Facial rejuvenation is a combination of procedures done to make the face look younger. The core procedure is facelift, but volume correction is also important and so neck and face liposuction and facial fat grafting are almost always performed as well. Other procedures, like eyelid or brow surgery, can be done concurrently if required.

Facelift improves the droop of the cheeks (cheek wrinkles), the jowls, the jaw line and the neck, but does not really address the changes in volume which occur in the face with aging. Just lifting without correcting the volume may result in an operated look. Simply pulling tight creates straight lines, not the curves of youth and beauty. To create those curves volume should be corrected too. This is done at the time of facelift with (mini) liposuction typically around the jawline, neck and perhaps in other areas, to give a better shape, usually to the lower face. The fat obtained with this liposuction (and/or supplementary fat from elsewhere) is then injected (grafted) back into the upper face where required, typically forehead, temples, around the eyes, nose and mouth to correct the deflation in these areas. This may be called a minus/plus procedure and some surgeons call it a lift and fill operation, although I prefer to think of it simply as a facial rejuvenation – correcting the signs of aging and restoring the face to be more youthful and beautiful. Facial rejuvenation like this is ultimately an artistic endeavour, more surgeon dependent than procedure dependent. My goal is to take the clock back and restore an appearance of youth with as few stigmata of surgery as possible.

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