Facelift and Neck Lift

A wholesome approach to renewing your youth

Sun damage, gravity and other environmental factors can lead to the visible signs of ageing on the most visible areas of the body – the face and neck. These imperfections can show as excessive laxicity, deep creases, heavy jowls, poor neck definition, and other prominent signs of aging. To reverse these symptoms and reveal a more youthful appearance, a facelift or neck lift could be a suitable option for you.

A facelift procedure satisfies those who no longer feel comfortable with their appearance. Sun damage and other environmental factors, alongside ageing and gravity, can negatively affect the facial tissue, stretching it and allowing it to sag. Over time, skin and underlying facial ligaments lose elasticity and fat deposits begin to rest in the lower parts of the face, which causes the face to lose definition. A facelift is a successful way to redefine your face, tighten the appearance of the skin around the facial features and rejuvenate and re-elevate contours to produce a more youthful appearance.

A neck lift is ideal if you are noticing the effects of the ageing process in your neck area. Dr Paul Gerarchi can redefine the neck by tightening the skin and contouring the area between the chest and chin to ensure the transition between the two is smooth and line-free.


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“A journey of a thousand miles begins with a single step”  Lao Tzu

Meeting your surgeon

During the consultation, your face and neck will be analysed by Dr Gerarchi from many angles in order to devise a plan for the procedure. This also helps to determine what benefits you can expect from the surgery, aligning with your personal desires. Depending on the specific result you are seeking, Dr Gerarchi will discuss the possibility of pairing a face or neck lift procedure with other treatments to maximise the potential for positive change. Many treatments and procedures work harmoniously together to produce optimal results for you.

At your consultation, you will also be encouraged to ask questions and voice any concerns you might have about the procedure. When this visit is completed, you should leave Dr Gerarchi’s office feeling comfortable and confident with your personal surgical decisions.

Smoking must cease for at least two weeks prior to your surgery, as tobacco interferes with recovery. Non-steroidal anti-inflammatory drugs must also be avoided as they can cause excessive bleeding during and after your surgery.

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Approaching your face and neck lift

When you choose Dr Gerarchi as your facial plastic surgeon, you can rest assured that your facelift will be tailored to suit the outcome you desire with the amount of intervention you desire. Facelifts come in man forms, with names that are sometimes confusing. Dr Gerarchi does tend to prefer the deep plane facelift for its lasting and very natural result.

Each version allows us to tailor the procedure to your specific needs, ensuring your desired result is achieved. Facelifts are not a one-size-fits-all proposition and by personalising the procedure to each client, you can expect a natural result that is specific to your specific needs and desired result. It isn’t uncommon for a facelift procedure to be combined with other procedures such as a brow lift, neck lift, fat transfer, laser facial resurfacing treatment or blepharoplasty (eyelid surgery) to achieve your optimum result.

Anticipating your neck or facelift

Going into your facelift and neck lift with realistic expectations is essential to the process.

Dr Gerarchi and his staff are committed to preparing you for your procedure with realistic expectations for the actual surgery, the recovery period, and the results you can expect long-term. These will be explained during the consultation period.

Communication is a key element of this process, which is why Dr Gerarchi and his staff will do their best to set realistic expectations for the process right from their initial meeting with you.

Your deep plane facelift procedure

You will have general anaesthesia if you undergo a facelift procedure and it is also likely you will stay overnight before you are released to go home to recover. This type of procedure takes three to four hours to complete, with the results being more dramatic than other facelift variations.

Incisions for a facelift are placed behind or at your hairline, to gain access to the skin around the top of the face. By beginning the incisions near the temples and the front of the ear, hidden in the natural contours, the deep tissues of the face can be adjusted and tightened into a more desirable and more youthful position without telltale indications you “had work done”. Excess skin is removed, but more importantly, the supportive structures of the face are elevated, creating a more youthful look for you overall.

A neck lift procedure takes a similar amount of time to complete as a facelift, and will usually also be completed under general anaesthesia. The process begins with the removal of fatty deposits below the chin, known as submental fat.

Liposuction is generally performed to remove excess fat stored in this area and the muscles and tissue, then tightened and secured into the desired position. Excess skin is removed through incisions under the chin and around the ears, ensuring scarring is kept to a minimum while ensuring dramatic anti-ageing results.

Your recovery

Once the facelift procedure is complete, one overnight stay is recommended to start your recovery. Following this, you will spend at least two weeks recovering in the comfort of your own home, avoiding all strenuous activity. A compression garment will be worn during this time, with a follow-up appointment for suture removal and a full examination. After this initial two-week period, you will begin to look and feel more like yourself as you ease back into your normal routine. Your neck and face may feel tight and stiff at the beginning of the recovery process, though this is considered normal and will subside in two to three weeks.

After your neck lift surgery, bruising and swelling are normal; this will subside in a few weeks. The skin around the neck will feel tight, and we encourage you to keep head and neck movement to a minimum following your procedure.

Sleeping with your head elevated will help to keep swelling to a minimum, and like the facelift recovery, all strenuous activity should be put on hold until you are fully recovered.

After your face and neck lift

After surgery, your progress will be monitored to ensure your healing process is as seamless as possible. Dr Gerarchi will serve as a constant point of contact and support alongside our wonderful team

We encourage healthy communication during this time and look forward to our role continuing alongside you as you recover and see the positive results of your facelift procedure.

Managing your recovery

Dr Gerarchi will prescribe certain pain relieving and anti-inflammatory medications to both settle the swelling and ease the pain after your facelift surgery is complete. Every effort will be made to ensure your pain stays at a minimum post procedure, and all medication will be monitored to ensure the recovery process is both comfortable and complication-free. Itching is completely normal at this stage as skin heals. These symptoms will dissipate as the healing process continues.

Follow-up appointments

Follow-up appointments will be scheduled prior to your surgery in order to minimise post-procedure stress. At your first follow up appointment, approximately one week after your facelift, most of your sutures will be removed. During this appointment, a recovery plan will be formulated to make sure that you are as comfortable as possible during the recovery period.

Please feel free to contact our office with any questions or queries you may have about the face and neck lift procedures.