Facelift (Meloplasty)

What is a facelift?

As we age, our facial skin becomes thinner, less elastic, and the fat and support structures shift and weaken. This can make us look tired or older than we feel. A facelift (also called a "meloplasty") is surgery that lifts these facial tissues that have descended with time.

A facelift can markedly reduce the visible signs of ageing by lifting and tightening the facial skin and underlying tissues, but it is important to remember that the facelift itself does not stop the ageing process.

How does a facelift work?

During a facelift, the deeper layers of the face — not just the skin — are lifted, tightened, and repositioned. Any excess skin is removed. The goal is to reduce the visible signs of ageing on your face while still keeping you looking like yourself.

What are the different types of facelift?

There are different types of facelifts depending on:

  • Which part of the face is being treated — like the cheeks, jawline, or neck.

  • How deep the surgeon works under the skin.

  • How much of the face needs lifting — from full facelifts to smaller, less invasive ones.

Surgery

  • Before your surgery, you’ll have a detailed consultation with Dr Law to discuss your goals, the procedure, and any risks. Clinical photos will be taken, and a second consultation will be arranged to answer further questions. It’s important to stop smoking at least six weeks before surgery to reduce risks. You may need blood tests and other health checks, and will receive instructions to prepare you for surgery.

  • The basic steps of a facelift usually involves:

    • Anaesthesia
      Facelifts are usually done under general anaesthesia in an accredited hospital, and you’ll stay in hospital overnight.

    • Incision
      A discreet incision is made, typically starting in the hairline at the temples, continuing around the ear, and ending behind the ear. For a neck lift, a small incision may also be made under the chin.

    • Lifting and tightening
      The skin is separated from the deeper facial tissues. The deeper facial tissues are repositioned to a more lifted position. Fat may be redistributed to improve facial shape.

    • Removing excess skin
      Any loose or extra skin is trimmed away.

    • Closing the incisions
      The skin is re-draped, and the incisions are closed with fine stitches to support healing and minimise visible scarring.

    • For a facelift: Incisions are usually hidden in natural skin creases – along the hairline, around and behind the ears. Sometimes, a shorter scar (called a short-scar facelift) may be possible if your neck doesn’t need lifting.

    • For a facelift combined with necklift: Additional incisions may be made including under the chin - most people won’t notice this when looking at you straight on.

    • Scars fade over time but won’t disappear completely. Most are well hidden, though some areas (like behind the ears) may take longer to settle. If needed, minor scar revisions can be done later under local anaesthetic.

  • Recovery can vary between individuals.

    In general, after surgery:

    • Your face may be wrapped in a bandage.

    • Small drains may be placed to collect fluid.

    • You’ll be propped up in bed and encouraged to stay calm.

    • At home, rest with your head elevated on pillows.

    • Please avoid smoking and alcohol while healing.

    • Expect swelling, bruising, and tightness for a few weeks.

    • Pain is usually mild and managed with paracetamol.

    • Stitches and hair staples are removed between 7–10 days after surgery.

    • You can wear makeup after your stitches are out.

    • Most people return to normal activities in about three weeks. But the exact recovery will differ depending on the adjunctive surgeries performed at the time of face lifting.

  • The effects of a facelift last many years, but a facelift doesn’t stop the ageing process. Some people choose to have another facelift 8–10 years later. Maintaining good skin care and sun protection can help the facelift results last longer.

Risks & complications

  • All surgery carries risks and may include:

    • Drug reactions.

    • Allergic reactions.

    • Infection. 

    • Bleeding and haematoma (blood clot).

  • Most complications are rare but all surgery carries risks. Risks specific to facelifts will be discussed with you during your consultation and will also be provided in your consent paperwork. These include:

    • Swelling and bruising.

    • Nerve weakness or numbness.

    • Poor scars.

    • Wound healing problems and skin loss.

    Choosing a specialist surgeon with proper anaesthetic support helps minimise these risks.

Plastic, Reconstructive & Aesthetic Surgery, Sydney

Contact Dr Law below to request a consultation.