Dr. Dirk Lazarus

Plastic, Reconstructive & Cosmetic Surgeon

MBChB (UCT), FCS (SA) Plast & Recon Surg

Facial Rejuvenation

Facial rejuvenation is a combination of procedures done to make the face look younger. The core procedures include facelift, neck and face liposuction and facial fat grafting. Other procedures, like eyelid or brow surgery, can be done concurrently if required.

Facelift improves the droop of the cheeks, the jowls, the jaw line and the neck, but does not really address the front of the face, the visage. To obtain a proper rejuvenation, the excess fat which accumulates with aging in the lower face and neck needs to be treated with a small liposuction procedure. Liposuction will remove fat and help tighten the skin. To improve the visage, the deflation which occurs primarily in the upper face, forehead, temples, around the eyes, over the cheek bones and around the mouth needs to be treated with facial fat grafting. These 3 procedures are done together give a far more comprehensive rejuvenation than facelift on its own. In fact, I no longer ever do a facelift without some element of the other procedures as well.

For younger patients, patients who have had a previous facelift and want some further freshening up, and men, I can sometimes achieve good results with liposuction, fat grafting, eyelid work or other modalities, without a facelift. Also, fillers and neurotoxins may be a simple quick option for some faces. Since there are many possibilities for facial rejuvenation, the best is to consult with me so that I can advise you of your best, most cost-effective option. Although not as good as a live consultation, you are welcome to send me full information and pictures for an email opinion – click here to open the contact form

Before and After Facial Rejuvenation


“Just a quick note to let you know that all is well, though I would like to have some fillers and a bit more botox on my forehead. I will try the local doctors, but would much prefer Doctor Lazarus to do the work. My friends tell me I look well, which I take as a good indication of fine surgery, because I look natural and not too pulled. I wish I could have my whole body lifted, but will stick with the face for now. Give my regards to the good doctor and those wonderful nurses and my best regards to you too.”

We have met before Рabout 10 years ago РI was kicked in the face by my horse and you performed the surgery (rather brilliantly). Now I am interested in something else…

All 6

I just want to thank you again:) I’m super happy. Could you please send the before and after u fixed it pics, I would like to show my mum.

All 7

From a cleft patient who had secondary surgery to help her speech:
It is one year ago that i was blessed to meet and know you. Thank you very much for the support you rendered to me while I was in South Africa. I will never forget your acts of kindness. I am fine now and my speech has greatly improved! I think I don’t need another operation. Even though I don’t communicate that often, you are always at heart.


I would just like to take the opportunity to say THANK YOU to Dr. Lazarus and his team.
I have had a very good experience due to the pleasant staff and of course Dr. Lazarus himself.

All 9

I am feeling uncomfortable and not very proud of myself! I did not get round to expressing my gratitude and appreciation to you.! Dirk, thank you so very much for all your kindness and understanding throughout my dealings with you and it has been always been a pleasure dealing with your entire practise.

All 8

Actually drove past your surgery this morning and thought I should pop in to say hello. Am very happy with the way the surgery has turned out, has made a huge difference and am very grateful. I will endeavour to pop in sometime in the near future to let you have a look.

All 6

Dear Anneli

I came to Capetown from UK about 9 years ago and sought out Dr Dirk for cosmetic surgery. He performed a tummy tuck, lipo, and facelift on me during my time there and I don’t think I have ever written to thank him for the wonderful work he did. Thank You to him and all you ladies on his staff. I attach 2 shots of me on the beach in France, showing my nice flat tummy.

All 5

Hello again, Dr. Lazarus!
Once again I would like to say how pleased I am with the result of your handiwork!

All 4

You are such a STAR thank you for all your assistance.

All 3

Just a quick thank you to all the staff – felt in safe professional and caring hands from the moment I walked through the door this morning.

All 2