Mr Mark Ho-Asjoe

Facelift Surgery


The facelift surgery removes extensive wrinkles leading to a more youthful and relaxed appearance.

The facelift procedure starts with an incision made right at the temple near the ear on both sides of the face. Excess fat is then displaced, and facial muscles are tightened. The tissue is then stretched and pulled slightly for a taut appearance. Excess skin is then trimmed, and then the skin is finally sewn into place. The incision for facelift surgery is hidden in the hairline and behind the ears. Any scarring is minimized and made further discrete by not being visible.

The ideal candidate for a facelift is someone who feels self-conscious about their image and the way that their skin and neck sags.

There are many methods to rejuvenate facial appearance.  The range of treatment is extensive including infrared, ultrasound tissue tightening, and threading to reposition soft tissue.

Mini Facelift and Lunchtime Facelift

Facelift surgery embraces a full range of treatments labeled as a mini facelift, lunchtime facelift, to the full facelift where underlying tissue is tightened and repositioned before the skin is excised and draped.  The mini-facelift, lunchtime facelift market on the basis of a 'quick recovery' and 'short downtime'.  Unfortunately, quick recovery means less intervention and less surgical dissection.

It is true that not all patient requires a surgical facelift, but less invasive treatments usually mean less overall improvement. Possibly more repeat procedures in a shorter interval.  We cannot prevent the ageing process.


Recovery time following facelift surgery varies.  There is the expected swelling, bruising, and wound healing in the first week which gradually settles down with time.  The duration of recovery varies between patients but most patients return to work after 3 weeks. Most women can disguise the effects of facelift surgery with makeup after 10-14 days.  Arnica may be useful in reducing swelling and bruising.  Recovery obviously requires resting, good nutrition, and avoiding smoking and alcohol intake.

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Periauricular paresthesia may affect a portion of patients, affecting patients for a significant amount of time post-facelift surgery. When performing a face and neck lift, the posterior auricular flap behind the ear is modified, and this can potentially lead to nerve damage. To prevent nerve damage in the auriculotemporal nerve and to help preserve hair follicles, the dissection should be done above the thin fascia right above it. During a procedure the tissue covering the deep fascia has a tendency to be elevated due to its relationship with the skin, leaving the auricular nerve open to exposure. To prevent any sort of damage to the auricular nerve, the skin flap during a facelift and neck lift surgery should be elevated above the auricular posterior muscles.

Facelift surgery when performed properly by an experienced surgeon, leaves the patient looking more youthful and relaxed. During a facelift, an incision is made from the temple, extending down around the ear and into the hairline in the back of the ear on both sides. The underlying fascia (SMAS)  layer is tightened.  The SMAS layer is the strong layer that helps with tissue repositioning and thus, takes away the tension on the skin layer producing a better scar.   To complete the facelift the skin is pulled upward and laterally, repositioned without tension, trimmed, and sewn. The incision from a facelift is hidden in the hairline and behind the ears so there is no visible scarring. It takes between 2-3 hours depending on how much work your particular facelift involves. Many people combine facelift surgery with additional surgeries such as eye bag removal and fat transfer. Facelift surgery is performed under general anaesthetic with an overnight hospital stay.

Facelift and ageing

As we age, skin loses its elasticity and volume. Eventually, this creates the pooling of skin in the lower facial region, typically called jowls. While wrinkling of the skin is a natural part of growing older, patients who are bothered by its physical manifestation may find a facelift to be a particularly useful solution. Facelifts tend to be the go-to answer for when topical solutions and noninvasive treatments have stopped being effective.

Even though a facelift is an effective and sound procedure, there are risks that are still involved. Some of these risks include scarring and the retardation of hair follicles in the incision site. However, as mentioned, the right surgeon will ensure that scarring is minimized and that the incision site is out of the line of sight. The skilled surgeon will also mitigate any issues with changes in skin sensation, which can potentially affect superficial sensory nerves.