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.”

Just wanted to drop a quick line to say thank you so much for all your help and your patience with me!

Back home in a not so warm England, missing the warmth already. Was very impressed with the service provided by yourself and Dr Lazarus and not only will visit again but will recommend to my colleagues and friends.

I know from my own industry people are quick to complain but not so much to compliment so thought I would just say how happy I am and once again thank you!


Dear Dr Lazarus,

I wanted to say that you are amazing! My face is beginning to settle down nicely.

The best thing is the comments I have received from some of my colleagues. One said, ‘Your face is unbelievable. The surgery must have been very advanced.’ Another person said, ‘Oh My ***, you look so YOUNG ‚Ķ I am shocked!

I will send you a photo but it is not a close up just a normal one to give you an idea. I am wearing a little concealer. I will send you close ups soon.

I wanted to email you to say thank you for giving me back, perhaps more than 15 years.

Best wishes