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A facelift (rhytidectomy) is a procedure that reduces and tightens the skin around the lower half of your face, jaw line and neck to achieve a firmer more youthful appearance.

Medically known as Rhytidectomy, Facelift surgery remains the gold standard surgical way to restore and rejuvenate the ageing face. Facelift and necklift surgery can help reduce the appearance of facial wrinkles and various signs of ageing such as volume loss. To help correct loss of fullness in the face that always happens with ageing, Fat Transfer is often combined with facelift surgery to really give that wow effect.

Once the signs of ageing become more visible many patients will opt for a definitive facelift procedure. The signs of ageing include excess skinon the eyelids, deep wrinkles at the corner of the mouth, skin with poor elasticity, droopy jaw lines, jowls etc.

There are several types of facelift surgery techniques – each addressing different ageing issues and targeting different facial features. Selecting the type of facelift depends on the targeted areas and the patient’s expectations.


(A) A Traditional Full Facelift with or without Necklift helps correct deep creases below the eyes, drooping cheeks, lines around the mouth, skin around the chin, jowls, etc. In this surgery, the skin around the temple, ear, and neck is elevated and the underlying muscle is tightened. People in their 50’s & 60’s usually prefer to undergo this surgery.

(B) A Mid-Face Lift targets the areas around eyes and cheeks, where the layers over the cheekbones are lifted and re-positioned. It is commonly preferred by those patients who only require cheek elevation and not around neck. This lift gives a refined facial structure with minimal risk and downtime.

(C) Mini Facelifts improves the cheeks and jawline for patients who would like a subtler look. The Mini Facelift surgery has shorter recovery time and is very common amongst patients who show the initial signs of ageing but require both an upward and backwards tightening to improve their cheeks, jowls and jawline contour.


There are many different kinds of facelifts, but generally incisions are made above the hair line at the temples, extending down in front, and under the ear and into the hairline. The skin is then pulled backwards and upwards before being stitched into its new position. At the end of the operation, Dr Jeanne Botha closes up the incisions with stitches and applies a dressing to protect the area where the incisions were made and to minimise bruising and swelling. An overnight stay in hospital is usually required. These bandages will stay on for one or two days and the stitches are removed after about a week.


For the first few days after a major facelift or necklift procedure, liquid and soft diet (chopped, ground, mashed, pureed, and moist food) is strongly advisable. The chin strap should be worn regularly for at least the first week after surgery and then as often as possible for another month. Patients should use ice-packs for small durations and on regular intervals for the first couple of the days after the surgery.

There will be swelling and bruising after the surgery and you can expect to feel pain and discomfort between 3-7 days. You should take between 1-2 weeks away off from work and refrain from running for up to 4 weeks.

Dr Jeanne Botha

Plastic and Reconstructive Surgeon

Elize Bezuidenhout

Practice Manager

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