All about facelift and blepharoplasty

Ageing affects different parts of the face in different ways. The skin gradually loses elasticity, facial tissues descend and fat distribution changes, which can lead to sagging around the jawline and neck as well as excess skin around the eyes. For patients seeking more significant and longer-lasting facial rejuvenation, surgical procedures such as facelift and blepharoplasty can address these concerns.

These procedures are often performed together because they target different areas of the face and can produce balanced, natural-looking results when combined.

What does a facelift treat?

A facelift, also known as rhytidectomy, is designed to restore definition to the lower face and neck. As facial tissues descend over time, people may notice jowls along the jawline, deep folds around the mouth and loose skin beneath the chin.

A facelift works by repositioning deeper facial tissues, tightening underlying structures and removing excess skin. The goal is not to change a person’s facial features but to restore a more youthful contour.

Different surgical techniques exist, and the most suitable approach depends on the individual’s anatomy, degree of ageing and desired outcome.

What is a deep plane facelift?

The deep plane facelift is an advanced surgical technique that focuses on repositioning deeper layers of the face rather than simply tightening the skin.

In this procedure, the surgeon works beneath the superficial musculoaponeurotic system (SMAS), which is a layer of tissue that supports the facial muscles. By releasing facial ligaments and repositioning these deeper structures, the surgeon can lift the cheeks, soften nasolabial folds and improve the jawline with less tension on the skin. A necklift is performed at the same time to create a sharp angle with the jaw line, remove neck bands and rejuvenate the appearance.

The advantages of a deep plane facelift may include:

• More natural facial movement and expression
• Improved lifting of the midface and cheek area
• Reduced tension on the skin, which may improve scar quality
• Longer-lasting results compared with more superficial techniques

Because the procedure addresses deeper anatomical layers, it can produce comprehensive rejuvenation while maintaining natural facial proportions.

What is blepharoplasty?

Blepharoplasty is surgery performed to improve the appearance of the eyelids. Ageing around the eyes can cause excess skin, puffiness or drooping that may give the face a tired appearance.

The procedure can be performed on the upper eyelids, the lower eyelids or both.

Upper eyelid blepharoplasty removes excess skin and sometimes small amounts of fat to create a smoother eyelid contour. In some patients, this can also improve vision if loose skin is obstructing the visual field.

Lower eyelid blepharoplasty addresses puffiness or under-eye bags caused by protruding fat or loose skin. Techniques may involve repositioning fat rather than simply removing it in order to maintain a natural transition between the lower eyelid and the cheek.

Why are facelift and blepharoplasty often combined?

The face ages as a whole, and changes in one area may make other areas appear more prominent. A facelift primarily improves the lower face and neck, while blepharoplasty focuses on the eye region.

Combining these procedures can provide a more harmonious overall result. While the facelift restores definition to the jawline and cheeks, blepharoplasty can refresh the eye area and reduce the appearance of fatigue.

Careful planning ensures that each procedure complements the other without overcorrecting the face.

What should patients expect during recovery?

Recovery varies depending on the procedures performed and the surgical technique used. Swelling and bruising are common during the first one to two weeks after surgery. Personalised recovery packages include skin care recommendations, hyperbaric oxygen, photobiomodulation and lymphatic drainage massage.

Most patients gradually return to normal activities within a few weeks, although subtle swelling can take longer to settle completely. Following post-operative instructions and attending follow-up appointments are important for optimal healing.

When performed with careful surgical planning and attention to facial anatomy, facelift and blepharoplasty can restore facial balance and provide long-lasting improvements while maintaining a natural appearance.