How it works
Everything begins with a consultation. The surgeon performing the procedure will look at the areas of your face that are drooping — the face, neck, brow, and cheekbones through to the nasolabial folds — and decide where the soft tissue needs lifting. This is why the procedure should be carried out by a surgeon who understands the anatomy of the face and how it changes at each stage of life, so the plan fits you.
The procedure is usually done under local anaesthetic, meaning only the treated area is numbed and you stay awake. If it is combined with other procedures — such as fat grafting, a face and neck lift, a forehead and temple lift, or wrinkle treatment with laser or a peel (a light resurfacing of the skin's surface) — general anaesthetic may be needed. It takes about 30 minutes to an hour and a half, depending on how many areas are treated.
Depending on how many areas need treating, your surgeon makes one or a few tiny incisions, only a few millimetres long, placed within the hair. Through these, the surgeon passes the threads beneath the skin to the area that needs lifting, then anchors the threads to hold the soft tissue in its new position. Because the incisions sit within the hair, there are no visible scars on your face.
Throughout, your surgeon works carefully to support the soft tissue by the right amount and to keep both sides balanced. Once the threads are placed, the treated area does not need a dressing. You will not need to stay in hospital and can go home the same day.