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The natural aging process causes a gradual loss of elasticity in the skin and tissues resulting in the formation of wrinkles and sagging skin. A facelift or rhytidectomy is a cosmetic surgical procedure that aims to lift and tighten the facial skin and tissues. This procedure involves the removal of excess skin and smoothing out wrinkles or creases. While it does not include an eye or brow lift, it can be performed in conjunction with these surgeries for some patients. It is important to note that a facelift is not effective for reducing fine lines or reversing sun damage. Alternative plastic surgery procedures should be considered for improving the skin's appearance and quality.

what is a face lift ?

Face-lift is a cosmetic surgery procedure that tightens and eliminates sagging skin from the face and neck. To modify the tone of facial muscles, they can be surgically tightened. As part of the procedure, excess fat may be removed or relocated. Facelift surgery can smooth the jawline and minimize jowls. Most people find that facelift surgery makes them seem younger. The scars from the operation are permanent, however they are normally disguised by your hair. The skin surrounding the eyes, cheeks, and chin can be tightened or smoothed out using a suture facelift (thread lift). This procedure will not leave any visible scars and will not significantly alter your facial shape. Consider other options first if you are self-conscious about your appearance or considering cosmetic procedures to increase your confidence. 

Speaking with a therapist or counselor may help you overcome your self-consciousness about your looks. Non-surgical therapies such as a chemical peel, dermabrasion, or skin resurfacing may also be explored

Reasons for Face-lift


As a person ages, natural changes occur in the face, which can affect its appearance and contour. These changes are attributed to the decrease in fat deposits in some areas while accumulating in others, as the skin loses its elasticity and becomes less firm. A facelift is a recommended plastic surgery procedure to address age-related facial alterations, such as saggy cheeks, excessive skin around the lower jawline (jowls), a deeper fold of skin from the side of the nose to the corner of the mouth, and saggy neck skin with accumulated fat (neck lift may be included). However, it should be noted that a facelift is not a solution for sun damage, fine wrinkles, folds around the nose or upper lip, or skin color inconsistencies.

Considerations before undergoing face-lift surgery

Prior to making a decision about undergoing a facelift procedure, it's essential to keep in mind that there are certain points to consider. For example, a facelift won't address issues like sagging brows, deep frown lines on the forehead, or modify the appearance of the upper or lower eyelids, or reduce creases surrounding the lips. Suture facelifts, alternatively known as thread lifts, are most appropriate for younger and middle-aged individuals whose skin is sagging due to aging or sun damage. It is not advisable for individuals with excessively dry or thin skin. Your doctor will need to thoroughly analyze your eligibility for this type of treatment. The outcomes of a facelift often persist between five to twelve years. However, following the surgery, the natural aging process will continue. Individuals who smoke may be more prone to complications. To minimize the risk of such complications and improve overall health and well-being, it is recommended to quit smoking before undergoing surgery.

How to Prepare for a Face-lift Procedure?

Once you have made the decision to undergo facelift surgery, it is important to schedule an appointment with your plastic surgeon for a thorough consultation. This consultation will likely involve a physical examination and discussions about your medical history. Your surgeon may ask about previous surgeries, medical conditions, plastic surgeries, and any past surgical complications. They may also inquire about your smoking history and drug and alcohol usage. If your surgeon has any concerns about your ability to undergo surgery, they may request records from your healthcare provider or request a visit with a specialist. The consultation is an essential part of the preparation process for facelift surgery, and it is important to be open and honest with your surgeon so that they can ensure the best possible outcome for your procedure.

Facial examination

To determine the optimal options for facelift surgery, a plastic surgeon may capture photographs of your face from different angles, as well as close-up shots of particular facial features. The surgeon will then analyze factors such as bone structure, facial shape, distribution of fat, and skin texture.

Medications review and examination

The surgeon may request that you provide the names and dosages of all the medications you regularly take. This encompasses prescription medications, over-the-counter drugs, herbal supplements, vitamins, and other nutritional supplements.

Surgery expectations

Prior to undergoing a facelift procedure, it is important for the plastic surgeon to understand your desired outcome as it relates to the overall appearance of your face. They will also provide information on expected changes and any limitations, such as the treatment of fine wrinkles and the natural asymmetry of your facial features. The surgeon may also provide instructions to prepare for the facelift, including adhering to prescribed medication guidelines and refraining from consuming food or drink after a specified time on the day of the surgery. They may also recommend having a visitor to assist you in the immediate aftermath of the surgery and advise you to discontinue smoking or alcohol consumption leading up to the procedure.

What does Face-lift Procedure involve?

Facelift procedures are tailored to achieve individual goals. Typically, a temple incision within the hairline is made, which extends in front of the earlobe and down to the lower scalp behind the ears. Through this incision, the surgeon can address excess skin and fat, as well as tighten and redistribute the underlying muscle and connective tissue. For minor skin drooping, a mini facelift may be performed using smaller incisions. If a neck lift is also required, excess skin and fat will be removed from the neck by making an incision under the chin and pulling the skin back and up. Dissolvable stitches and skin glue are often used, but some patients may require stitches removal. Incisions are carefully placed to blend in with natural hairlines and facial structures. After surgery, a surgical drainage tube and bandages will be applied to the face.

What Happens After a Face-lift Surgery?

After your plastic surgery, your surgeon will likely prescribe pain medication to help manage any discomfort or swelling that you may experience. It's important to keep in mind that these symptoms are normal, and your physician will provide guidance on when you can remove dressings and drainage tubes, as well as when to schedule a follow-up appointment. As the swelling subsides, you'll begin to notice a difference in your appearance, although it may take a few months for your skin to fully adjust.

It's important to give your body time to heal properly, and you should allow yourself at least two weeks before returning to your regular activities. For more strenuous activities like exercise, it's best to wait up to four weeks or to follow the specific instructions of your surgeon. Each person's recovery may differ, so it's essential to ask your physician when it will be safe for you to resume normal activities.

To maintain the results of your facelift, it's important to maintain a healthy lifestyle, protect your face from the sun, and moisturize regularly. While a facelift can have long-lasting results, it's important to remember that results are not guaranteed, and you may require follow-up surgery in some cases. Discuss with your physician what you can expect from the procedure and what steps you can take to ensure optimal results.

  • Appointments for follow-up

A series of post-operative consultations will be scheduled for a period of two months after your surgical procedure. These consultations will entail the following: Typically, the surgeon will remove the drainage tube the day after the operation. Furthermore, the surgeon will apply antibiotic ointment and fresh bandages to your facial wounds. Depending on your progress, you may transition from bandages to an elasticized facial sling within two to three days of your facelift. Your sutures will be removed and the wound examined by your physician approximately one week after the procedure. Additional appointments will then be scheduled to monitor your progress.

  • Self-care

To ensure a smooth recovery and minimize any potential complications, it is important to practice self-care at home for the first three weeks after your surgery. It's crucial that you follow your surgeon's instructions for wound care to the letter, refraining from picking at scabs that may form. Utilize skincare products and shampoos as directed by your surgeon and avoid wearing clothes that you have to pull over your head. Additionally, it's important to avoid excessive pressure or movements around the incision site, and to avoid using makeup or engaging in strenuous activities or sports. During the first three weeks, it's best to avoid direct sun exposure on the affected area, and after that, apply sunscreen with an SPF of 30 or higher. And for at least six weeks, steer clear of hair treatments such as dyeing, perming, or bleaching. If possible, postpone large social events for a few months to allow for proper healing time. If you've undergone a facelift, you may choose to style your hair in a way that hides the incision site.

Risks and Complications of a Face-lift Surgery

Facelift surgery poses several risks and complications that may arise during or after the procedure. While some complications can be managed with proper care, medications, or further surgical procedures, others may result in significant physical changes that are long-lasting.

Hematoma, which is a buildup of blood beneath the skin causing pressure and swelling, is the most common complication that can occur within 24 hours after surgery. It requires immediate surgical treatment to prevent damage to the skin or other tissues.

Nerve damage is rare but can lead to temporary or permanent disruption of nerves that regulate sensation and muscles, resulting in an uneven appearance or expression on the face and temporary loss of sensation. Surgical procedures may help alleviate the effects.

Facelift scars are typically permanent, but natural curves of the face and ear can often hide them. Occasionally, incisions can develop red, raised scars, which can be improved through corticosteroid injections or other therapies.

Hair loss around the incision area may occur temporarily or permanently, but it can often be treated with surgical hair follicle transplantation.

Like any major surgery, facelift poses the risk of bleeding, infection, and anesthetic response. Certain medical disorders or lifestyle practices can also increase the likelihood of complications.

There are certain factors that can heighten the chance of complications or negative outcomes from getting a facelift, which your surgeon may caution against. For example, taking blood-thinning drugs or supplements can impede blood clotting and increase the likelihood of post-surgery hematomas. Medicinal substances like blood thinners, aspirin, NSAIDs, ginseng, ginkgo biloba, and fish oil fall into this category. Medical conditions that hinder blood clotting or cause poor wound healing, hematomas, or cardiac issues may also preclude you from undergoing a facelift. Conditions like uncontrolled diabetes and severe hypertension may be problematic. Additionally, smoking after a facelift may exacerbate issues with wound healing, hematomas, and loss of skin. Finally, individuals with a history of weight fluctuations may be less satisfied with the long-term effects of the procedure, as these fluctuations can impact the facial contour and skin quality.

Non-surgical Face-lift 

If you are considering avoiding a traditional surgical facelift or wish to maintain the results of a previous one, there are several highly effective, nonsurgical options to consider. While these procedures may not be able to address sagging skin or restructure facial tissues, they can certainly help you achieve a more youthful appearance. Some of the most sought-after options for a non-surgical facelift include laser skin resurfacing, which helps to smooth wrinkles, eliminate age spots, acne scars, and discoloration while enhancing skin tone and quality.

 Botox is also highly effective at temporarily reducing the appearance of dynamic wrinkles caused by facial muscle movement, targeting areas such as the forehead, glabellar lines, crow's feet, frown lines, and vertical lip lines. Finally, injectable fillers are a popular choice for facial rejuvenation, as they can replenish lost volume and enhance facial symmetry when administered beneath the skin in areas such as the cheeks, lips, temples, under-eyes, and nasolabial creases.

Suture Face-lifts

Suture facelifts, popularly known as thread lifts, are a minimally invasive alternative to traditional facelifts. They are performed using local anesthesia, without making any incisions on the skin. Fine threads made of non-absorbable medical polypropylene fiber, a material that has a long history of successful use in surgery, are inserted beneath the skin through tiny cannulas. Once the threads are positioned through the small puncture points, they are gently pulled and secured to the facial tissue and skin, creating a natural-looking lift.

Immediately after suture facelift

Although soreness after a suture facelift is possible, it usually diminishes within 24 hours. Some patients may experience heightened discomfort following the procedure. Swelling and bruising may also be present for a period of four to ten days.

Complications of a suture facelift

Suture facelifts may cause certain side effects such as thread movement, which can lead to issues like thread extrusion, thread breakage, or thread loss resulting in puckered skin. Patients may also experience discomfort or pain if the threads are palpable beneath the skin, abnormal skin texture, or loss of facial symmetry. Although rare, infection is also a possibility. If the need arises to remove the threads due to infection, pain, or an unsatisfactory outcome, it may require more invasive surgery.


A facelift is a medical procedure designed to provide a more youthful appearance to the face by reducing the wrinkles, sags, and other visible signs of aging that often appear around the jawline and cheekbones. It can also help to contour the facial features. Additionally, a neck lift may be included in the facelift operation to address sagging skin and excess fat in the neck area. Prior to undergoing either procedure, it is essential to consult with a qualified medical professional to determine whether or not it is the right choice for you.

Top 10 Clinics For FACE LIFT


American Hospital


Imam Reza





Kuala Lumpur






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