Facelift procedures may be used to improve the appearance of just one side of the face following nerve palsy or injury but are most commonly carried out for purely cosmetic purposes to counteract the effects of ageing. Specific procedures may be directed at particular areas including the creases where the cheeks meet the lips (naso-labial folds), the jowls, the central neck area or the whole of the neck.

These procedures may be carried out after or at the same time as the use of formulated regimes of skin rejuvenation products, chemical peeling, laser resurfacing, liposuction and injectable fillers.

Your specific problem would be carefully assessed by Mr Matthews at consultation and advice given depending on your age, general health, skin quality and whether you smoked or not. For instance, smoking is a high risk factor for poor healing and infection in more extensive procedures and should be completely stopped at least 8 weeks in advance.


The so-called mini-facelift, directed at the naso-labial folds and jowls, can be carried out under local anaesthetic and sedation as a day case with a relatively short scar, whilst a full facelift, with a more extensive but concealed scar, is performed under general anaesthesia (asleep) and requires a one to two night stay in Hospital. The full facelift also tightens the neck. (See Central Neck Tidy)

A central neck lift simply deals with slackness and fullness in the central neck under the chin: local anaesthetic and sedation is the usual approach and a one night stay is usual.

Mr Matthews would advise of the precise extent of scarring with each procedure as well as the recovery times – bruising and swelling being more extensive after a full facelift, two to three weeks off work being advisable. The more localised procedures need less time off work.

Mr Matthews would also advise of the possible problems and complications of each procedure covering aspects such as anaesthetic risk, bleeding, infection, scar misbehaviour, altered feeling and weakness or loss of movement in muscles of facial expression.

Carefully performed, facial procedures can produce very satisfactory results.