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Dr Douglas McManamny
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The ageing process can take a major toll on your facial appearance. Genetics, gravity, and the environment can all affect the rate at which your face begins to age. Wrinkles and excess tissue on the lower two-thirds of the face are the most noticeable signs of facial ageing, which result from lost or weakened collagen in the skin. While some men and women can stave off the effects of ageing using non-surgical facial injections, patients with more pronounced ageing may require more dramatic correction. A facelift lifts and smooths ageing facial tissues for a firmer, more youthful complexion.

What Can a Facelift Correct?

Sagging Facial Tissues


Gravity and the decrease in collagen production weakens facial tissues over time, eventually resulting in a drooping appearance caused by an excess of facial skin. Sagging skin typically occurs around the cheeks and along the jawline. The correction of a sagging facial appearance requires the treatment of deeper facial tissues. By lifting both the deep muscular layer and the superficial skin layer, patients receive a more natural and firm facial appearance.

Wrinkles and Fine Lines


The loss of collagen can lead to the development of fine lines and wrinkles, particularly around the nose and mouth. The process of lifting and tightening facial tissues smooths out wrinkles and fine lines, which may be resistant to correction through non-surgical means. Erasing the visible signs of ageing caused by wrinkles helps create a brighter, younger-looking facial aesthetic.

An Undefined Jawline


Excess tissue that accumulates along the lower face can mask the appearance of the jawline. Many men and women find that an undefined jawline affects the shape of their face as well as their overall facial balance. A facelift trims away excess tissue along the jawline and contours the remaining tissue to create a defined jaw angle.

An Aged Neck Profile


The neck plays a significant role in contributing to the presence of facial ageing. Sagging jowls and vertical neck banding can obscure a well-defined and graceful neck profile. A special lifting technique can tighten loose neck muscles and eliminate excess skin. This process restores a slimmer neck and a more youthful neck profile.

Facelift Techniques

Traditional Facelift

A traditional facelift is designed to target the major causes of facial ageing including wrinkles and skin laxity. Well-placed incisions are created in the hairline and, depending on the extent of correction required, run down and around the folds of the ear. Through these incisions, the outer layer of tissue is separated from the deep muscular layer. Drooping muscles are lifted and secured in place with internal sutures. Excess skin is trimmed away and draped to highlight your new muscular contour.

Minimal Facelift

Neck Lift

Addressing Your Concerns


Dr McManamny recommends that all of his facial rejuvenation patients stay in the hospital overnight for monitoring and for the administration of pain medication. You will experience some bruising and swelling which can be soothed using ice packs. You will be required to rest with your head elevated for one week following your surgery to minimise swelling.

Most patients return to work within two weeks of their surgery. You will be required to limit your physical activities for several weeks, but most patients can resume their regular routine after four weeks. Most major swelling subsides after six weeks, at which time your final results will become visible.


Dr McManamny uses fine incisions placed discreetly in the hairline and precise suturing techniques to minimise scar development. However, scar development depends on the patient’s individual healing process. The extent of your incision can also affect scar development. However, any scarring that does develop is likely to fade over time.


The cost of facelift surgery is highly variable and will differ between patients. Hospital fees, anaesthetic fees, and the extent of correction will all affect the ultimate cost of your procedure. The exact cost of your procedure will be determined after a detailed consultation.


Facelift surgery is performed with the patient under general anaesthetic, which means that patients feel zero pain during the procedure. The first few days may be accompanied by some discomfort. All associated pain can be controlled using prescribed oral medication.

Before & Afters


Frequently Asked Facelift Questions

How old should I be before undergoing a facelift?

Every patient ages a different rate. While extensive traditional facelifts are usually best suited for patients 60 years of age or older, patients as young as 40 have been able to achieve dramatic results using more minimal facelift techniques.

Who is the ideal facelift candidate?

Ideal facelift candidates are in good general health and have realistic expectations. Many patients considering a facelift will have signs of visible ageing that may include fine lines, wrinkles, or facial sagging.

Can a facelift correct ageing of the upper face?

A facelift is designed to correct ageing of the lower two-thirds of the face and provides only minimal correction under the eyes. Patients with upper facial ageing as well as lower facial ageing should consider combining facial rejuvenation procedures.

What facial rejuvenation procedures are commonly combined with a facelift?

Eyelid surgery and brow lift surgery can be performed in combination with a facelift. These procedures are designed to treat upper facial ageing around the eyes and in the forehead. Combining procedures can provide overall facial rejuvenation and longer-lasting results.

How long will my results last?

Facelift surgery provides long-lasting facial rejuvenation. Most patients achieve results that last them for many years. However, certain habits such as smoking and exposing your skin to direct sunlight can shorten the life of your facelift results.

How can I prolong the life of my facelift results?

Many patients utilise non-surgical treatments following their facelift to maintain the quality of their results. Non-surgical facial injections, anti-wrinkle injections, and laser treatments can treat minor wrinkles that may develop over time to extend the life of your facelift.

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