Every time we meet someone, the first thing we observe is the face of the other person and it is this first impression that makes the emotional and interpersonal connection with others. The human face is fundamental to a person’s identity and self-image and is closely tied to the perceptions, assessments and expectations of others in a face to face interaction. It is for this reason; the face is often given more attention than any other feature of the body.
There are many types of non-surgical and surgical facial treatments available. Whether you are interested in enhancing facial features or looking for a refreshed look, the options are many. However, no one size fits all and artificial results can result from inadequate treatment selection. Moreover, most non-surgical and minimally invasive procedures have limited results, overdoing them is not the solution.
Dr Rodrigo Teixeira is a specialist plastic surgeon in Melbourne. Dr Rodrigo’s approach to cosmetic facial surgery respects your identity and who you are, by enhancing facial features and improving facial harmony. He aims to achieve beautiful natural results to restore your image.
Facial Rejuvenation is a broad term that includes surgical and non-surgical treatments. Minimally invasive procedures offer moderate improvement and have the advantage of quick recovery. However, some of those treatments such as injections and fillers require ongoing maintenance.
Facial surgery offers more profound and long lasting results and may include other areas for a comprehensive treatment such as brow lift, fat grafting, eyelid surgery or blepharoplasty, facelift or rhytidectomy, neck lift, neck corset and double chin.
Non Surgical procedures
Fractional resurfacing, Coolsculpt, Microdermabrasion, Plasmapen, Thermage, Photodynamic therapy, Micro skin needling and Skin peels.
Do you have a facial skin care routine?
If so, you may prefer to keep it if it is working for you. Otherwise, your journey may start with skin care treatment to improve the quality of your skin. It is important to prepare your skin before surgery, skin care is part of the facelift surgery process to maximise your results.
Non-surgical treatment like injections to correct wrinkles and fillers should be avoided before surgery. When too much filler has been previously injected it may be necessary to dissolve it before surgery.
However, after surgery those treatments may be a great option to maximise your results. Laser treatments may improve the colour and texture of the skin, and plasma pen can be used for lines, wrinkles, creases and skin tightening. It is especially popular for eyelid and brow treatments.
Fillers and fat grafting
Facial fillers are very popular and widely offered. It is quite appealing to have immediate improvement at a lower cost and quicker recovery. On other hand, results are not as durable and may require ongoing maintenance.
Facial fat grafting or lipofilling, uses your own fat tissue that is removed from other parts of your body. The fat is carefully harvested and processed before injection with fine cannulas. That process optimises fat quality and fat survival to achieve more predictable and consistent results.
Fat grafting may be repeated, and it is a long-lasting procedure that does not require maintenance. None of those procedures are risk free and it is important to know the risks involved before having treatment.
Rejuvenation in the face and neck
Your face undergoes gradual changes as time goes on, and is influenced by your lifestyle and heredity. Surgery can restore your image by smoothing the texture of your skin, reshaping the underlying tissues and removing excess tissue. With so many providers and procedures on offer, it can be difficult to know where to start.
Dr Rodrigo is a Specialist Plastic Surgeon. He will be able to perform a facial assessment and take into consideration your characteristics and expectations. He will discuss treatment options to help you make an informed decision on what works for you. In doing so, common points to consider are:
Signs of age
We are all more or less affected by it, an irreversible relentless process of tissue degeneration. Gradually, loss of elasticity, stretching of the skin and weakening of suspensory ligaments, will lead to signs of ageing:
– Relaxation of the skin of the face causing sagging
– Deepening of the fold lines between the nose and corner of the mouth
– Fat that has fallen or has disappeared
– Jowls developing in the cheeks and jaw
– Loose skin and excess fat of the neck that can appear as a double chin or “turkey neck”
As we age there are marked changes to the fatty tissues of the face such as fat deflation and fat displacement. For instance, the malar fat pad (cheek) deflation and drop will contribute to the ageing of the areas around the eyes. Furthermore, it reduces cheek projection and cause skin folds along the jaw (jowls) as well as skin folds.
The aim of cosmetic facial surgery is to improve your appearance safely. It requires careful consideration and thoughtful planning in assessing the patient’s needs. As a result, cosmetic surgery is tailored to the individual. Surgery can focus a specific area, such as eyelid surgery (blepharoplasty), nose job (rhinoplasty), upper face (brow lift and temporal lift), mid face lift, lower face lift and, neck lift. It can also be a combination of a facelift procedure and non surgical treatments, depending on your areas of concern.
Eyelid Surgery (Blepharoplasty)
Do you have droopy eyelids? Do you want a more youthful look for your tired eyes? Does the drooping of your eyelids obstruct your vision? Blepharoplasty, the medical term for eyelid surgery, has been growing in popularity in recent years and is one of the most common procedures in plastic surgery. As you age, your eyelids stretch, and the muscles supporting them weaken causing sagging eyebrows. As a result, fat bulges may appear above and below your eyelids. In addition, sun damage and your genetics also impacts how early those changes will appear and how fast they progress.
Droopy upper lids and bags under your eyes make you look older and severe sagging skin around the eyes can also reduce side vision (peripheral vision), especially the upper and outer parts of your visual field. Blepharoplasty can reduce or eliminate these vision problems and make your eyes appear younger and more alert.
Upper eyelid surgery: This type of surgery involves correcting heavy “hooded” eyelids, the loose skin that is often formed above the upper eyelashes and bulging pockets of fat.
Lower eyelid surgery: The purpose of a lower blepharoplasty procedure is to improve the appearance of sagging skin and fat bags under the eyes. It can also correct the eyelid position when drooping lower eyelids reveal the white part of the eye below the iris, and excess skin and fine wrinkles. It consists of a day surgery procedure, so you can go home after anaesthetic recovery, most often local anaesthesia and sedation.
The original face lift as described over 40 years ago involved hidden incisions in front and behind the ear and incisions in the hair bearing scalp. It relied on skin tightening only, and often produced unnatural and short-lasting result. Another frequent problem was displacement of the hairline resulting in an operated look stigma.
Facelift techniques have evolved dramatically. Modern techniques focus on release and reposition of facial structures for tightening and supporting, instead of simply relying on sutures to lift sagging skin. This special layer of tissue is called SMAS in the face and platysma muscle in the neck. Furthermore, more advanced facelift include deep plane facelift and composite facelift.
Dr Rodrigo Teixeira will be perform a full face assessment and discuss the best facelift option to address your concerns. Sometimes the combination of different treatment modalities may enhance the final result of you facial cosmetic treatment.
Things to consider before facial surgery
Facelift surgery is not for everyone. Talk to your medical practitioner and consider the following:
– Your doctor can only work with the existing skin and soft tissues. The facial skeleton also ages in the form of bone loss. So there are limits to how far you can rejuvenate your face and some patients may consider other treatments to treat the facial skeleton.
– When can I have a facelift?
20s and 30s – skin care routine, non-surgical treatments and rhinoplasty are common options. Consider facial fat grafting for fine and long lasting results as an alternative to fillers.
30s and 40s – some procedures like eyelid surgery, temporal lift or brow lift may be indicated before having facelift surgery of the midface and neck.
50s and 60s – most common age for patients looking for a facelift.
– How much does a facelift cost?
Consider the cost of treatment. Generally, cosmetic facial surgery does not qualify for rebates from Medicare or private health insurance companies. Also, it is important to have some extra savings available or consider hiring surgery insurance. Generally speaking facelift surgery ranges from $20K – 30K depending on the amount of correction required.
– Smokers are at increased risk of tissue necrosis and poor wound healing. For your own safety, general health and wellbeing, quit smoking before having surgery.
Facelift risks and complications
There are many factors that may impact on your result and recovery. Your personal circumstances such as your habits and lifestyle and well as your medical history, previous procedures and operations. Also important are the medical facility where the procedure is undertaken, training and experience of the staff and your surgeon’s qualifications. In addition, there are risks with allergic reactions, medications side effects and anaesthetic, during and after surgery.
Some of the general side effects are allergic reactions, severe swelling and bruising, bleeding, infection and blood clots. Similarly, there are specific complications. For example: scarring, skin loss (necrosis) and slow healing wounds, pain, facial asymmetry, facial nerve weakness or palsy, numbness, under and over-correction. To minimise risk in facelift surgery, it is important to have a clear surgical plan, safety checklists and good communication. Likewise, it is important to fully comply with medical instructions, attend appointments and communicate any concerns early on.
Any surgical or invasive procedure carries risks. Before proceeding, you have the option to seek a second opinion from an appropriately qualified health practitioner. Recovery time and treatment results will vary from patient to patient and depend upon a variety of individual patient factors. Despite your surgeon’s experience, the medical literature recognises that problems may occur even with the best care.
Find your facelift specialist surgeon
Trust your instincts and choose a surgeon that makes you feel comfortable and communicates well with you during your consultation. He /she should understand your complaints and be realistic about outcomes. There are excellent surgeons and facelift experts in Melbourne, make sure you check their qualifications. Facial plastic surgery requires in depth knowledge of the intricate facial anatomy, appropriate training and experience with proven surgical techniques.
Dr Rodrigo has a special interest in facial surgery. His expertise in craniofacial surgery, cleft surgery and reconstructive surgery are assets when performing facelift surgery. He will provide you with adequate follow-up and his work speaks for itself.