francois j duminy
Plastic & Reconstructive Surgeon
CAPE TOWN PLASTIC SURGEON CV
The purpose of a facelift is to lift away the sagging caused by gravity. It is not meant to pull every wrinkle flat nor is it meant to change the shape of the mouth or the eyes.
It is used in conjunction with other techniques to rejuvenate the aging face.
Aggressive facelifts can result in prolonged bruising and swelling and can also be associated with nerve injuries that could result in asymmetrical facial movements such as a skew smile.
In this context, we believe that one should always use the simplest and least invasive form of facelift that will succeed in correcting the sagging caused by gravity in any individual patient. To this end, our usual approach is the MACS (Minimal Access Cranial Suspension) facelift in which the soft tissue layers under the skin are lifted and tightened without pulling on the skin itself. Once the deeper layers have been lifted, the skin is re-positioned and the excess skin is removed before suturing under the skin with no surface stitches at all.
This basic method can be adjusted for each individual patient and it can be extended backwards to add extra lift to the neck or forward to add lift to the brow.
Benefits Experienced by most of our patients
1. Correction of sagging around the jowls
2. Some tightening of the neck
3. lifting of the nasolabial folds and lower face
4. A subtly rejuvenated appearance with lasting effect.
1. Swelling and Bruising that usually lasts 1o to 14 days
2. Scars in front of the ears that are initially visible, but usually heal so well that they are almost invisible
3. The skin on the sides of the face is initially numb, but regains feeling in approximately 3 months.