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Facial ageing can be genetically determined but is also influenced by other factors such as smoking, sun exposure, body weight changes, pollution and the stresses of daily life.

With these factors and the constant pull of gravity, drooping and sagging of the skin and the underlying fat occurs.

A sagging neckline, the appearance of jowls and a deepening of the lines between the nose and the corners of the mouth give the face an aged, exhausted look. All these can be reversed with a facelift!

All the face lift procedures practised at the Beacon Face and Dermatology use the new double layer technique.

Firstly, the deeper layers are supported to maintain a longer lasting result. Then the outer skin layer receives the nip n tuck. Facelifts can give you up to ten years younger look in appearance. Naturally, you will continue to age but you will always look much younger than if you had not had the facelift procedure done. Incisions today are carefully planned so that scars are much neater better concealed.

You can have Facelift Surgery done to slow down the effects of aging in a younger patient (in their forties), or to rejuvenate an already aged face so as to fit the personality! If loose skin is a major feature, the results can be dramatic. Many patients are so delighted with the results that they choose to undergo repeat facelift surgery every 6 to 10 years as a damage control program.

How Face lift cosmetic surgery it’s done

The popularity of facelift surgery continues to surge in contemporary Ireland. Facelift surgery has evolved and progressed to offer interest to all age groups. The smaller facelifts provide the opportunity for younger patents to avoid the development of unsightly jowling without the need for major facelift surgery. As anaesthetics and surgery becomes more refined, the more mature patient is requesting facelifts more commonly.

There are two main types of facelifts, the suture only lifts, and dissection facelifts. The suture only lifts are a newer concept but only provide a shorter-term option for a gentle result.

Suture facelifts do not provide total dissection movement of one tissue plane over another; consequently they cannot be expected to produce a full, true lift, to the same level as a dissection facelift. Suture only lifts require less surgery and therefore less risk of any injury and less downtime. These benefits are perfectly adequate for the gentle face lift but must be balanced against their actual potential result and the desired longevity.

The main strength of the dissection facelift operation is the surgery, which adapts the deeper layers under the skin to provide a more significant and longer-term improvement.

The “SMAS lift” operation is the workhorse of all dissection facelift surgery. It is the “SMAS band of connective tissues that connect the deeper tissues to the skin. This involves the re-tensioning of the deeper layer (SMAS) to hold the face in position. Once this is achieved, trimming of excess skin is usually required to avoid bunching.

The standard facelift operation involve incisions, which usually begin above the hairline at the temples, extend in a natural line down the front of the ear and continue behind the earlobe to the lower scalp. If the neck also needs work, a small incision may be made under the chin. Tiny incisions may be required to place fat grafts into the cheeks, which heal rapidly and are virtually invisible in time.

The direction of the lift is usually more of a vertical lift of the jowl and mid face, whereas the neck tissues are enticed back.

The “deep plane facelift” takes the dissection plane under the SMAS layer and runs forward over the facial nerve. It has become increasingly popular in America. It is said to have a lower risk of haematoma (bleeding leading to a blood clot) and gives huge benefits to the midface.

Some surgeons prefer to avoid the deep plane facelift so as not to incur the risk of injuring the facial nerve. This nerve moves the muscles of the face for smiling and other facial expressions. The risk of injury in expert hands is very low, but if the complication should it occur is would be very serious. Some surgeons feel that this operation provides more of a backward vector, rather than an upward one and his can produce windswept look, whereas an upward pull of the lateral SMAS lift is more natural.

Whichever technique of full facelift is done, will result in a significant dissection and separation of layers which provides a true repositioning of layers on a broad and even front. Tissues heal well in a new location.

Mr Golchin will need to carry out a full examination to determine which lift is right for you.

Liposuction is a regular accompaniment of facelift and neck lift. Fatty tissue is removed from under the neck or around the jowl area to help provide refinement and sculpting where desired. It is often done by itself or in conjunction with these procedures. A small cannula with a hole and suction is used to remove the fatty tissue.

Once the fat is removed it cannot come back but if someone gains weight fat will develop in other areas where the fat cells are more prevalent. The liposuction incisions are 3 mm in length and become virtually invisible over time.

All wounds are closed neatly and the patient is bandaged to provide support to the tissues.


With Mr Golchin, complications are very uncommon. The recovery time may be hindered by some swelling and waiting for incisions to heal. Normally people are able to face the public at a week whereas more extensive operations may require 10 days, 2 weeks.

There may be some bruising and there will be a little discomfort, feeling of tightness and even some change of sensation. This is not uncommon. Many people find they are numb around the jaw under the ear and this may persist for some months though normal sensation always returns.

The techniques adopted by Mr Golchin provide a balance of power and safety in order to avoid nerve injuries.

Pre Op

Mr Golchin will initially ask you to express your concerns about your appearance and to discuss your wishes & expectations. You will be asked about your medical history and a physical examination will be conducted. If you are a suitable candidate Mr Golchin will help you decide which type of facelift is most suited to you.

You will be given an individually tailored skin care program to optimise your skins’ condition in preparation for surgery. You may be required to visit your GP for a pre-operative check up & for any necessary blood work & x-rays. Concise preoperative instructions are provided, and all necessary prescriptions are given to you in advance of your surgery. You will be provided with a complete list of which medications you must avoid.

Post Op

For the first one to two hours you will be under the care of the medical staff in the recovery room and then transferred to your private room in the Beacon Hospital just for your first night.

The next morning, all bandages and drains are removed. The surgical sites are inspected, cleaned and a lighter bandage is replaced.

You will be given a care instruction leaflet on how to care for the incisions until the stitches are removed in seven to ten days.

Pain medication is prescribed, though is usually unnecessary after the first day. Antibiotics are given for one week post surgery. You are encouraged to sleeping with your head elevated as it can significantly reduce any discomfort.

There may be mild bruising or swelling which may last for approximately one week. Most patients are happy to return to work and social activities after two weeks. Heavy physical exercise and any manoeuvre which involves you being upside down is avoided for three weeks following a facelift.

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