Facelift, MACS lift

Symptoms and Suitability

The aim of facelifting is to reverse the anatomic effects of ageing on the face by repositioning the skin, fat and the underlying facial supports (the “SMAS” layer of musculature).

Ageing of the face has multiple causes which in turn require different treatments. The main ageing culprits are sun/ environment, and gravity (the third being genetic predisposition).

Ageing creates excessive skin and fat bulges around the eyes, cheek and jawline. In time, much of the volume that was once suspended in the upper portion of the face descends and gives the face a heavy and “sad” appearance.

The procedure of facelift is often combined with other facial rejuvenation procedures such as necklift, browlift, blepharoplasty (eyelid lift) and rhinoplasty (nose reshaping).

Facelifting is not the only solution to facial ageing, and depending on what bothers you the most, we can target those areas in a more minimal fashion, to suit your requirements. Dramatic results can be achieved by a step wise approach and by medical grade skincare, non surgical wrinkle targetting, resurfacing, filling and microfilling, with or without surgical intervention. You will never feel pressurised in my practice into doing more than you are happy with.


I make an incision running from your hairline down in front of your ear, and around and up the back of your ear. If a necklift is also required I usually recommend a small incision under your chin to gain the best “lift” from the procedure.

The muscle group (SMAS) under the skin is lifted and pleated into tightened position and the redundant skin is excised. The procedure is often combined with a necklift (platysmaplasty), and/ or liposuction depending on your main area of concern.

facelift before

facelift after


Facelift patients will require an overnight stay, and fairly significant turban style bandaging overnight.Bruising and swelling can be expected (often significant).

At least a week of downtime is advised.


Scars are placed along the hairline and in front of the ear, behind the ear and up into the hairline behind the ear. Scar treatments are taught and encouraged to settle the scar post operatively.