Face & Eyelids
A facelift aims to improve the visible signs of facial aging that are due to gravity, such as jowls and loose neck skin. The objective is to create a natural, fresh appearance to the face and jowl area by tightening the tissues under the skin and removing any unwanted fat. It commonly is combined with a brow lift, eyelid surgery and neck liposuction to achieve a harmonious appearance to the face. It does not address the fine lines caused by sun damage to the skin of the face, skin rejuvenation therapies that address this aspect can be a great complement to provide a more holistic facial rejuvenation.
A facelift and neck lift is performed through an incision in or near the hairline, just inside the cartilage of the ear and then behind the ear and into the hair behind the ear. This allows access to suture a fibrous-muscle layer (SMAS) under the skin in order to tighten it and create a sling that aims to lift the jowls and neck to restore the jawline contour. The skin is redraped and meticulously sutured back into place to leave a hidden scar without an unnaturally ‘tight’ appearance. It is performed under a general anaesthetic and as this advanced procedure is precise and time consuming it will require an overnight stay in hospital. Smaller facelifts (mini-facelifts/MACS lift) can be performed as daycase surgery in selected cases.
There are a large number of different facelift operations available, ranging from mini-facelifts to full face and neck-lifts. Mr Fattah is experienced with a number of different facelifting techniques and uses established SMAS-facelift methods to ensure lasting results that are not achievable by “thread lifts” or skin-only “lunchtime” facelifts. An in depth consultation exploring your aims will allow Mr Fattah to suggest a bespoke plan that will best achieve your goals.
Upper Lid Blepharoplasty
Upper lid blepharoplasty is the removal of excess skin, and occasionally fat from the upper eyelids in order to refresh the appearance of the eyes. The surgery will be a day case procedure typically under a local anaesthetic. The operation is performed using an incision hidden in the natural crease of the eyelid and takes around 30 minutes. It can be combined with a lower lid blepharoplasty or brow lift to give a more complete rejuvenation to the eyes and upper third of the face.
Lower Lid Blepharoplasty
Lower lid blepharoplasty is the removal of excess skin typically with repositioning or removal of the fat of the lower eyelids. The aim is to smooth the area between the lower eyelid and cheek, where you may have noticed bulges or bags, to take away the tired look around the eyes. It is more involved than an upper blepharoplasty and is performed under general anaesthetic as a day case. Through a hidden incision immediately under the eyelashes, the skin and fat is redraped to smooth out the crease between the cheek and the lower eyelid. This masks the appearance of the lower eyelid bags and allows any excess skin to be removed at the same time.
A brow lift is a procedure to improve the position of the eyebrows; it also helps reduce the amount of excess skin in the upper eyelid. Patients often requesting an upper blepharoplasty would benefit more from a brow lift. There are many types of brow lift. Mr Fattah generally uses minimal access techniques that involve incisions in the hair to avoid visible scars.
Frequently Asked Questions
Is having a facelift or blepharoplasty painful?
The procedures themselves are not very painful and the use of local anaesthetic during the procedure (even under general anaesthetic) means that immediately after surgery the pain is well controlled. After surgery swelling can give a sensation of tightness that can be uncomfortable but the majority of patients are surprised at how little discomfort they experience in the early stages.
How long would I need off work if I have a facelift?
Most patients take two weeks off work after a facelift in order to allow the majority of bruising and swelling to dissipate. You will be able to return to normal activities much sooner than this, your main issue being how to hide the signs of surgery.
What will I need to do after my blepharoplasty?
The eyelids will be a little bruised and swollen and this will develop over the next couple of days. Sometimes, icepacks at home can help significant swelling (a bag of frozen peas wrapped in a tea towel) placed on the area for a few minutes every 15 to 30 minutes can help. You will likely want to adopt a movie star appearance and wear sunglasses outside for the next few days but after a week you should be almost back to normal. You will have sutures that will need to be removed the following week in clinic and typically some small steristrips (butterfly stitches).
I’ve heard that blindness is a risk of blepharoplasty, is this true?
Yes, it is a complication of the incredibly rare “retrobulbar haematoma” that is estimated to occur in 0.04% of cases. This is bleeding inside the eye socket that puts pressure on the eyeball. If not recognized early it can damage vision. Most procedures performed by Mr Fattah do not enter this area, significantly reducing this risk. Fortunately, early signs are obvious and prompt treatment avoids permanent damage to the eye.