How To Determine the Appropriate Facelift (Rhytidectomy) Procedure For You?
Table of Contents
Today more women and men are considering a facelift surgery or mini face lift.
A mini-facelift can be done alone, or in conjunction with other procedures such as fat injection, forehead lift, eyelid surgery, or nose reshaping. Ask Dr. Mark Duncan-Smith about the facelift procedure that is right for you.
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Results
specific to this patient three months post procedure. Outcomes may vary
due to many factors including individual’s genetics, diet and exercise.
Are you a Facelift (Rhytidectomy) Surgery Candidate?
Dr. Mark Duncan-Smith can assess your skin’s elasticity, your complexion and help you determine the appropriate procedure for you. Remember, facelift surgery has been successfully performed on patients as young as 40 years old and as old as 80 years old.
Your general health will be assessed prior to any anticipated surgery. You should bring your medical records with you at your consultation.
Is there scarring and what is the age of patients having this procedure?
All scars are hidden as much as possible within the hairline and in front of and behind the ear as well as under the chin.
To provide an estimate, the most common age for facelifts in women is 40-60 and for men it is 50-65.
Why a Facelift (Rhytidectomy)
A facelift procedure aims to tighten and remove excess facial skin.
- You should be in good health with normal exercise tolerance and blood pressure to be the ideal candidate for the operative procedure.
Combinations with Other Facial Procedures
It’s very common to combine a facelift with another procedure to achieve or enhance certain results. During your first consultation with Dr. Mark Duncan-Smith these options can be assessed.
A facelift will focus on the lower two-thirds of the face, however, if the forehead or eyes also require attention, you may wish to consider one of the following options;
A Blepharoplasty, or eyelid lift, which removes additional skin around the eye on both or either of the upper or lower eyelid.
A Brow Lift which aims to tighten the skin on the forehead raising the brow.
A Neck lift, which is a very common procedure to combine with almost all facelifts.
Eyelid surgery and brow-lifts are considered complementary to each other.
Dr Mark Duncan-Smith will have a professional consultation with you that is respectful of your goals and concerns.
Results
specific to this patient one year post procedure. Outcomes may vary
due to many factors including individual’s genetics, diet and exercise.
Facelift (Rhytidectomy) and Necklift
What is Involved With the Procedure?
When many people think of facelift surgery, they tend to think about processes that were used in the earlier days of the surgery, in which wrinkled skin was stretched to create a smoother surface. These days however, there are more advanced modern techniques which are used to reshape the layers of connective tissue under the skin, which don’t involve similar stretching techniques.
While the process for this procedure will vary between patients based on their needs and how their tissue will be manipulated, trimmed, folded and then fixed in place, the aim of the procedure is uniformly to achieve a natural appearance usually with discreet incisions to minimise scarring. For a facelift operation, patients will be placed under general anaesthetic and twilight anaesthesia.
Facelift Options in Perth
The full facelift Perth is a comprehensive procedure that addresses the entire face and neck. The areas of focus of course, will depend on the individual’s condition and desired outcome.
The facelift operation elevates and re-drapes the facial skin and underlying musculature to eliminate laxity and remove extra skin. The operation can be designed to focus on the neck, under the jaw and/or chin and in the cheeks.
Mid – Facelift
The midface lift (addresses the cheek or middle third of the face) tends to be popular in the younger facelift patients whereas the older patients tend to require a full facelift to address the lower two thirds of the face.
Mini Facelift
Mini face-lift is a term used to describe a moderate tightening of the cheeks and jowls and neck usually with a smaller incision and no incision under the chin. Best usually at about 40-50 year of age.
Are you a good fit for a mini facelift?
Indications that a mini facelift may be appropriate include:
- Usually for a younger person, 40-55 yrs old;
- Mild to moderate face laxity; and
- Mild upper neck laxity with facial laxity.
Caution of Cheap Facelift Procedures Overseas
Some practitioners in Thailand, Bali and India offer a different range of facelift procedures which could include the use of threading, a technique which lifts the structure of the face with sutures under the skin. The results are transitory and rarely satisfy Australian patients.
The “silhouette” lift is a newer thread lift procedure which includes the use of absorbable sutures. These absorbable sutures are said to cause fewer problems than the permanent varieties; however, the results from this procedure still don’t last more than a year, limiting its effectiveness.
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Facelift Perth FAQS
How much is a face lift and neck lift in Perth?
Facelift Cost: Price is on request.
How Long Does It Take To Recover From a Facelift?
The surgery is done as an overnight surgery. Dressings are removed the next morning after review by Mr. Duncan-Smith and a face and neck ‘sling’ garment is worn. This is provided as part of the surgery costs, and you are educated on how it is worn.
The ‘sling garment’ is worn full time for the first week, and then only when at home for the 2 weeks after that.
If you want to be presentable to people and they not know that you have had surgery, then you have to hibernate for 7 to 10 days after the surgery.
From an exercise point of view, no strenuous exercise in the first week, then increasing low impact in the second and third weeks. After 3 weeks, a more normal exercise routine can be commenced, increasing in a sensible fashion over a few weeks.
What are the steps in a facelift procedure?
Incisions are generally around and behind the ears. The skin is elevated in the fat level deep to it, forward from the ear. Once elevated, the SMAS layer is elevated to allow a flap of the fascia to be elevated in front of the ear lobe. This is then lifted almost vertically to be attached to the periosteum ( bone covering ) in front of the upper part of the ear / posterior part of the cheek. This provides a solid anchor point, with the SMAS plicated in the cheek to give more lift and cheek fullness. The neck tissues are then plicated back to give a better definition to the front of the neck and reduce anterior neck looseness / turkey gobbler.
If there is extreme banding at the front of the neck, sometimes a small incision is made under the chin also to allow access to that area.
It is rare now to do a face and neck lift without some fat injection to the cheeks, nasolabial and marionette lines. This is typically done last, prior to using dissolving sutures to close all of the access points.
Will there be any scarring?
There is a fine scar around the ear and behind the ear that typically settles very well. It is often only visible on close inspection, and it would be unusual to be able to see the scars from across a table for example.
Will a Facelift address my Neck?
Facelift should really be called face and neck lift and specifically target neck and jowl issues.
If there is extreme banding at the front of the neck, sometimes a small incision is made under the chin also to allow access to that area. The neck tissues are then plicated back to aim for better definition to the front of the neck and reduce anterior neck looseness / turkey gobbler.
What Is The Best Time To Have a Facelift?
There is no prescribed ‘best time’ to have a facelift. Ultimately, it is when the changes with aging bother the patient enough to present and request improvement.
At what age should I be considering having facelift surgery?
Not everyone needs a facelift, and having been injecting fillers and wrinkle relaxers, these options always from part of my assessment for a patient’s individual treatment plan.
As I do filler and wrinkle relaxers all the way through to face and neck lift, I am not going to try to overstretch any given technique.
We can personalise a plan for you.
How much is a face lift and neck lift in Perth?
Facelift Cost: Price is on request.
How Long Does It Take To Recover From a Facelift?
The surgery is done as an overnight surgery. Dressings are removed the next morning after review by Mr. Duncan-Smith and a face and neck ‘sling’ garment is worn. This is provided as part of the surgery costs, and you are educated on how it is worn.
The ‘sling garment’ is worn full time for the first week, and then only when at home for the 2 weeks after that.
If you want to be presentable to people and they not know that you have had surgery, then you have to hibernate for 7 to 10 days after the surgery.
From an exercise point of view, no strenuous exercise in the first week, then increasing low impact in the second and third weeks. After 3 weeks, a more normal exercise routine can be commenced, increasing in a sensible fashion over a few weeks.
What are the steps in a facelift procedure?
Incisions are generally around and behind the ears. The skin is elevated in the fat level deep to it, forward from the ear. Once elevated, the SMAS layer is elevated to allow a flap of the fascia to be elevated in front of the ear lobe. This is then lifted almost vertically to be attached to the periosteum ( bone covering ) in front of the upper part of the ear / posterior part of the cheek. This provides a solid anchor point, with the SMAS plicated in the cheek to give more lift and natural cheek fullness. The neck tissues are then plicated back to give a better definition to the front of the neck and reduce anterior neck looseness / turkey gobbler.
If there is extreme banding at the front of the neck, sometimes a small incision is made under the chin also to allow access to that area.
It is rare now to do a face and neck lift without some fat injection to the cheeks, nasolabial and marionette lines. This is typically done last, prior to using dissolving sutures to close all of the access points.
Will there be any scarring?
There is a fine scar around the ear and behind the ear that typically settles very well. It is often only visible on close inspection, and it would be unusual to be able to see the scars from across a table for example.
Will a Facelift address my Neck?
Facelift should really be called face and neck lift and specifically target neck and jowl issues.
If there is extreme banding at the front of the neck, sometimes a small incision is made under the chin also to allow access to that area. The neck tissues are then plicated back to aim for better definition to the front of the neck and reduce anterior neck looseness / turkey gobbler.
What Is The Best Time To Have a Facelift?
There is no prescribed ‘best time’ to have a facelift. Ultimately, it is when the changes with aging bother the patient enough to present and request improvement.
At what age should I be considering having facelift surgery?
Not everyone needs a facelift, and having been injecting fillers and wrinkle relaxers, these options always from part of my assessment for a patient’s individual treatment plan.
As I do filler and wrinkle relaxers all the way through to face and neck lift, I am not going to try to overstretch any given technique.
We can personalise a plan for you.
Clinical Photographs
Mini Face Lift with fat injections
Click the arrows to slide left/right.
Results specific to this patient one year post procedure. Outcomes may vary due to many factors including individual’s genetics, diet and exercise.

