Facelift – Mr Paul Tulley

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What to expect from a facelift

As you age, the skin on the face begins to lose tone and elasticity as collagen and elastin production depletes. This is a result of the ageing process, but can be further compromised by environmental damage, overexposure to the sun and smoking. This presents as wrinkling and sagging skin.

Fat tissue is also lost as you age and there is a loss of volume in the cheek, lip and jawline area with the formation of sunken cheeks, folds around the mouth and nose and jowls to appear on the jawline.

The brow can also descend causing a tired or angry look and heaviness to the eye area. The neck can also be affected with loose skin and excess fat obscuring a taut and defined neckline as well as marked horizontal bands across the neck.

Many of these ageing changes to the face can be treated with a facelift, while others may require adjunctive facial surgery procedures such as a brow lift, neck lift or blepharoplasty.

Why have a facelift?

REPOSITION FACIAL TISSUES
TIGHTEN SAGGING SKIN
REDUCE DEEP LINES
GET RID OF JOWLS
IMPROVE SELF-ESTEEM

PAUL, THANK YOU SO SO MUCH.

“I’m so so pleased with my facelift and eyelid surgery… it’s so natural! If I need another in 15 years or so, I’ll definitely come back to see you again!”

I FELT REASSURED AND SAFE.

“I had my plastic surgery with Paul Tulley, and I am absolutely delighted with the results and I would certainly recommend him. Besides being a great surgeon he also became a good friend, and since we are talking about surgery, this is very important as we are putting our bodies and our lives in his hands. I am very grateful to him for making me feel beautiful, desirable and fulﬁlled”

PAUL, THANK YOU SO SO MUCH.

“I’m so so pleased with my facelift and eyelid surgery… it’s so natural! If I need another in 15 years or so, I’ll definitely come back to see you again!”

I FELT REASSURED AND SAFE.

Procedure at a glance

Here is some key information about the facelift procedure. Mr Paul Tulley will discuss the procedure in more detail at your consultation to ensure you’re fully informed before you make the decision to proceed.

Anaesthetic

General

Surgery Time

2 – 4 hours

Hospital Stay

Day Case

Time off work

2 weeks

Exercise

After 6 weeks

Compression Garments

2 weeks

Driving

2 weeks

Full Recovery

6 – 8 weeks

FACELIFT FAQS

WHAT HAPPENS DURING A SMAS FACELIFT?

A SMAS facelift refers to the tissue layer of the face which will be operated on. This is the superficial muscular aponeurotic system or this type of facelift is commonly called a SMASectomy or SMAS facelift. In patients with a very slim face, a variation on the technique may be used, called a SMAS plication.

The tissues in the SMAS layer are repositioned and reshaped, before the overlying skin is redraped and any excess skin is trimmed. This is the optimal technique for correcting sagging skin and facial muscles and can deliver very natural and long-lasting results.

WHAT IS THE RECOVERY LIKE AFTER A FACELIFT?

A facelift is performed under a general anaesthetic and usually requires at least an overnight stay in hospital. The majority of bruising and swelling will have subsided after the first couple of weeks and then patients usually feel comfortable enough to return to work and normal activities. More vigorous activities and exercise should be refrained from for at least a month and hair colourants should also be avoided during that time.

WHAT SCARRING CAN I EXPECT AFTER A FACELIFT?

The extent of scarring is a common concern of men and women contemplating a facelift, but the skin incisions are normally well hidden in the hairline or placed in the skin creases around the ear so should not be noticeable once fully healed.

If most of the skin and muscle laxity is in the mid-face area, it is possible to use a short-scar type technique. The scars are placed in the hairline and just in front of the ear alone. However, if the neck and lower face are affected then the incision will need to be extended behind the ear and into the hair.

Another variation of the short-scar facelift is the MACS lift and this can be a better option for patients that have mild to moderate jowls. After a full assessment, Mr Tulley can advise you on which procedure is most appropriate for you.

OUR FACELIFT RESULTS

AWARD-WINNING COSMETIC SURGEON

Paul Tulley is an award-winning Consultant Plastic, Reconstructive and Cosmetic Surgeon practising in London and the South East.

His main areas of interest are surgery for facial palsy (facial reanimation), breast reconstruction and all areas of cosmetic surgery. These include facial rejuvenation, rhinoplasty, cosmetic breast surgery, liposuction and body contouring procedures.

He is a member of the British Association of Aesthetic Plastic Surgeons (BAAPS) and the American Society of Plastic Surgeons (ASPS).