About Facelifts


It is important to understand where facelifting sits in a world of cosmetic facial beautification.


In days gone by facelifting was the only real available intervention to try and fight the effects of ageing on the face. Facelifts in those days were often brutal procedures requiring lots of downtime and commonly further procedures to deal with complications. Over the years and decades of course side effects have been minimised, techniques have improved, and now rather than just lifting or tightening the skin, the deeper muscles known the SMAS are lifted as well as the skin.


The first facelift is the best facelift and one only needs to troll through magazines showing images of celebrities who have had one or more facelifts too many. Facelifting still has a place in cosmetic facial rejuvenation and sometimes, particularly in older patients is still the best option. It is a very expensive procedure which demands thorough pre-operative assessment and discussion of realistic expectations. Hospitalisation is required with significant downtime.

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What does a Facelift procedure involve?

Facelifts generally involve tightening the whole of the face with incisions behind hairlines and difficult to see areas in front of and behind the ear with the removal of excess skin in order to achieve tightening. This is not always the most natural look and there are other less invasive techniques that can achieve close to the same result.


Dr Hollenbach favours ribbon techniques or Endotine techniques for mid-face lifting, cheek lifting, jowl and jaw lifting. These use a variety of Endotines or ribbons that in time absorb and leave the elevated areas in their optimised position. Ribbon lifting in particular achieves excellent results in the jowl and jaw area and is often combined with laser liposuction. This part of the face combined with lipofilling for volumisation.


In the upper face, particularly in the cheek area, more traditional SMAS facelifting procedures are employed if the lifting vector is deemed to be better in an upward and outward direction. If the elevation is to be purely vertical, perhaps a mid-face lift is more appropriate.


Dr Hollenbach will of course discuss the differences in detail at your consultation.

Types of Facelift procedures offered by Prèface Cosmetic:

Forehead Lifts (Brow Lifts)

Mid-face Lifts

Chin Lifts

Ribbon Lifts

SMAS Lifts

Deep Plane Face Lifts

What is the downtime of a Facelift procedure?

Facelifting is the most invasive procedure performed at Preface Cosmetic. It is also not performed nearly as often as other surgical proceeds due to both the involved costs and downtime. Hospitalisation is always necessary along with general anaesthetic.


Involved downtime is usually 4-8 weeks.

Additional procedures

Whilst facelifting addresses sagginess and loose skin it does little to address defects in the overlying skin. Most of our patients undergoing facelifts will have adjunct CO2 resurfacing laser to make the skin look at its best after the procedure to complete the rejuvenation process. Facelifting is the ultimate form of skin tightening, the final appearance can be enhanced when combined with other facial surgical procedures such as brow lifts, upper or lower lid blepharoplasties, cheek lifts, ribbon lifts and or with fat transfer procedures.

What are the risks involved with Facelifts?

These are too numerous to mention and can range from very severe with numbness due to nerve damage or even paralysis. Whilst these are rare they need to be discussed in detail prior to the procedure.


There are an array of lesser side effects that will be discussed at your consultation as well.

Discover whether facelifting is right for you.