incisions are made underneath your chin or behind your ears. He or she will move and tighten loose folds of skin around the jaw and neck. Once he/she has done so he/she will secure this newly tightened skin with stitches or tissue glue. There are two techniques with this – platysmaplasty which corrects the neck muscles and cervicoplasty which firms and tightens loose skin. Liposuction can be used in combination with this to help remove any excess fat. In order to reduce any scarring, your surgeon may use endoscopic or keyhole techniques. The ageing process and gravity cause the skin of the neck and jaw line to lose elasticity and tone. This manifests itself as ‘age bands’ around the neck and loose folds of skin and fat around the jaw bone. This is ideal procedure for removal of this age bands. Also for the patient who has lost a large amout of weight should be combine with face lift.


Bruising, sore and swollen and you may have to wear a special pressure garment afterwards. This will have to be worn for a week after the surgery. Scarringat the incision site but it decreases remarkably over the time nearly invisible. You will require a week (or two) off work and avoid any strenuous activities during this time. It will be month before you can return to the gym or undertake any exercise.

   Mid-Face Lift( Mini-Face Lift)

Good candidates may be, for example, baby boomers who want to take five years off their face with a mini-facelift. These patients may benefit from smaller incisions and the use of tiny barb sutures, instead of a large incision that requires heavier stitching. However, many of these techniques are new and long-term results have not been proven. Furthermore, mini-facelift patients may not be fully satisfied with the slight skin tightening offered by smaller incisions and barb sutures.
The treatment plan for a mini-facelift patient often includes regular facial-filler treatments to add volume to hollowed facial areas or fill in deep wrinkles. Alternatively, a candidate who consults with a qualified doctor might be surprised to learn that they don’t need a mini-facelift after all. Facial fillers may be enough in some cases.
For more extensive cases, patients with deeper wrinkles may not be satisfied with a mini-facelift. They may need a full facelift or neck-lift (or both) to achieve desired results.

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