Lower Face-lift usually combined with a Neck Lift
Inferior Meloplasty (rhytidectomy) with a Cervicoplasty (+/- Platysmaplasty)
Meloplasty and cervicoplasty are frequently performed together in order to improve the appearance of the lower face and neck, by giving a better contour and greater definition. The procedures involves removal of excess skin and fat, combined with tightening of the platysma muscle when required. The incisions are carefully placed (under the chin and around the ears) in order to minimize visibility of surgical intervention, and sutures (dissolvable and non-dissolvable) along with surgical glue are frequently used to meticulously close the incisions.
Dr. Niro Sivathasan created the ‘I.S.P.A.’ lift (Ignite Silhouette Plasma Anti-ageing lift) as a minimally invasive approach to significant facial rejuvenation. It employs a number of different modalities, but without the need for open surgery, and with a lower risk profile and price-point.
Many patients request eyelid rejuvenation and/ or lipotransfer (use of fat for volumization and rejuvenation) to be performed at the same time.
Key Facts about Rejuvenation of the Lower Face and Neck
- Usually performed under general anaesthesia or deep sedation, but less aggressive rejuvenation is possible with local anaesthetics.
- Meloplasty with cervicoplasty usually takes between 2 and 4 hours.
- The procedure shall take place in a licensed hospital’s operating room or in Ignite Medispa’s procedure room at Wollongong Private Hospital.
Preparing for Meloplasty (Rhytidectomy) / Cervicoplaty / Plastysmaplasty.
- During the initial consultation you need to inform Dr. Niroshan Sivathasan about all medications you take, especially any medications that thin the blood, such as aspirin or warfarin.
- Do not drink alcohol for 48 hours prior to the procedure. Avoid herbal medications/ remedies during the days leading up to the procedure. Also avoid any anti-inflammatory medications (such as ibuprofen) for a few days prior to the procedure, if possible.
- Stop eating a couple of hours prior to the procedure.
- Arrive with clean face, free of makeup and well-cleansed. Tie your hair back in a low ponytail.
- Ice cubes may be sucked-upon, if you are struggling with a dry mouth or feel extremely thirsty.
After the Procedure
There is no need to stay in hospital overnight (unless specifically wanted), and most patients return home within a couple of hours following the procedure.
Recovery is fast, the majority of individuals return to work 7-10 days following the procedure
The results of the procedure shall be evident within six months
Risks and Complications – Anaesthesia
Minor, temporary effects of local anaesthetics, include:
- Blurred vision;
- Twitching muscles in the area around where the local anaesthetic was administered;
- Muscle weakness, tingling and continuing numbness in the area around where the local anaesthetic was administered.
Rare and serious risks of local anaesthetics, include:
- Hives, skin irritation, and in very rare cases of allergic reaction, breathing difficulties;
- Depressed central nervous system, decreased breathing rate and reduced heart rate, in extremely rare cases this could cause a heart attack (cardiac arrest). However, this is extremely rare and extremely unlikely given the amount of local anaesthetic used.
Issues following sedation (IV/ twilight) or general anaesthesia, include:
- Disorientation and drowsiness;
- Feelings of heaviness and slow reflexes;
- Nausea and low blood pressure;
- Short term memory problems or amnesia.
Risks and Complications – Surgery
Minor risks and complications of face- and neck- lifting procedures, include:
- Swelling and bruising;
- Haematomas (collection of blood) and seromas (collection of fluid);
- Wound breakdown;
- Altered sensation (usually decreased) around the incision sites.
Rare and serious surgical risks, include:
- Skin and fat necrosis (death of cells);
- On-going nerve damage (motor and/ or sensory);
- Significant scarring;
- Irregular dips or bumps on surface of skin;
Please seek immediate medical attention if you suffer with any of the below symptoms:
- Shortness of breath or difficulty breathing;
- Chest pain;
- Excessive bleeding or fluid from incision sites;
- Sudden increase in pain.
Recovery Journey for Face- and Neck- Lift Procedures
Immediately following the procedure
There will be swelling and bruising, most patients report mild to moderate feeling of discomfort. Most patients have to wear a compression garment.
First 48 hours: Swelling and bruising shall increase. For optimum results do not tilt your head downwards and keep your head elevated when sleeping. You can shower and wash your hair, taking care not to rub at the incision sites.
7 days: The majority of people shall return to work if they have not already done so. The incision sites may feel itchy swelling and bruising should start to be less noticeable.
14 days: The check-up appointment will take place. Dr Niroshan Sivathasan will check that the sutures have dissolved, remove any sutures if required and the incisions are healing.
1 month: There shall still be swelling although your neck should still appear smoother and tighter than prior to the procedure. You can start using skin products, although ideally avoid anything with fake tan in.
3 months: Bruising and noticeable swelling shall have gone and your scars should have significantly faded. Your jawline shall appear more defined and the treated area should look and feel tighter. Massaging of scars should be performed religiously.
12 months: Your scars should be almost invisible, and any residual swelling shall be gone.