Face Lift & Neck Lift

At Facial Artistry we believe there is no vanity in wanting to look more attractive. It is all about being the best version of yourself. Dr Bernard Leung will personal assess your facial structure and listen to your concerns. He will then tailor a treatment plan to suit your individual needs. By using his technical skills that he has acquired over the years and his artistic judgement he can get you the results you desire.

People in their fifties and beyond often complain of loose, sagging skin of their neck (the so called turkey neck), with or without a double chin. They are also frequently bothered by the appearance of sagging jowls, giving them a ‘sad puppy’ look. Occasionally these changes may develop even earlier due to hereditary factors. Dr Bernard Leung’s face lift and neck lifting procedures can help return these signs of aging.

One of the key aspects of facial aging is the sagging of soft tissue. As discussed in our page on the 5R principles of facial rejuvenation, a face lift and neck lift allows repositioning of facial and neck tissue to where they used to be, giving you back a more youthful appearance.

Dr Leung was personally trained by Professor Nikolay Serdev and Professor Marlen Sulamanidze in their suture lift and thread lift techniques. With his experience, anatomical knowledge and artistic judgement, he has evolved his own technique to address the drawbacks of some of the earlier minimally invasive techniques, in particular the issue of lack of longevity of the effects of thread lifts.

Current trends in face and neck lifts

In the mid 1970s, Mitz and Peyronnie described the Superficial Musculo-Aponeuritic System (SMAS) of the face, which consists mainly of the mimetic muscles of the face. This layer is of utmost importance in any face lift procedures. Most current techniques involve lifting of the SMAS layer into a more youthful position.

There have been two disadvantages associated with using a more traditional surgical face lift technique. Firstly some patients end up with a tight, pulled, ‘wind-swept’ look. Secondly it can take quite a substantial period of time to recover.

More recently, anatomical studies performed on cadavers have identified the existence of several ’glide planes’. These glide planes are restrained by ligaments consisting primarily of collagen and elastin. The amount of collagen and elastin gradually decreases with age, and these restraining ligaments gradually become more attenuated or even disappear altogether, leading to sagging along the glide planes.

Traditional face lifts are not anatomically ’correct’, as the lifting is carried out where such glide planes (and therefore sagging) do not exist. Hence the ’wind-swept’, operated-on look.

The trends in  facelifting at the present time are best summarised as follows:

  1. Volume versus tension—Placing tension on the skin (pulling) is not an effective way of lifting the face and is responsible for the “face-lifted” look and for unsightly scars and distortion of the facial landmarks such as the hairline and ear. The current trend is toward redistributing, or replacing facial volume, rather than flattening it with excessive tension.
  2. Less invasive—The more “invasive” techniques have not yielded benefits in proportion to their risk. Now patients have other alternatives that have less recovery time and are less invasive with treatment results being equivalent or better than the invasive surgical facelifts.
  3. Facial harmony—The goal is to help a patient look better, not weird or operated on. Excessive tension, radical defatting, exaggerated changes, and attention to one region while ignoring another may result in disharmony. Facial rejuvenation should be analysed and planned with the entire face in mind. If focus is on the entire face, then natural results can be achieved without people knowing they have had ’work done’.
  4. Recognition of atrophy—The process of aging involves not only sagging of the tissues and deterioration of the skin itself but shrinkage (atrophy) of tissues, especially fat, and skeletal structures. Most patients require addition of fat or dermal filler to correct the atrophic changes (Facial Revolumisation).This is an area Dr Leung specialises in.

Dr Leung’s technique of face and neck lift

With these considerations in mind, Dr Leung developed his own minimally invasive technique. He performs a VASER assisted SMAS and platysma lift (face and neck lift), with facial revolumisation being an integral part of this procedure. The key points with his technique is an extremely natural looking result, as he strictly adheres to the 5R principles of facial rejuvenation and he applies the lifting primarily to structures that have undergone sagging. The result is long-lasting, comparable to a traditional surgical face lift, and much longer lasting than thread lifts. There is minimal down time, typically only a few days, with prompt return to work and normal activities.

The aim is not to create a new you, but to reposition your facial anatomy back to where it once was, which in turn will reveal a much younger, more youthful looking appearance.

How long will the effect last from a face or neck lift?

The benefits of face and neck lift will last for a number of years. However, due to the aging process, facial volume loss will continue, and skin and underlying tissues will continue to sag. The benefits will therefore eventually diminish with time. The longevity of the face and neck lift can be maintained to a large degree by regular facial revolumisation treatments to correct any further facial volume loss that takes place after the procedure, as well as radiofrequency Pelleve Skin Tightening treatment to slow down the rate of skin collagen loss.

What is involved in a face and neck lift?

The procedure involves careful assessment of your facial anatomy and planning of the areas to be lifted. At the commencement of the procedure, the points of entry are marked and tumescent local anaesthesia is used to numb the areas to be treated. VASER ultrasound is carried out as this causes skin retraction during the healing phase. Liposculpture will be carried out at this stage if required. A special tool is used to access the anchorage points and a suture is then tied from the structure to be lifted onto the anchorage point. The entire procedure takes less than 2 hours.

Recovery time is remarkably short, usually requiring only several days off work.

Will there be any scarring after your face and neck lift?

The small 2-4mm access points heal without any obvious scarring. There can be a small amount of bunching of skin near the entry points, but this usually resolves completely within several weeks.

Can face and neck lift be combined with other procedures?

Yes, Dr Leung often performs the face and neck lift with other procedures, either concurrently or in sequence to maximise the effect and longevity of the lift. Neck and jowl liposculpture is often performed in conjunction with a neck lift, and the combined effect is usually more aesthetically pleasing than either procedure performed on its own. Upper blepharoplasty is often carried out at the same time to correct sagging of the upper eyelids.

As mentioned previously, facial revolumisation is an integral part of the face and neck lift that Dr Leung performs. The revolumisation is usually carried out in sequence to allow a natural look to be achieved.

Dr Leung will assess your facial anatomy, signs of aging, and your desired result at your consultation. He will be able to make a recommendation based on all these factors.

How much does a face or neck lift cost?

We understand you are curious to know how much the procedure you are thinking of having might cost.

The truth is that with the cost of many procedures vary considerably depending on different factors, such as age, sex, skin tone etc. We therefore believe it is impossible to give a cost estimate without gaining a proper understanding of your needs. Your body, your skin and your expectations are different to anybody else’s. We want to plan treatments based on your needs.

Our philosophy is simple. We want you to be fully informed, we want you to understand all your options and have one accurate price quoted once. Our experience tells us that this is what most of our clients want too.

To request an appointment with Dr Bernard Leung to discuss your suitability for face or neck lift please email us or call us on 02 6255 8988.