Full Facelift and Neck Lift

As we age the skin on your face and neck become loose and we start to lose muscle mass in this area. Sun exposure, daily stress, smoking, weight changes, repetitive facial expressions increase the appearance of ageing on your face and neck.  Signs of ageing include a sagging jawline, the appearance of jowls, and the mouth sometimes turning downward.  The cheeks start to drop and the neckline can slacken. With the addition of excess fat, you may notice a turkey neck appearance. 

A full facelift (rhytidectomy) and neck lift (platysmaplasty) are two of the most commonly performed surgeries to dramatically reduce the signs of ageing on your face, neck, and surrounding areas. A full facelift helps significantly improve sagginess or droop. The full facelift is much more extensive than a neck lift. A neck lift, also known as a platysmaplasty, can be suggested to reduce fatty deposits in the neck along with tightening excess or sagging skin. 

When combined, these procedures show a refreshed face and a more taught neckline. At Kensington Medical we focus on facelifts and necklifts. Our Plastic surgeons have decades of experience with outstanding results. Book a consultation to see facelift before and afters and find out which facelift is best for your facial structure. You may not require a full facelift, it may be a combination facelift. By booking a two step consultation you can find out how to achieve the best facelift results. 

In its 2022 annual audit, the British Association of Aesthetic Plastic Surgeons (BAAPS) estimated that facelift / neck lift was one of the most popular cosmetic surgery procedures in the UK, for both women and men, with 1,772 cases performed in 2022, a 97% increase on 2021.

Discover confidence with expert surgeons

  • Over 90 years of collective experience
  • We focus exclusively on facial procedures
  • UK based GMC Specialist Register plastic surgeons
  • Experts - our surgeons have performed hundreds of facelifts and necklifts
  • See our videos to find out more

 



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Full Facelift & Neck Lift - Key Information

Procedure time

2.5h to 3.5h

Anaesthesia

General anaesthesia

Hospital stay

Day care

Up & mobile

Same day

Sleeping position

On your back for around 2 weeks

Driving

1 week to 10 days

Sexual activity

Restricted for 4 weeks

Back to work

1 week to 10 days

Exercise

4 to 6 weeks

What is a facelift & neck lift?

A facelift is a surgery to tighten your skin and muscle below your eyes, lift your jowls and lift your mid face droop. The neck lift helps you to tighten the skin around your neck by removing fat and sag. A face lift and neck lift can be combined in one procedure.  Why combine a facelift and neck lift? How does it help you? Keep reading to learn more.

As we age, the face and neck area can start to sag. A combined facelift and neck lift can help to rejuvenate your overall face with amazing results, such as 

  • Uplifted cheek area 
  • Lift the sagging cheek area 
  • Reduce wrinkles in the area lifted
  • Reduce jowls 
  • Removal of nasolabial folds or nose to mouth lines
  • Tighter, more defined jawline
  • Reduce  jowls 
  • Tighter neck area 

 

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Who is a suitable patient for a facelift and neck lift?

A Kensington Medical, the age of a facelift and neck lift operation varies from the early ’40s, 50s, 60s to the ’70s. The best age for a face lift and neck lift varies from person to person, as it is dependent on many factors. 

These include lifestyle, age predisposition, genetics, weight changes, and sun exposure.  As people get older, their skin begins to sag, and muscle tone diminishes. We see woman and men of all ages and will discuss the best options based on your facial structure and what you are hoping to achieve. A facelift and neck lift might be what you need to improve your confidence as you age.

"A full face lift and neck lift is a procedure that can help patients suffering from the effects of ageing on their forehead, jowls, cheeks, mid face, and neck."

How does a facelift and neck lift operation work?

In a combined procedure, you undergo a facelift and a neck lift in a single surgery. A full face lift and neck lift is a procedure that can help patients suffering from the effects of ageing on their forehead, jowls, cheeks, and neck. The area of skin being operated on is usually up to the hairline. 

The exact incision pattern depends on the specific changes discussed with your surgeon. You will also notice an improved jawline after this procedure, as well as more defined cheeks.

A second cut is made under the chin for the neck lift, which entails lifting and tightening the skin and muscles of the neck. The surgeon might move the fat from the jowls and neck at this time. The stitches will be in front of and behind your ear. 

The excess skin is then moved to the contours of your face and neck. A separate incision under the chin might also be necessary for liposuction in this area and muscle repair. Scars are hidden by your hairline and the natural contours of the face.

Your Journey with Kensington Medical

We offer specialist facial rejuvenation treatments in the heart of London. Our team of expert plastic surgeons is dedicated to providing you with a comprehensive and personalised experience. With our expertise in facial cosmetic surgery, we can help you fight back the years and delicately recover your facial freshness and youthful appearance.

Your journey begins with a dialogue between you and your surgeon: the pre-operative consultation, which is central to the operation's success. At Kensington Medical, patients interested in surgery undergo several consultations with the surgeon. We are keen for our patients to be fully informed before deciding whether to proceed with surgery. So, we encourage them to see the surgeon more than once and ask as many questions as they wish. Typically, our patients go through two pre-operative consultations.

The first consultation tends to be face-to-face. During it, the surgeon will:

  • Listen to your concerns and understand what you would like to achieve;
  • Examine you;
  • Show you examples of their work in the form of before-and-after photographs;
  • Suggest a treatment plan.

Following the first consultation, we will:

  • Write to you summarising the surgeon’s recommendations;
  • Quote for the treatment plan suggested by the surgeon;
  • Send you extensive information about the procedure, the risks involved and the precautions you should take pre- and post-operatively.

A second consultation is often necessary for the following reasons:

  • After the first pre-operative consultation, and once you have been through the information sent to you, it is likely that you will have more questions for the surgeon.
  • The surgeon often finds it necessary to speak to patients again to ensure they have fully understood the risks of surgery and they know exactly what to expect from surgery.
  • It is common that several treatment options are discussed at the first consultation, and another meeting is necessary to decide which is the most appropriate.

The second consultation can also be face-to-face. Alternatively, it can be via a video call.

Following your consultations, our medical team is always available should you have further questions before your surgery.

Once you have decided to go ahead with surgery, we will book your operation in one of our specialist cosmetic surgery hospitals.

Before your operation, you will be sent a health questionnaire. This will be reviewed by your anaesthetist, who may call you to discuss specific aspects of your medical history. In certain cases, you may be required to attend the clinic for blood tests. This will be discussed with you by one of our medical team members before your scheduled appointment date.

We will also issue you with preoperative instructions. In particular:

  • You should discontinue smoking for several weeks before your facelift, as smoking can increase the risk of complications during the healing process.
  • You should refrain from taking blood-thinning drugs (such as aspirin) for ten days before your procedure.
  • You should not eat six hours before surgery; you should not drink two hours before surgery.

You will arrive at least one hour before the time of your procedure. The nursing staff at the hospital will monitor your blood pressure and other relevant essentials. You will then meet your anaesthetist and surgeon for a final markup.

The actual operation involves carefully sculpting and repositioning underlying tissue and fat within the face to create a more youthful contour around the eyes, chin, neckline, and jawline area. The result is smoother skin texture while preserving natural facial expressions throughout different movements. The incisions are then closed using sutures. This will leave small scars hidden along areas such as the hairline or scalp, which can fade over time depending on how well they are cared for.

We typically perform this procedure under general anaesthesia. It lasts 2.5h to 3.5h.

Aftercare following a facelift is essential to ensure we achieve optimal results.

Following your surgery, you will be transferred to the hospital’s recovery room, where the nursing staff will ensure that your recovery is smooth. You should stay there for two to four hours, depending on the surgery. Once the nursing team are happy that you are in a fit state to go home, you will leave the hospital accompanied by a friend or a family member. You should also arrange for someone to stay with you overnight for the first night following your operation. Generally, post-operative pain is minimal, but you will be given pain killers in case you need them.

Once you have been discharged from the hospital, our nursing team will be available 24/7 to ensure your post-operative journey is comfortable and pain-free and to field any questions you may have.

Your surgeon will see you a number of times in the weeks following your operation to monitor the facial skin and scars and to support you:

  • The next day, the surgeon will remove the drains and check the wounds and dressings.
  • One week post-operatively, there will be another consultation and depending on your healing progress, the surgeon may decide to remove sutures then.
  • You will see the surgeon again two weeks post-operatively, at which stage all remaining sutures will be removed and your progress monitored.
  • The last post-operative consultation is at six weeks. Generally, you will be discharged from the surgeon's care at that stage.

Bruising and swelling can last up to one month following this surgery.

Our medical team will provide detailed aftercare instructions based on your current health status and treatment received, including when it is appropriate for you to resume normal activities such as exercise, wearing makeup, and strenuous movements. It is essential to follow these instructions carefully to avoid complications or risks associated with the procedure.

Protecting your face from sun exposure is especially important, as it can cause scarring, discolouration, and other unwanted side effects. Wear sunscreen when outdoors and use hats or umbrellas if possible. It would be best to avoid strenuous activities involving facial movements, such as exercise and sports, until cleared by our medical team at Kensington Medical.

By following the instructions of our medical team and taking precautions to protect your face, you can ensure that you achieve the best results from facelift surgery. Following a healthy lifestyle with sufficient rest, nutrition, and hydration is essential for healing and maintaining long-term effects. It is strongly recommended to avoid smoking and alcohol consumption before and during the recovery period.

Full Facelift & Neck Lift Surgeons

What other treatments can complement a full facelift and neck lift?

If you have fatty deposits around the jawline that you would like removed, your surgeon probably will suggest fat removal or liposuction or micro liposuction. They'll make a small incision behind each ear and under the chin. Next, the surgeon will suction the fat from your jawline or chin area.

If wrinkles exist outside of your eye area or crow's feet, they might also suggest injecting fat into these areas. Another option is adding fillers or fat grafting in any sunken temples for an added lift effect.

During your consultation, you and the surgeon will discuss which procedures are best to achieve your goals. At Kensington Medical our specialist GMC registered plastic surgeons have decades of experience. They can advise what type of facelift or neck lift is best suited to achieve maximum results. The best option is to book a consultation. 

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Frequently asked questions

There is always a risk for hematoma (blood collection around the incision site), scarring, nerve injury, temporary hair loss, or skin loss. Additionally, as with all surgeries, there is also a small risk from anaesthesia, leading to medical complications such as pneumonia or heart failure. To minimise these risks, we follow strict safeguards. Concerning anaesthesia, you will be administered general anaesthesia and monitored by an anesthesiologist throughout your entire procedure.

The recovery time takes a full four to six weeks. Discomfort may last from two to four days. You should take your pain medication as prescribed. Any stitches or staples are removed in a week. There will be some bruising and swelling, which will subside over the next one to two weeks. 



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There can be scarring where the incisions were made. However, these are hidden by the natural contours of the face and ear as well as the hairline.

You'll see visible results in four to six weeks. However, it can take three to four months to see the full effect. 



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A full face lift costs from £9,100. It can vary based on the type of operation that is required such as a SMAS, Deep Plane, Mini or lower jowl lift or mid facelift plus the anaesthesia involved and whether an overnight stay in hospital is required. The best option is to book a consultation with one of our expert facial plastic surgeons so that you can discuss what you are hoping to achieve. Your surgeon will ask if you have any important events coming up or a suggested timeline. In this important first meeting, your plastic surgeon will discuss the costs involved. 

Before the surgery, you'll meet with the surgeon for a pre-op visit to go over your procedure. At this time, they'll discuss any special preparations you might need to take before. Also, at this appointment, you'll complete a medication review. The surgeon will advise you of what medications to stop before the surgery and when you can start retaking them. 

For example, you'll need to stop blood-thinning prescriptions two weeks before the procedure. On the morning of your treatment, you'll need to wash your face and hair with germicidal soap. As with all surgeries using anaesthesia, you need to stop eating eight hours before your arrival time. 

During your consultation, your surgeon will share before and after images of previous surgeries that they have performed so that you can see the types of results you should expect.



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Related Reading

The next step to a refreshed you

At Kensington Medical, our experience and expertise ensures your journey to a refreshed and confident facelift and neck lift result. The starting point of this process is a consultation with your facelift or neck lift surgeon. In the face to face consultation your plastic surgeon will find out what you want to achieve, what are the best facelift and necklift options for your facial structure and skin and muscle laxity, your timelines and any specific dates you are working towards.  

Your plastic surgeon will show you before and after photos of face lift and necklift past patients. They will recommend you bring along some photos of when you were younger. 

If you're having multiple procedures done at once, these plans will combine all aspects into one personalised program.

Facelift and necklift consultations can be arranged in either Harley street, London or our Wimbledon location. To find out what facelift is best for you fill in the contact us form or phone for information. 

Medically reviewed by Mr David Gateley MA, FRCS, FRCS (Plast), GMC number 2939470 on 20, February, 2024.