Facelift Surgery (Meloplasty) Melbourne

Dr Rodrigo Teixeira is a Specialist Plastic Surgeon based in Melbourne who performs facelift surgery (meloplasty) using the deep plane technique. This approach lifts the underlying facial structures to restore definition and achieve natural, long-lasting results tailored to each patient’s facial anatomy and goals.

What is a Meloplasty (Facelift) ?

Meloplasty, also known as a facelift or rhytidectomy, is a surgical procedure designed to restore structure and definition to the midface, lower face and neck. It involves carefully placed incisions around the hairline and ears, allowing discreet access to the underlying facial tissues. Through these incisions, deeper layers such as the SMAS (Superficial Musculo-Aponeurotic System) can be lifted and repositioned, while excess skin is gently removed.

A key element of modern facelift surgery is supporting the face from within, not just tightening the skin. By addressing the SMAS layer and releasing specific ligaments, the facial structure is lifted in a way that smooths folds and redefines contours, while preserving natural movement and avoiding an overdone appearance.

There are several facelift techniques available. Dr Rodrigo Teixeira, Specialist Plastic Surgeon in Melbourne, focuses on the deep plane approach, a method that works at a deeper anatomical level to provide durable, natural-looking outcomes tailored to the patient’s features.

At Unveil Plastic Surgery, every facelift is planned individually, with a strong focus on patient safety, anatomy, and realistic outcomes.

Learn more about Dr Rodrigo Teixeira and his approach to plastic surgery and patient care.

A Natural, Individualised Approach to Facial Aesthetics

Dr Teixeira’s approach to facelift aesthetics prioritises natural, balanced outcomes that support your existing facial structure. Every procedure is tailored with careful consideration of your anatomy, skin quality, and aesthetic goals. The aim is to achieve a refreshed appearance, without a stretched or artificial look, using proven techniques like the deep plane facelift.

A natural-looking facelift result typically includes:

A smoother jawline and neck contour
Facial expressions that remain relaxed and authentic
Minimal visible scarring with incisions placed discreetly
Restoration of volume and definition, not tightness

Concerns a Facelift Can Address

Facelift surgery is designed to address structural changes in the lower face and neck that occur with ageing. While every person experiences these changes differently, a facelift may help improve:

Descent of the midface and cheeks
Deepening of nasolabial folds (lines from the nose to the mouth)
Laxity or heaviness along the jawline “jowls”
Loosening of skin or definition under the chin or neck
Reduced facial contour and definition

By repositioning underlying tissues and carefully removing excess skin, facelift surgery aims to restore facial support and refine definition, while maintaining your natural characteristics.

Facelift (Meloplasty) Techniques

Facelift surgery is not one-size-fits-all. Dr Teixeira offers a range of procedures to address different stages of facial ageing, anatomy, and patient goals. Each method is selected based on individual needs, with a focus on achieving balanced, natural-looking outcomes.

Short-Scar Meloplasty (Mini Facelift)

The short-scar facelift, or mini facelift, is a technique designed for individuals with early facial ageing and good skin elasticity. Using smaller incisions around the ears, it allows for limited repositioning of lower facial tissues to refine jawline definition with less scarring and downtime. While it can offer a subtle improvement in facial contour, this approach does not address the deeper structural layers to the same extent as more comprehensive techniques, and the results may be less extensive or enduring.

SMAS Lift and Advanced SMAS Facelift Technique

The SMAS (Superficial Musculo-Aponeurotic System) is a layer of connective tissue and muscle that helps define the shape and support of the face. Techniques that focus on repositioning the SMAS, such as limited, extended, or high-SMAS facelifts, allow for more comprehensive soft tissue support beneath the skin. By working with this deeper layer, these methods can help improve definition in the midface and jawline with results that are typically more enduring than skin-only approaches. SMAS-based facelifts are performed under general anaesthesia, and the specific method is chosen based on each patient’s facial anatomy and treatment goals.

Deep Plane Facelift by Dr Rodrigo Teixeira

The deep plane facelift is a technique that repositions the deeper layers of the face, lifting the skin, SMAS (Superficial Musculo-Aponeurotic System), and retaining ligaments as a single unit. By working beneath the SMAS layer, it allows for more effective repositioning of the midface and lower facial tissues while avoiding surface tension on the skin. This helps restore facial definition and soft tissue support with outcomes that appear natural and maintain dynamic facial expression. Compared to other SMAS-based facelifts, the deep plane approach can provide more harmonious and longer-lasting results, particularly in the lower face and jawline.

Originally developed through the pioneering anatomical research of Dr Bryan Mendelson, this technique continues to be refined and taught globally through the Melbourne Advanced Facial Anatomy Course (MAFAC). As a faculty member of MAFAC, Dr Teixeira participates in the education of local and international surgeons, contributing to the ongoing evolution of safe, precise facelift techniques. The deep plane method is suitable not only for individuals with age-related changes, but also for younger patients with genetically heavier lower face features who may benefit from deeper facial support and contour refinement.

Endoscopic Facelift

The endoscopic facelift is a minimally invasive approach that uses small, well-concealed incisions, typically within the hairline, to access and reposition deeper facial tissues. With the aid of a specialised camera (endoscope), this technique allows for visualisation with magnification and precise release and elevation of soft tissue structures while preserving the overlying skin. It may be used to address early facial changes across the midface, cheeks, jawline, or brow region, depending on the individual’s anatomy and goals. Endoscopic techniques offer the benefit of reduced surface disruption and scarring and may be combined with other procedures to achieve balanced rejuvenation.

Endoscopic Upper Facelift (Ponytail Lift)

A variation of this approach, known as the endoscopic upper facelift or “ponytail lift,” targets the upper third of the face. It is named for the naturally lifted appearance seen when the hair is tied into a high ponytail, particularly around the brows and temples. Using a vertical vector through discreet hairline incisions, this technique repositions soft tissues to restore contour and support with minimal scarring and downtime. It may be suitable for individuals with early heaviness or descent in the upper face.

Vertical Restore Facelift in Meloplasty

The vertical restore facelift is a variation of established deep-plane and SMAS techniques that focuses on lifting facial and neck tissues in an upward (vertical) direction. This approach aligns with the natural descent that occurs with ageing and aims to restore facial support by repositioning deeper structures rather than relying on skin tension. While the term is used to describe a directional preference, it draws on well-established surgical principles and may be incorporated into a facelift plan when vertical vector elevation is appropriate for the individual’s anatomy and goals.

Dr Teixeira’s Surgical Approach to Facelift Surgery

Dr Rodrigo Teixeira is a Specialist Plastic Surgeon with a focused interest in facial anatomy and aesthetic surgery. His approach to facelift procedures is guided by detailed anatomical understanding, surgical precision, and a commitment to achieving results that support the natural structure of each individual’s face. Rather than applying a single technique to all patients, each facelift is tailored to the person’s facial proportions, ageing pattern, and tissue characteristics.

With a background in craniofacial surgery, anatomy education and involvement in ongoing surgical training, Dr Teixeira brings an evidence-informed perspective to every procedure. The goal is not to change how someone looks, but to restore facial support, harmony, and definition in a way that respects the individual’s natural features.

What to Expect at the Facelift Consultation

Your consultation with Dr Rodrigo Teixeira is an essential part of planning your facelift. This process is designed to explore your concerns, assess suitability for surgery, and develop a personalised treatment plan that is aligned with your goals.

During the first consultation, Dr Teixeira will review your medical history, assess your facial anatomy, skin quality, and areas of structural change associated with ageing. Clinical photographs will be taken for planning and comparison. You will be asked to complete a screening questionnaire for Body Dysmorphic Disorder (BDD), as recommended by AHPRA for cosmetic procedures. Your concerns will be discussed in detail. Dr Teixeira will explain the likely benefits, risks, and limitations of facelift surgery in the context of your individual features and medical history, and a proposed surgical plan will be outlined. This includes information on recovery, potential adjunctive procedures, and costs, supported by written materials for informed decision-making.

A second consultation is required to confirm your plan and provide additional details about the procedure, anaesthesia, hospital arrangements, and aftercare. In line with Medical Board of Australia guidelines, a mandatory cooling-off period of at least seven days must occur after the second consultation before surgery can be scheduled. Once confirmed, you will receive written post-operative instructions and contact information for ongoing support.

For more on what to expect during your appointment, visit our patient information page.

Facelift Procedure: What to Expect on Surgery Day

On the day of your facelift surgery, you will be admitted to an accredited hospital, where the procedure is performed under general anaesthesia. Before surgery, Dr Teixeira will review your surgical plan and mark the planned incision lines. You will also meet the assistant surgeon and the anaesthetist, who will review your medical history, discuss any previous anaesthetic experiences, check for allergies, and explain the anaesthesia plan and post-operative pain management.

A pre-operative checklist is completed to confirm your identity, procedure details, consent, and medical history. The duration of surgery depends on the technique used and whether additional procedures are being performed. After the procedure, you will be transferred to recovery and then admitted overnight. Most patients stay in hospital for one or two nights, depending on the extent of surgery and early recovery progress.

Risks and Considerations of Facelift Surgery

As with any surgical procedure, facelift surgery carries potential risks. These can vary depending on an individual’s anatomy, medical history, and the extent of the procedure. Outcomes also differ between individuals due to natural variation in healing, skin quality, and tissue response, which cannot be fully predicted.

Possible complications may include bleeding or haematoma (a collection of blood under the skin), infection, scarring, or delayed wound healing. In rare cases, skin necrosis (skin loss) can occur, particularly in individuals who smoke. Temporary or permanent changes in facial sensation may be experienced, and nerve injury affecting facial movement or expression is also a known risk. Other considerations include hair thinning or changes to the hairline near incision sites, changes in earlobe shape such as a “pixie ear” appearance, facial tightness, prolonged swelling, or asymmetry in facial contours. In some cases, revision surgery may be considered if the initial outcome is not as expected.

General and procedure-specific risks will be thoroughly discussed during your consultation, and written information will be provided to support informed decision-making.

What to Expect During Recovery & Aftercare Following a Facelift

Recovery from facelift surgery varies depending on the individual and the extent of the procedure. Most patients experience swelling, bruising, and a sense of tightness within the first week, which typically subsides over two to three weeks. Mild residual swelling or altered sensation may take longer to resolve.
During recovery:

Keep your head elevated, including during rest and sleep, to help reduce swelling.
Apply cold compresses as directed, especially in the first 48 hours, to manage discomfort and bruising.
Avoid strenuous activity and heavy lifting for the first few weeks, including bending and intense exercise.
Sleep on your back with your head elevated to minimise pressure on the healing areas.
Use gentle skincare products approved by Dr Teixeira to maintain clean and hydrated skin.
Protect your face from sun exposure, including wearing a wide-brimmed hat and using high-SPF sunscreen.
Stay hydrated and eat a balanced, nutrient-rich diet to support healing.
Minimise excessive facial movements, such as vigorous chewing, laughing, or abrupt head turns during the early healing phase.

Healing times vary, and outcomes depend on each individual’s anatomy, tissue quality, and medical history. Post-operative care includes scheduled follow-up reviews. Optional recovery treatments are available through Unveil Aesthetics and may include LED therapy and lymphatic massage to support tissue recovery. Microneedling and laser treatments may also be considered at a later stage to assist with scar management, if appropriate.

Written post-operative care instructions will be emailed before surgery; please read this information in advance. A member of our clinical team will also contact you prior to surgery to review key points and answer any immediate questions. You are encouraged to raise any further queries during your hospital stay. Dr Teixeira will visit you during your admission to monitor your recovery and remains available on call for any clinical concerns. After discharge, the aftercare information includes contact details for follow-up communication or urgent queries.

Is a Mini Facelift Right for You?

A mini facelift, also known as a short-scar or limited incision facelift, may be suitable for individuals with early signs of facial ageing who are seeking a more focused surgical approach. This technique focuses on improving definition along the lower face and jawline, using shorter incisions and less extensive dissection than a full facelift.

It is important to understand that a mini facelift is not designed to address significant skin laxity, deeper tissue descent, or changes in the neck. Patients with more advanced signs of ageing, a heavier lower face, or untreated skin quality concerns may not achieve a meaningful or long-lasting result from this technique alone. While a mini facelift may involve a shorter recovery period and a more conservative approach, it is not necessarily lower risk or appropriate for every case. During consultation, Dr Teixeira will assess your facial anatomy, skin condition, and goals to determine whether a mini facelift is suitable, or whether a more comprehensive surgical plan is needed to address your concerns and ensure realistic expectations.

Combining a Facelift with Other Procedures

Facelift surgery focuses on repositioning deeper facial tissues and removing excess skin, but it does not address all areas affected by facial ageing. For more comprehensive rejuvenation, some patients may benefit from combining facelift surgery with complementary procedures that treat volume loss, skin quality, or ageing in adjacent regions.

These may include neck lift surgery to improve contour beneath the chin and jawline, blepharoplasty (eyelid surgery) to address upper or lower eyelid concerns, or brow lift techniques to support the upper third of the face. Fat grafting is often considered to restore volume in areas such as the midface, temples, around the eyes (periorbital), and around the mouth (perioral), where soft tissue loss can contribute to hollowing or folds. Non-surgical treatments, such as skin resurfacing or medical-grade dermal therapies, may also complement surgical results when used at appropriate stages before or after surgery.

During consultation, Dr Teixeira will provide a tailored plan based on your anatomy, goals, and the distribution of ageing across different areas of the face.

FAQs

How long do the results of a facelift last?

Facelift results are enduring, as the repositioning of deeper facial structures is permanent. However, it’s important to understand that the skin and soft tissues will continue to age and relax over time. While individual outcomes vary, most patients maintain a more refreshed and supported appearance compared to how they would have aged without surgery. The ageing process continues, but the structural improvements achieved through surgery typically provide long-term facial harmony and definition.

Will I look like a different person after surgery?

Facelift surgery is not intended to create a change in appearance, but rather to restore a refreshed look that aligns with your existing features. Dr Teixeira works with your natural anatomy and facial structure to enhance balance and definition, aiming for results that appear natural with minimal signs of surgery.

What type of anaesthesia is used for facelift surgery?

Facelift surgery is performed under general anaesthesia in an accredited hospital. An experienced anaesthetist will oversee your care, monitor you throughout the procedure, and review your medical history, allergies, and prior anaesthetic experiences in advance. In addition to general anaesthesia, local anaesthetic is used during surgery to reduce pain signals and minimise the need for additional anaesthetic medications. This combined approach supports comfort during and after the procedure and contributes to a smoother recovery.

Is there an ideal age for a facelift?

There is no specific age that determines suitability for facelift surgery. The decision is based on individual anatomy, facial changes, and goals rather than chronological age. While many patients seek treatment in their 40s or 50s, facelift techniques may also be considered earlier in selected cases; for example, to refine a naturally heavy lower face or as part of reconstructive planning. Dr Teixeira will assess your features and recommend an approach tailored to your stage of ageing and overall presentation.

Are non-surgical alternatives as effective as a facelift?

Non-surgical treatments, such as energy-based devices, dermal therapies, and prescription-only medicines, can offer subtle improvements in skin quality and facial volume but do not reposition deeper tissues. For a more comprehensive and long-lasting approach to ageing, facelift surgery remains the most effective option for restoring facial support. At Unveil Aesthetics, we offer a wide range of non-surgical options, including integrated treatments through the Unveil Synergy protocol, which prioritises skin health, natural-looking outcomes, and long-term results without compromising future surgical planning.

Will there be visible scarring?

Facelift incisions are usually placed around the ears and within the hairline to help minimise visibility. Techniques that avoid excessive skin tension, such as deep plane lifting or endoscopic-assisted approaches, can also help reduce scarring. Dr Teixeira uses meticulous tissue handling and layered closure to support healing, but individual scarring responses vary. While most scars fade over time, there remains a small risk of more noticeable scarring, such as hypertrophic scars, which can be addressed during follow-up if needed.

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