The search for a more youthful face is the key to a more attractive appearance. Factors such as time, gravity and stress can etch marks on the human face either in the form of wrinkles, sagging or areas of sagging tissue (nasolabial groove areas, under the chin, etc.).

Face lift surgery (or wrinkle removal) is a procedure that improves the appearance of the middle and lower third of the face by intervening at the level of the facial muscles and fascia and by stretching them in the direction opposite to gravity.

In fact, the manipulations are performed on a single anatomical unit called SMAS (superficial musculoskeletal system), which includes the muscles, ligaments and other supporting structures of the face. This brings these structures back to anatomical areas where they used to be.

The surgery

By finally removing the excess skin and placing it in its new position without tension , 2 main objectives are achieved:

  1. Corrects areas of intense wrinkling and relaxation on the cheeks, nasolabial grooves, temples, cheekbones and generally throughout the middle and lower third of the face
  2. The healing process now takes place with minimal scarring, since the structures are no longer supported by the skin, as in the past, but by the underlying layers. For exactly the same reason, there is no longer a need for “over-correction” which is responsible for the “tense” and “unnatural” faces of the face-lift.

When the procedure is combined with fat transfer and placement in these areas, we can achieve total reconstruction with restoration of the lost volume. The advantage of these procedures is that the incisions can be hidden in the hair. The only exposed part of the incision is around the ear, but as it is located in a natural fold of skin, it is barely discernible.


MACSlift (Minimal Access Cranial Suspension Lift) is a new “mini lift” method that is performed through a small incision in front of the ear and involves limited skin removal. This means that the whole procedure becomes less traumatic for the patient. The suspension of the fall webs is done with special sutures that are fixed at a specific point.

It should not be confused with the thread method as it is a procedure whose advantages include, among others, faster recovery than the usual Facelift. It should be noted, however, that this operation is not addressed to everyone, but to people with slight to moderate relaxation of the facial tissues and without the need for neck correction.


  • The operation is performed either by general or by drunkenness and local (hypnotherapy)
  • Small tubes (drains) are inserted and removed on the 2nd day
  • The stitches are removed gradually from the 4th day and up to the 12th day depending on the case.
  • The patient should have the head elevated for 24 hours. Walking and light activity is allowed in the second 24 hours. Showering is allowed on the third 24-hour period.
  • The effect of the facelift is immediate but the final image is obtained when the swelling subsides. After the 2nd week, most of it has receded but for its complete disappearance 3-4 months are required.
  • In some cases, hypesthesia, numbness or even itching behind the incision for a few centimetres occurs. This should not be a cause for concern as it subsides after a few weeks.
  • The duration of the effect varies but for an average person in a person with a relatively stable weight it can last up to 15 years.

WITH WHICH other surgeries does IT get COMBINED?

In recent years, complementary procedures that improve the shape of the face have gained particular interest. Thus, in faces with enough fat in the lower tricuspid region that blunts the features and creates unsightly curves instead of angles, Bichat fat removal is performed. This additional surgery is performed with a small incision through the mouth. At the same time, fat can be removed superficially by using special extremely small cannulas. When deemed necessary by the surgeon, a microlipotransfer can be performed on the upper face, i.e. fat can be placed to fill spaces that have become empty over time and thus reverse the image of the fat face in the lower third of the face. Similarly, on “empty” and dehydrated faces with intense sagging and wrinkles, the combination of lift and fill offers truly impressive results.

In areas of the face that are not corrected with the facelift (periorbital area, area under the eyes), when it is necessary and a total rejuvenation of the face is desirable, a special laser treatment (CO2 or erbium) is performed. This combination has the advantage that without increasing the recovery time of the operation, an overall improvement is achieved on the whole face.

Information about the surgery


Direct. You should wait for the appearance of bruising and swelling, which remain for 1-2 weeks.


Variable. You may need to take an oral painkiller for a maximum of 5-7 days.

Special protection for after surgery

The head will remain wrapped overnight with the bandage which is removed the day after the operation. A chin strap will then be worn on the chin which can be covered with a scarf for at least 2 weeks.

Suture removal

Stitches are removed in 5-7 days and others in 10-14 days.

Removal of the drainage tube: it will be removed one day after surgery.


You may shower 2 days after surgery. He should not lift weights greater than 10-12 kg for 2 weeks. It can lead to when you no longer need to take pain medication.

You should not engage in any strenuous activity / lifting weights for at least 6 weeks.

It is necessary to take 1-2 weeks off work depending on the requirements of the job.


The patient will be followed up on the first day after surgery and then in the clinic on the 1st week and then at 2 weeks, 6 weeks and 3 months or whenever necessary.

Real cases

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