Facelift

Facelifts

Hi, I’m Dr. Tony Prochazka, a cosmetic surgeon working in Sydney and Melbourne. I’ve been doing this work for about 16 years, and I’ve qualified as a fellow of the Australasian College of Cosmetic Surgery, and I’m also a fellow of the Cosmetic Physicians College of Australasia. I’d like to talk to you a little bit about my approach to face lifting. Face lifting is a field that’s actually been around for over 100 years, believe it or not, but the early facelifts were very crude. Face lifting, I guess, in my opinion, really came into its own probably about 25, 30 years ago. During my training I was learning the very long involved and invasive facelift procedures that involve a very large incision that goes all the way behind the ear, down into the hairline here, a very large amount of dissection, and then actually also identifying the main supportive membrane of the face, cutting into it, undermining it, sometimes cutting a bit of it out, and then pulling it up, stitching it to itself. You can imagine this is really a very invasive procedure. In the year 2002, a Belgian plastic surgeon by the name of Dr. Patrick Tonnard published a seminal paper on a new less invasive type of facial lift, called the MACS lift, M-A-C-S, it stands for minimal access cranial suspension. Minimal access really just means short scar. Cranial suspension really just means vertical lifting, lifting upwards towards the cranium. The old style facelift with a lot of dissection behind the ear tended to pull all the tissues up pretty much behind the ear. This is a more oblique direction, can actually cause distortion of the corners of the mouth, so you get that kind of fish mouth look, and it can also give a windswept appearance. It’s a very effective lift, but I don’t think it’s 100% natural. The MACS lift, in my hands at least, gives a very natural result. It is still a true facelift because we are still identifying that deeper structural layer, and we are repositioning that. But instead of […]