Facelift in Edinburgh
Jowls, loose skin along the jawline and heaviness in the neck develop gradually, and there often comes a point where they no longer match how you feel. Facelift surgery at Quaba Plastic Surgery is performed at Waterfront Private Hospital in Edinburgh by consultant plastic surgeons on the GMC Specialist Register. The consultant who assesses you at your first appointment is the same surgeon who plans your facelift, performs it and reviews your result.
Excellent Outcome – Facelift
From my first consultation, surgery, and follow up appointments, my experience has been excellent. Having considered a face lift for many years, i am delighted with the outcome and the ‘new me’ and feel so much happier with the way i look. Omar is a lovely kind, approachable guy, who explains everything in full around the procedure and expected outcome. He is a highly talented plastic surgeon so my new look is very natural and not ‘overdone’. The care in hospital was also fantastic and i felt in very safe hands. I would most definitely recommend Quaba Plastic Surgery. Thankyou for everything !
JH
Contents
Facelift surgery overview
- Anaesthetic: general anaesthesia, or local anaesthesia with sedation.
- Length: 2-3 hours, longer when combined with other procedures.
- Hospital stay: one night at our partner facility in Edinburgh for overnight cases.
- Recovery time: around two weeks before returning to work; 6-8 weeks before strenuous exercise.
What facelift surgery involves
A facelift repositions the deeper supporting tissues of the lower face and neck and removes excess skin. It addresses jowls, loose neck skin and loss of definition along the jawline – the changes that develop as facial tissues descend with age.
Most facelifts performed at Quaba Plastic Surgery treat the lower face and neck as a single unit. The incisions sit within the natural creases around the ear and extend into the hairline, and the deeper SMAS layer is tightened so that the skin itself is never pulled tight.
Surgery is performed under general anaesthesia or local anaesthesia with sedation and usually involves one night in hospital at our partner facility in Edinburgh for cases that include an overnight stay. The consultant who assesses you at consultation plans and performs your operation.
Short scar or mini facelift
Short scar or mini facelift
A short scar facelift may suit you if your main concern is the jawline and there is little loose skin affecting the neck. A mini facelift still leaves scars in front of the ears; correctly performed surgery leaves these scars well hidden within natural contours.
Neck lift alone
Neck lift alone
A neck lift can be performed in isolation to address loose neck skin. It will not correct jowls, so few patients are suitable for it on its own, and it is usually carried out as part of a lower face and neck lift. In younger patients, neck contour can sometimes be improved with liposuction rather than surgery.
Combining a facelift with other procedures
Combining a facelift with other procedures
A facelift is often combined with other procedures depending on your needs. These include liposuction to the neck, fat transfer to the cheeks, lower and upper eyelid surgery and a brow lift to address ageing in the upper part of the face. Laser resurfacing can also be carried out at the same time to treat fine wrinkles and sun spots.
SMAS and deep plane facelifts
The SMAS facelift and the deep plane facelift both lift the deeper supporting layer of the face rather than the skin alone. They differ in how far that layer is released, in the extent of the surgery, and in which patients each approach suits.
SMAS facelift
The SMAS (superficial muscular aponeurotic system) facelift is the most frequently performed facelift at Quaba Plastic Surgery. It tightens the strong fibrous layer that covers the facial muscles, creating tension in the deeper tissues rather than the skin.
- Natural-looking rejuvenation of the lower face and neck
- A controlled, predictable recovery
- Can be combined with fat transfer to restore lost cheek volume at the same time
Deep plane facelift
The deep plane technique releases and repositions the facial tissues as a single unit beneath the SMAS layer. The dissection is more extensive and passes close to the facial nerves, so it demands particular care.
- Suits more significant lower face and neck laxity
- Can address deeper folds and pronounced jowling
- Typically causes more initial swelling, with a similar overall recovery
Neither technique is better in every case. The right approach depends on your facial anatomy and pattern of ageing, and your consultant will recommend one – or a combination with fat transfer – at consultation.
Benefits of facelift surgery
A facelift restores definition to the jawline, reduces jowls and lifts loose skin in the neck. The change is structural rather than superficial, which is why the improvement reads as a rested, firmer version of your own face.
- A firmer, better-defined jawline with reduced jowling
- A smoother neck contour, with loose skin and banding improved
- A result that settles progressively, reaching its final appearance at around three to four months
The benefits are not only visual. Research published in the Journal of Clinical Psychology has documented measurable improvements in quality of life and social confidence following facial rejuvenation surgery.
Results vary with individual anatomy, skin quality and the degree of ageing at the time of surgery. Your consultant will show you what facelift surgery can realistically achieve for your face at consultation.
Who is an ideal candidate for facelift surgery?
The ideal candidate for facelift surgery has visible jowls, loose skin in the lower face or neck, and good general health. Most patients are in their late forties to seventies, although the right timing depends on anatomy rather than age.
- Jowls, loose neck skin or loss of jawline definition that bothers you in photographs or the mirror
- Stable weight and good general health
- A non-smoker, or willing to stop smoking well before and after surgery
- Realistic expectations of what surgery can and cannot change
A facelift may not be the right operation if your main concern is skin texture, fine lines or volume loss rather than sagging. In those cases fat transfer, eyelid surgery or non-surgical treatment may be more appropriate, and your consultant will say so plainly at consultation.
Risks and considerations of facelift surgery
Facelift surgery shares the general risks of any operation: bleeding, infection, scarring and the risks of anaesthesia. Serious complications are uncommon, and surgery at Waterfront Private Hospital is carried out with full anaesthetic and nursing support.
The risks specific to facelift surgery are set out below. Your consultant will explain how each one applies to your individual case before you decide to proceed.
Haematoma
Haematoma
Occurs in less than 5% of cases and may require surgical intervention to evacuate the collection and prevent pressure on healing tissues. This risk is significantly reduced through meticulous surgical technique and careful blood pressure management.
Temporary nerve function changes
Temporary nerve function changes
Facial movement nerves may be temporarily affected, resulting in asymmetrical expressions that typically resolve within 3-6 weeks as swelling subsides. Permanent nerve injury is extremely rare with experienced surgeons.
Sensory changes
Sensory changes
Temporary numbness or altered sensation is expected and gradually improves over 6-12 months as nerve endings regenerate.
Scarring considerations
Scarring considerations
While all surgery leaves scars, these are placed within natural contours and typically fade significantly over 6-12 months. Factors affecting scar quality include your genetic predisposition to scarring, post-operative care, and adherence to sun protection.
Numbness
Numbness
Patches of numbness are typical initially and tend to recover with time. Very rarely there is a risk of numbness to the lower part of the ear.
Tissue healing
Tissue healing
Delayed healing occurs in approximately 2% of patients, more commonly in smokers and those with certain medical conditions affecting circulation. In rare cases, small areas of skin may experience compromised blood supply requiring additional wound care.
Secondary procedures
Secondary procedures
Approximately 5-10% of patients may benefit from minor refinements after the initial healing period to address residual asymmetry or to optimise results based on individual healing patterns.
Balanced results
Balanced results
Perfect facial symmetry does not exist naturally. Our goal is improved balance rather than perfect symmetry, which would appear unnatural.
Aftercare and recovery after facelift surgery
Bruising and swelling peak around days three to four and subside noticeably by the end of the first week. Residual swelling around the jawline can persist for several weeks, although it is usually not obvious to others after the first two to three weeks.
You will be mobile the day after surgery. Most patients return to light activities within 10 to 14 days and to strenuous exercise at six to eight weeks. Discomfort is usually mild to moderate and is well managed with prescribed pain relief in the first few days.
Detailed instructions are available on our aftercare following facelift page.
A nurse reviews you at one week, and more often if needed in the early healing period. Your consultant sees you again at around six months once the result has settled. Between then, your consultant is always available – if anything concerns you, they will respond directly and arrange to see you as soon as needed.
What is the cost of facelift surgery?
Facelift surgery at Waterfront Private Hospital starts from £9,500, depending on the extent of surgery.
- Short scar facelift: from £9,500
- Lower face and neck lift: from £14,000
Each price covers the surgeon’s fee, the anaesthetist’s fee where applicable, the hospital and theatre fee at Waterfront Private Hospital, and all post-operative reviews until you are fully discharged.
The full price for your individual case can only be confirmed after a face-to-face consultation with the consultant who will perform your surgery. Our consultation fee with a consultant plastic surgeon is £200.
Frequently asked questions about facelift surgery
Will the same surgeon plan, perform and review my facelift?
Will the same surgeon plan, perform and review my facelift?
Yes. The consultant who assesses you at your first appointment is the consultant who plans your facelift, performs it at Waterfront Private Hospital and reviews you afterwards. There are no handovers between surgeons at any stage.
What happens if I have concerns after my surgery?
What happens if I have concerns after my surgery?
A nurse reviews you at one week, and more often if needed in the early healing period. Your consultant sees you again at around six months once the result has settled. Between then, your consultant is always available – if anything concerns you, they will respond directly and arrange to see you as soon as needed.
How much does a facelift cost?
How much does a facelift cost?
A short scar facelift starts from £9,500 and a lower face and neck lift from £14,000 at Waterfront Private Hospital. The price covers the surgeon’s fee, the anaesthetist’s fee, the hospital and theatre fee, and all post-operative reviews until you are fully discharged. A consultation with a consultant plastic surgeon is £200.
How long do the results of a facelift last?
How long do the results of a facelift last?
A facelift does not stop the ageing process, but the structural improvement is long-lasting. Most patients find the change remains visible for many years, and the face continues to look better than it would have done without surgery. Skin quality, sun exposure, smoking and weight changes all influence how the result matures.
Will my facelift look natural?
Will my facelift look natural?
A well-performed facelift restores the position of the deeper tissues rather than pulling the skin tight, which is what produces an unnatural result. The aim is a rested version of your own face. Most patients find that others notice they look well without identifying why.
What is the difference between a SMAS facelift and a deep plane facelift?
What is the difference between a SMAS facelift and a deep plane facelift?
Both techniques lift the deeper supporting layer of the face rather than the skin alone. The SMAS facelift tightens this layer directly and is the most commonly performed approach at Quaba Plastic Surgery. The deep plane technique releases and repositions the tissues as a single unit, which can suit more significant facial ageing. Your consultant will recommend the approach that fits your anatomy at consultation.
Where are the scars after a facelift?
Where are the scars after a facelift?
Facelift scars sit within the natural creases in front of the ear, pass behind the ear and extend into the hairline. They are placed so they are hidden within natural contours and typically fade significantly over six to twelve months.
When can I return to work after a facelift?
When can I return to work after a facelift?
Most patients take around two weeks off work after a facelift. Bruising and swelling peak in the first few days and settle noticeably by the end of the first week. Strenuous exercise should wait six to eight weeks.
Can a facelift be combined with other procedures?
Can a facelift be combined with other procedures?
Yes. A facelift is often combined with upper or lower eyelid surgery, a brow lift, fat transfer to the cheeks or liposuction to the neck. Combining procedures is discussed at consultation and affects the length of surgery and the recovery period.
Author
Mr Awf Quaba, MB ChB, FRCS, GMC 3034912, is a Consultant Plastic Surgeon with over 35 years of experience. He served as an NHS consultant for over 20 years before dedicating the past 15 years to full-time private practice at Waterfront Private Hospital in Edinburgh. Mr Quaba specialises in facial and breast plastic surgery and offers a range of surgical and non-surgical aesthetic treatments. Full BAAPS member.