A facelift is an operation designed to rejuvenate the ageing face. It may be combined with other facial cosmetic operations like eyelid surgery , and liposuction of the neck, as well as with non surgical procedures like Treatment for lines and wrinkles, and gel injections.
Whereas previously the emphasis of the surgery was placed on skin tightening (which gave an operated, rather than a more youthful appearance), a better understanding of the effects of facial ageing coupled with a more detailed knowledge of the facial anatomy, and how this changes with ageing, has led to the development of modern facelifts designed to re-elevate and reposition the deeper tissues to a more youthful position, without the marked skin tightening stigmata seen in the past.
Effects of ageing:
General "wear and tear" coupled with sun damage leads to changes in the skin quality (wrinkles, lines, pigmentary changes)
Loss of facial volume, which effects both the soft tissue padding (fat) and the bone
Descent (ptosis) of the remaining facial fat - droopiness leading to heavy naso-labial lines, flattened cheek prominences, jowls, and sagging neck skin
Weakened support structures leading to prominent bulges