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.