As soon as the contours of the face fall and form excess skin, one of the face lift techniques is indicated, often along with a neck lift. At our clinic we usually perform face and neck lift by simply removing the excess skin (Quick Lift or MACS Lift). This approach means no long scars behind the ears and the skin is not pulled to the sides of the face. Instead, the skin is pulled upwards against gravity.
Later stages of fallen contours and excess skin require surgical intervention in the deeper layers of the skin to fix it in the anatomically correct position (SMAS). This procedure is often performed alongside strengthening of the subcutaneous muscle in the neck and a full neck lift.
Face lift can be performed along with procedures on the lower or upper eyelids and liposuction of the chin if desired, and the fat removed can be used to fill in lines on the forehead or lips. Frequent complementary procedures include lifting of the upper lip, lipofilling and laser resurfacing of wrinkles.
Based on the consultation and examination of your face and neck, the plastic surgeon will recommend a suitable face lift option for you, either as a minor procedure under local anesthesia (Quick Lift, mini face lift) a more extensive procedure under analgosedation (medication that induces a state of relaxation in which you do not perceive pain impulses), a procedure under general anesthesia (MACS lift), or an extensive procedure including operation of the face and deep structures (SMAS lift) along with neck lift.
The face must be approached as an aesthetic whole, so it is important to consider carefully whether to perform the procedure on only part of the face, the whole face, or also the neck and/or décolletage.
Some face lift techniques are suitable especially when thread lift can no longer maintain the structure of the face at the anatomically correct position, or when excess skin has been created in the form of waves and deep wrinkles. This operation is suitable for both women and men, and is not restricted by age but by the aging in the skin and subcutaneous layer of the face.
Like with every aesthetic operation, you need a personal consultation beforehand. ABClinic Art & Beauty provides face lift services to clients from outside the Czech Republic as well. Our clinic staff speak fluent German, English, Russian and French.
The first consultation can be held over the phone or online. Based on that consultation, the plastic surgeon assesses the suitable scope and technique for the face lift and proposes options. The next consultation is held with the doctor performing the operation in person, usually on the day before the operation at ABClinic Art & Beauty in Prague.
As some face lift techniques are performed under brief general anesthesia, or under local anesthesia with analgosedation, you will need to have a pre-operation examination either at our clinic or with your GP. This examination should be done one week before the operation and includes blood work, including coagulation values, and evaluations of the heart, liver function, mineral content, etc.
If the doctor decides to perform your operation under general anesthesia, or under local anesthesia with analgosedation, you will need to arrive at the clinic on an empty stomach. Our staff will take you to your room and the surgeon will go over the operation procedure with you once again, take photographs and draw the incision lines. You will also have a brief meeting with the anesthesiologist, who will go over the anesthesia questionnaire with you. Shortly before heading to the operating room, our nurses will get you ready for the operation.
The operation takes about 1-3 hours depending on the planned scope and anesthesia. Based on the pre-operation interview, the plastic surgeon will perform either a mini face lift, quick lift, a more extensive procedure such as MACS lift or a surgical procedure including the deep structures (SMAS lift), accompanied if desired by liposuction of the chin or neck lift and strengthening the subcutaneous muscle of the neck (platysmarrhaphy). The procedure can also be performed along with surgery to the eyebrows (blepharoplasty), forehead lift, lip lift, lipofilling or laser resurfacing. Once the procedure is complete, the surgeon will place drains in the wounds and close them with sutures. Then the area is covered with a sterile dressing, the head is wrapped in an elastic bandage and a compression garment is applied.
If the operation is performed under general anesthesia, immediately afterwards we will place you in an intensive care recovery room for a short time so you can remain under observation with our experienced nursing staff. After you wake up fully we will move you to your room, where you will receive medication for pain relief, antibiotics and anti-thrombosis medication as needed. After a minor operation, you can be released to home care with the doctor’s approval after four to six hours, depending on your condition. Operation was greater in scope require an inpatient stay of at least 24-48 hours.
Instructions for caring for your operating site will depend on the operating surgeon’s chosen technique and preferences. Immediately after the operation we recommend a liquid diet. If the procedure included blepharoplasty, your operating surgeon may recommend removing the stitches from your eyelids after five to seven days. Stitches in the face (in front of and behind the ear) are usually self-absorbing and do not need to be removed. Stitches behind the hairline are usually removed after 14-20 days. You will need to wear a compression garment for this entire time.
You will have three to four checkups with your operating surgeon during the first month to six weeks after the operation. At this point you will no longer need to wear the compression garment or bandage, but your face will still be healing. Between 10 and 14 days after being released from our clinic, you can resume light office work, although we still recommend sleeping on your back. Unfortunately the effects of aging and gravity on the body cannot be avoided forever. The aging process will of course impact the long-term stability of your thread lift results. In order to maintain good results from the operation, our specialists will be happy to recommend regular procedures and therapies designed to slow down the aging process in the face. Preventive care products by Dermaceutic Laboratoire as well as therapies using JEISYS devices and comprehensive exclusive procedures from the Monaco-based RENEVE will help you retain a youthful appearance longer.
Every medical procedure involves a certain amount of risk and potential complications. While your surgeon and our clinic’s surgical team will do everything in their power to ensure no complications arise, certain adverse effects cannot be ruled out entirely.
Swelling and bruising is temporary and quite normal in the first few days after the procedure. We apply a sterile dressing under the compression bandage right after the operation for any minor bleeding. Persistent bleeding can be considered a complication, along with some risk of infection, which however can be avoided with preventive antibiotics. Impaired healing or changes in sensitivity are rare but not irreversible complications of the healing process. In very rare cases patients may experience an allergic reaction to the materials used in the threads. Other rare complications include poor wound healing leading to large, protruding scars. From a medical standpoint, one the most serious potential complications is the risk of thromboembolic disease, which we actively work to prevent by getting you up and about after the operation as well as by administering low-molecular-weight heparin at the designated dosage and times.