Facial rejuvenation is a wide-ranging area in which the aim is to correct the effects of facial ageing. Facial ageing occurs in all areas and in all levels of the face. While different people do age more or less favourably, there are certain common themes that appear in all of us as the years roll on. There are changes in the surface layers of the skin, in the volume and tone of subcutaneous fat, and in the tone and position of facial muscles. Modification of all these layers in the region of the forehead, brows, eyelids, cheeks, jawline and neck can give dramatic improvements in appearance leaving only innocuous scars in relatively hidden locations. In all cases a range of techniques may be combined or can be undertaken separately. It is not uncommon for patients to undergo more than one surgery over a period of years according to the areas that are problematic for them.
Brow lifting is surgery that aims to lift the drooping brow or give the brow a more defined and appealing shape. Numerous techniques are available and depending on age, extent and desire, different techniques may be suitable. This is often undertaken as an adjunct to upper eyelid blepharoplasty where the redundant tissue of the upper eyelid is reduced and tightened giving a fresher more relaxed look. Lower eyelid blepharoplasty can correct problems in all layers of the lower eyelid including wrinkles, the appearance of bags and the correction of sunken hollows which result from deeper facial ageing in this region.
Midface lifts, facelifts and necklifts are a spectrum of procedures that address the sagging of tissues in the central and lower face. In this type of surgery, the fullness of the cheeks, the definition of the jawline and the laxity of the neck can be enhanced. Many different techniques are available and I aim to provide a bespoke solution that is likely to give the best outcome in any individual case. In facelift surgery I commonly undertake high-SMAS deep-plane facelifts which I believe result in a more powerful and more durable result. In a midface lift, facelift or necklift, innocuously sited incisions enable me to lift, tighten and volumise deeper structures of the face in a natural way, with the skin regaining a fresh look with minimally visible scars. Short scar techniques may be suitable in some cases but are not suitable for all.
Surface treatments such as chemical peels may be a useful adjunct to improve the lustre of skin and help with patchy discolouration that is typically acquired as we age. Structural fat grafting corrects fat loss which is another consequence of ageing. Typically fat is taken from the abdominal wall, flanks or thighs and is gently processed prior to injection into the deflated zones of the face in a controlled manner. This has advantages over synthetic fillers due to being permanent and therefore no ongoing cost requirements. Facial implants are useful in some aspects of facial rejuvenation and are particularly relevant in the cheek and chin. Various synthetic implants are available and can be tailored to your needs.
In all cases it is likely that the effects of ageing continue and it is not uncommon for me to perform revision facial rejuvenation surgery years after an initial operation undertaken elsewhere.