The aim of face and neck surgery is to regain the contours of the youthful face by removing some of the visible effects of normal aging. During the normal aging process, face and neck skin loses its elasticity and the supporting structures of the skin stretch allowing skin and fat to descend with gravity.
A loss of definition of the jawline due to the descent of cheek fat (jowl formation) and sagging of skin beneath the chin
Increasing facial expression lines on the cheek, on the forehead and around the eyes
The increased formation and prominence of static facial lines such as the groove between the nostrils and the corner of the mouth, and the mouth and chin
Certain changes with aging are not improved by a face and neck surgery. These changes include:
Fine lines around the mouth often called smokers lines
Fine lines around the eyes often called crows feet
No. A facelift will rejuvenate your facial appearance but does not “stop the clock”. The results of a facelift may last up to 10 years as normal aging resumes after surgery but from a newly rejuvenated starting point. The rate of aging progression will depend to a large degree on the quality of your tissues. With advanced changes such as a significant loss of elasticity, aging will progress more rapidly than it will in patients who do not have the same problem.
Some people will have a further facelift procedure in the future. This will depend upon the quality of your skin. It will also depend upon the amount of scarring from previous surgery.
As with all aesthetic/cosmetic surgery, is important to establish goals and priorities. Dr Magnusson will talk with you at length about what areas of your face concern you the most. These goals and priorities will form the foundation for selecting the appropriate procedures to best address your concerns.
The scars from facelift surgery will typically start in the hairline of the temple, progressing down in front of the ear and then turn around under the earlobe behind the ear and into the hairline of the neck. Scars from invasive surgical procedures are inevitable. The scars are placed in locations that will tend to naturally conceal them such as within the hair or in natural folds. Initially the scars will be visible because they will be pink and sometimes a little lumpy. In due course the vast majority of these scars will settle to become very difficult to find. The scars on the neck are more commonly affected by processes such as widening because of the increased mobility in this area. These scars on the neck are also be easiest scars to conceal (by hair).
It takes as much skill to perform a face lift as it does to perform a “natural” face lift. In the short-term, swelling will increase the tension in the tissues and many people will look “operated” during this phase. This is particularly so if a face lift is combined with a brow lift because this combination increases the amount of swelling. By five or six weeks following surgery most people will have a relatively natural look however the final results are not evident until about three months following the operation.
Generally not. There are only a small collection of patients who will obtain support from Medicare and health funds. These patients include:
Patients who have had facial nerve problems (paralysis on one or less commonly both sides of the face). This includes patients who have had a stroke, Bell’s palsy or trauma.
Patients who had of diseases that effect the elasticity of skin and the volume of tissues on one side of the face.
Patients who have had significant surgery on one side of the face may be able to obtain benefit from a face lift on the opposite side to regain symmetry.
For patients who fit these categories, approval from the health insurance commission will be required to obtain the benefit. This requires sending clinical photographs and a covering letter to Canberra. For patients who are successful in obtaining approval, the health fund will assist with hospital costs. Medicare and your health fund will assist with medical costs (anaesthetic, assistant surgeon and Dr Magnusson). You will still have out-of-pocket costs.
For all other patients the costs of surgery are out of pocket expenses. These include the costs associated with the hospital, anaesthetist, assistant surgeon and Dr Magnusson.
For further information about your own policy you should contact your health fund.