Facelift Surgery2019-06-12T22:30:39+00:00
Facial Plastic Surgery Techniques

Face Lift | Neck Lift

Leading facelift surgery in Edinburgh with Quaba…

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A facelift is designed to give you a fresher look and to improve the appearance of your neck and jawline

Call us in confidence on 0131 346 0020 to discuss the options

A facelift helps to address the effects of ageing on the neck and lower face. It involves tightening and removal of loose skin from the neck and cheek areas while also tightening the muscles underneath. There are different ways of performing facelift surgery and the method chosen depends on the pattern of ageing.

Find out more about our facelift procedures below…

face lift surgery edinburgh
neck lift edinburgh

Facial ageing is a complex process that usually begins in our 40s. Some people age faster than others, and this is related to our genetic makeup as well as factors such as smoking, sun exposure and life stresses.

As we age, our skin becomes thinner and less elastic, and we start to see wrinkles which are there all of the time (static wrinkles). Additionally, the effects of gravity cause our soft tissues (ligaments, muscles and fat) to sag and this can show itself in the form of excess skin and folds, such as jowls around the jawline. It is these changes that facelift surgery is designed to counter.

Please take the time to read more about the process below…

There are many different facelift procedures and the terminology can be confusing. The most common and effective facelift procedure is the lower face/ neck lift. This works on the jaw line and neck. It involves cuts in front of the ears that extend behind the ears and into the hairline (see photos below). The skin of the lower face is lifted up and tightened along with the underlying muscles (SMAS lift). Once the skin has been tightened the excess skin is removed. The aim is to produce a natural, freshened look.

Image demonstrating typical facelift markings in front of ear

Typical facelift markings in front of ear

Facelift surgery edinburgh

Markings behind ear

Short scar or mini facelift

You may be suitable for this type of facelift if your main concern is your jawline and you do not have much loose skin affecting your neck. It is crucial that you understand that a “mini facelift” still leaves scars in the visible areas in front of the ears. Correctly performed surgery will leave these scars well hidden.

facelift scars Scotland

The visible facelift scars

Neck lift alone

A neck lift can be performed in isolation to deal with loose neck skin. A pure neck lift will not, however, deal with jowls and therefore few patients are suitable for this. Additionally, a neck lift on its own may leave some loose skin around the earlobes and for this reason, it is usually performed as part of a lower face/ neck lift. In younger patients, a neck lift can be carried out using liposuction rather than surgery.

Other procedures

A facelift is often combined with other procedures depending on your needs. These procedures include liposuction to the neckfat transfer to the cheeks (to give fullness to the cheeks), lower and upper eyelid surgery and a brow lift to address ageing to the upper part of the face. Laser resurfacing can also be carried out at the same time to treat fine wrinkles/ sun spots.

facelift surgery scotland

Facelift surgery with fat transfer to the cheeks

Facelift surgery Edinburgh

Facelift surgery combined with upper and lower eyelid surgery, fat to the cheeks and fillers around the mouth

Facelift surgery can be carried out either under local anaesthetic with sedation or under general anaesthesia. There is an overnight stay in hospital. The risks of general anaesthesia include deep vein thrombosis and pulmonary embolism, but these are very rare during this type of surgery. Other risks of general anaesthesia include chest infection. The risk of a serious adverse outcome under general anaesthesia is less than 1:100,000.

The specific risks relating to facelift surgery include:

Bleeding – Less than 5% risk and may require a return to theatre to stop any bleeding and relieve any pressure on the skin.

Bruising – To be expected and varies between patients. Usually resolved by ten days.

Unfavourable scarring – It is not unusual for the scars in the hairline to stretch a little as most of the tension when pulling the skin is concentrated in these areas. The visible scars in front of the ears usually settle very well and in most patients are inconspicuous.

Nerve damage – There is a risk of damaging the facial nerve which is responsible for the movement of the face. If permanent this is a serious complication, but the risk of this happening has been reported as being under 1%. Such an injury can result in weakness of the facial muscles of expression.

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.

Delayed healing and skin loss – This can occur secondary to bleeding or if too much pull is placed on the skin when closing the wounds.

Revision surgery – A small number of patients may require revision surgery to deal with complications or unsatisfactory cosmetic outcomes.

Asymmetry – Minor degrees of facial asymmetry are often present before surgery and are likely to persist after surgery.

You will be up and about the day after your surgery, but it will be a few weeks before you are entirely up to speed.

Your mood may fluctuate after surgery – this is normal.

Discomfort/ Pain

Pain after surgery is not usually an issue for most patients.

You are likely to feel a sensation of tightness, especially when turning your head.

Bruising/ swelling

After surgery, particularly during the first few days, your face will feel puffy.

Most swelling and bruising should disappear within two weeks. Some subtle swelling and bruising can remain for a couple of months.

Appearance

Your scars may feel tight and itchy as the healing process progresses. It may take several months for the scars behind the ears and the hairline to settle down. The scars in front of the ears usually heal quicker.

Quaba Facelift Aftercare…

If you have had a face/ neck lift with us or are considering it – please find some detailed instructions and advise on aftercare following facelift surgery.

Before you leave the hospital2019-05-23T22:25:16+00:00

Medications – You will be provided with painkillers and antibiotic ointment to apply to your suture line once you have removed your bandage.

Change of dressings – Your dressings will be changed before you leave the hospital and a light bandage will be put on (you should remove this after 48 hours, and you may apply a thin layer of the antibiotic ointment provided to your suture lines).

Follow up appointments for dressing clinics – You will be handed a card with details of your first follow up appointment and contact details for the ward should you have any concerns once you get home.

Facelift instructions2019-05-21T18:19:51+00:00

Have someone drive you home after surgery. It is recommended that you have some help at home for the first day or two.

Get plenty of rest.

Start walking as soon as possible; this helps to reduce swelling and lowers the chance of blood clots.

Follow a balanced diet. Decreased activity may promote constipation so you may wish to add more raw fruit and fibre to your diet. Make sure you increase fluid intake.

Take pain medication as prescribed. Do not take aspirin or any products containing aspirin unless approved by your surgeon.

Avoid smoking for at least two weeks, as smoking delays healing and increases the risk of complications.

Avoid alcohol when taking pain medications. Even if you are not taking pain medications, it is advisable to avoid alcohol for three weeks as it can cause fluid retention which may worsen swelling.

When can I go back to work after facelift?2019-05-21T18:20:33+00:00

Your recovery and your job will dictate when you can return to work. We would advise patients to leave two weeks before returning to work although this does vary depending on the individual.

Activities after facelift2019-05-21T18:20:08+00:00

Showering/ bathing – You may bathe once you have removed the light bandage 48 hours after discharge. You may wash your hair using baby shampoo and gently brush your hair away from the suture lines. Apply the antibiotic ointment lightly after showering.

Sleeping position – Sleep comfortably on two or three pillows. You do not need to sleep propped upright.

Clothing – Wear clothing that is easy to remove and avoid tight tops that require removal over your head as they might catch on your suture lines/ ears.

Driving – We recommend not driving for at least one week after your surgery.

Exercise – Avoid strenuous activities or any activity that increases your blood pressure for 3-4 weeks. Contact sports should be avoided for at least two months.

Glasses – It may be difficult to wear glasses while your bandage is on. After that glasses may be worn with care.

Facelift wound care2019-05-21T18:20:57+00:00

Antibiotic ointment – You will have been provided with an antibiotic ointment (Polyfax or Chloramphenicol) to apply over the external sutures. Apply a small amount twice a day until your stitches are removed.

Be gentle when washing your face – use a mild detergent or soap.

Do not use makeup or other cosmetics on your external incisions until your wound is fully healed (usually by three weeks).

Follow up2019-05-21T00:44:13+00:00

First 10 days after your operation – You will attend a specialist nurse clinic to have your check up and removal of sutures.

Six months – You will be asked to arrange a follow-up appointment with your surgeon at six months to discuss the outcome of your surgery and any concerns you may have.

Please note – Some of our patients will get in touch before their six months follow up appointment, and we are often able to address any concerns you may have over the phone or via email. You are welcome to make an appointment (at no cost to you) before your six months follow up if you wish to be seen in person to discuss any issues.

Scar management2019-05-23T22:43:28+00:00

Healing is a gradual process, and your scars may remain slightly pink for up to 12 months.

You should start gently massaging your scars from 2-3 weeks after surgery.

Avoid exposing scars to direct sun for 3-4 months.

Always use a strong sunblock, if sun exposure is unavoidable (SPF 30 or higher).

When to call2019-05-21T21:54:38+00:00

If you have increased swelling or bruising which is not settling.

If you notice swelling of one/ both of your legs or feel short of breath – this may indicate a clot in one of your veins/ lungs – Deep vein thrombosis/ Pulmonary embolism.

If you have increased redness along the incision (this may be a sign of infection).

If you have severe or increased pain not relieved by medication.

If you have any side effects to medications; such as, rash, nausea, headache, vomiting.

If you have a temperature over 38 degrees Celsius.

If you have any yellowish or greenish discharge from the incisions.

If you have bleeding from the incisions that is difficult to control with light pressure.

If concerned, please call Beechwood House on 0131 316259 between the hours of 8am-8pm or after that on 0131 334 0363.

Facelift Before & After Gallery

Lower face/ neck lift from £7000

Consultation £150

All inclusive costs for one year following surgery

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Essentials

Facelift | Neck lift

Type of Anaesthetic

General or Local with Sedation

Length of Surgery

2-3 hours (longer when combined with other procedures)

Nights in Hospital

1 night

Recovery

2 weeks off work, 6-8 weeks before strenuous exercise

Arrange Consultation

Attention to detail and refinement are our key elements to the provision of successful cosmetic surgery

Your care is led by Consultant Plastic Surgeons and is Hospital-Based.

Call us in confidence on 0131 342 0020 to discuss the options

Arrange a consultation

What our patients have to say…

Feedback is from external review sites such as Google and RealSelf

Rhinoplasty – Faultless

I had rhinoplasty performed by Mr Awf Quaba and the whole process was faultless. He was a lovely man, obviously extremely knowledgeable and experienced, who really listened and made sensible suggestions of what he could achieve. On the day, everything went quickly and smoothly and was home by the evening of surgery. Overall the procedure was painless – I cannot recall feeling any discomfort at all the during recovery period. Nose was blocked and couldn’t taste anything for 3 days but, other than that, no drawbacks at all. Would recommend the procedure with no reservations at all.

Edinburgh 1976, Realself Mar 2019

Facelift surgery – I found a great surgeon!

Having never forayed into the world of cosmetic surgery, I feel I was very fortunate to find Mr Quaba.
Murrayfield Hospital supplied me with a list of surgeons upon my initial query regarding a neck/lower facelift and I looked through each of their profiles and kept coming back to the Quaba practice.
From my first consultation, Mr Quaba put me at ease and gave me very realistic expectations of the outcome if I chose to go for surgery. He explained all the risks involved and confirmed everything we discussed in writing, which gave me the time and the opportunity to fully consider if this was the right choice for me.
I went ahead with the neck and lower facelift a few months later and felt completely safe in Mr Quaba’s hands. He has an excellent gentle manner. I also love the fact that he and his father work together. I would highly recommend his services to anyone.
I am so glad I opted for my surgery and am very happy with the results.

ShirleyMcN, Realself May 2019

Chin fillers – Brilliant experience

Always friendly, informative and helpful. Made you feel comfortable and always provided an honest opinion about what would be the best course of action. Did a wonderful job, very pleased with the results. Would definitely recommend as the results have had a positive effect on my self-confidence levels and the healing time was both fast and pain-free.

Rhinoplasty – 5 star

My only regret is not having the procedure years ago. After paying for a few consultations in other clinics I felt Mr Quaba made me feel most at ease about my Rhinoplasty and explained everything to me. From start to finish all the staff who cared for me were amazing. I felt no pain afterwards and although I had a lot of bruising and swelling this was nearly all gone within 2 weeks. Could not recommend Dr Quaba enough if you are thinking of having a rhinoplasty.

Leanne Toshney, Google May 2019

Facelift surgery -I felt safe and sound throughout

As an older lady, I was given a realistic expectation of the end result. While in hospital I was well looked after and when we had an unexpected hiccup due to me having been on blood thinners I was readmitted with Mr Quaba Senior on hand at 2.00am to provide care and reassurance. Both Mr Quabas have excellent bedside manners and have the ability to make you feel safe an secure. Unbelievably, I experienced little or no pain (but did look a bit like a Russian astronaut with the bandages round my head). Obviously, there were stitches in front and behind my ear and into my hairline. However, my skin has healed exceptionally well and there is absolutely no sign that work has been done apart from my lovely smooth neck and lack of jowls (which were not attractive).
I was treated with respect and care throughout the process.

Thank you so much Mr Quaba

Maggie Durning, Realself Feb 2019

Upper eyelid surgery – 5 star

At the initial consultation, everything was explained in detail to me so i could make an informed decision if i wanted to go ahead with my eyelid lift or not.
I decided to go ahead with the procedure and the care i recieved excellent. i went in as a day patient and the procedure was carried out under local anaesthetic. Mr Quaba explained each step as he did the operation. i was in at out of the theatre after 45 mins. I was treated with respect at all times. One week later stitches were removed there was no pain at all and on my experience, i would highly recommend Mr Omar Quaba.

Jackie Hutchison, Google May 2019

Rhinoplasty – I had a great experience

I had a great experience with this surgeon. I had my rhinoplasty surgery in August 2018. After a long time thinking about having the surgery, I decided to book. I had read a lot of reviews on different surgeons before I decided on Quaba.
I am delighted with the result. Wish I had done it sooner.

Eyelid surgery – Very professional

My upper blepharoplasty was a very professional and good experience with Mr Quaba and his team. I felt very taken care of and looked after at all times. I am also extremely pleased with the results although my facial bruising took a few months to disappear. I would not hesitate to recommend this surgeon and his team.

Rhinoplasty – Care was exceptional

My only regret is not having the procedure years ago. After paying for a few consultations in other clinics I felt Mr Quaba made me feel most at ease about my Rhinoplasty and explained everything to me. From start to finish all the staff who cared for me were amazing. I felt no pain afterwards and although I had a lot of bruising and swelling this was nearly all gone within 2 weeks. Could not recommend Dr Quaba enough if you are thinking of having a rhinoplasty.

Rhinoplasty – Best money I’ve ever spent!

I had septorhinoplasty in Sep 2018 because my nose was awful – squint, bulbous AND projecting. I would never let anyone take my photo and was extremely paranoid and unhappy with it. I’m now 5 months post surgery and I’m SO glad I did it. It was worth every penny. I am so much more confident in my appearance. I don’t run away from cameras anymore and my overall confidence is so much higher! There’s still quite a bit of swelling there but it already looks so much better, so I’m excited to see how it looks in another 6 months or so.

At my first consultation, Mr Quaba was great, I felt like he took my concerns seriously and he took the time to explain what could be done to improve the appearance of my nose.

I think one thing to bear in mind with rhinoplasty is that you see the final results a LONG time after the actual operation. The swelling isn’t obvious after a couple of weeks and most people won’t think you look strange, but it’s definitely there. My nose was enormous for a few days after the cast came off so I would definitely recommend taking 2 weeks off work if you can… unless you don’t mind walking around with a cast on and a massive nose, but I did!

Overall, great results and really pleasant experience with Mr Quaba and all of the staff at Spire hospital. No complaints whatsoever and I’m very happy with my surgery. Very highly recommended if you’re considering rhinoplasty :)

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