Facial volume reduction, skin laxity, and the development of rhytids (wrinkles) are typical features of the natural ageing process. In some individuals, these changes may occur earlier or appear more prominently, resulting in a facial appearance that differs from their perceived age.
Rhytidectomy, also referred to as facelift surgery, is a procedure that may assist suitable candidates in addressing age-related soft tissue changes of the face and neck.
Dr Bernard Beldholm is a Specialist General Surgeon with more than a decade of experience performing rhytidectomy procedures. His surgical approach continues to evolve through the integration of current techniques and technologies in the field.
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Who may be a candidate for a full rhytidectomy?
A full rhytidectomy, commonly known as a facelift, is a surgical procedure that focuses on the lower face and neck, including the lower cheeks, jawline, and upper cervical region.
In Dr Bernard Beldholm’s clinical experience, some individuals may begin to notice age-related changes in these areas from around the age of 40. However, the most common age range for patients considering rhytidectomy is typically around 50 and older.
Candidacy depends on a variety of factors, including general health, skin quality, and the degree of soft tissue laxity. A comprehensive consultation is required to determine whether this procedure is appropriate for each individual.
Aesthetic Concerns Commonly Addressed by Full Rhytidectomy (Facelift) Surgery:
- Blunting of the cervicomental angle, loss of mandibular contour, submental fullness, or platysmal banding
- Mandibular soft tissue ptosis or mandibular jowling
- Melomental folds
- Malar volume loss and/or midface rhytids
- Nasolabial folds around the mouth
Recovery After Full Rhytidectomy Surgery
Recovery following a full rhytidectomy varies between individuals and is influenced by factors such as the patient’s overall health, the extent of the procedure, and adherence to postoperative care instructions.
In most cases, patients can expect:
- Initial swelling and bruising to peak within the first few days and gradually subside over 2–3 weeks.
- Return to non-strenuous activities is often possible within 2 weeks, although this varies.
- More visible results usually emerge around the 4–6 week mark, with continued improvement over several months.
- Scarring is generally well-concealed along natural facial contours, though individual healing responses differ.
Patients are advised to avoid vigorous physical activity, direct sun exposure, and smoking during the healing process to support optimal recovery. A personalised recovery plan and follow-up schedule are discussed during the consultation process.
Risks of Full Rhytidectomy Surgery
As with any surgical procedure, a full rhytidectomy carries potential risks and complications. It is important to be aware of the following:
- Haematoma (a collection of blood under the skin) is one of the most common complications and may require drainage.
- Infection at the incision sites, though uncommon, can occur and may require antibiotic treatment.
- Nerve injury, particularly to the facial nerve branches, may lead to temporary or, in rare cases, permanent changes in facial movement or sensation.
- Poor wound healing, which may be influenced by factors such as smoking, diabetes, or individual skin characteristics.
- Visible or thickened scarring, although incisions are typically placed in discreet areas.
Conclusion: Considering the Potential Benefits
For appropriately selected patients, a full rhytidectomy may offer a number of aesthetic improvements related to facial ageing.
A thorough consultation is essential to determine whether a full rhytidectomy is suitable and to discuss expected outcomes, recovery, and risks in detail.