Dr Jack Zoumaras Facelift Plastic Surgeon at Artiste Plastic Surgery
Dr Jack Zoumaras is one of only a few Plastic Surgeons who specialise in Facelift surgery and has worked in world class facelift centres around the world. A facelift is an operation that is a specilaised and best performed in the hands of someone who has passion for it and is their most common operation.
For the purposes of this blog, SMAS is the Superficial MusculoAponeurosis System which is the layer of the face that contains mimetic muscles that animate the face. It is here that ageing takes place and must be reversed.
Anatomy of the Face
The face consists of 4 distinct layers. Layer 1 is the skin and 2 is the underlying fat (Cheek Malar fat pad). Layer 3 contains the SMAS and facial ligaments and layer 4 is the deep fascia (neck) or bone (forehead).
The Ageing Face
The face ages in 4 distinct ways that correspond to the above anatomical layers. The first is the skin loosens and falls and more wrinkles develop. Second, the facial fat falls and even shrinks, this causes a skinny face with fat in the wrong areas. The third is the ligamentous support of the face wanes with time and the overlying fat, skin and muscle slide down. The fourth is the underlying bone of the cheek, jaw and orbit shrink to make the above three processes worse.
Why a Facelift helps
A facelift addressed the 4 anatomical structures of the face and combats the ageing process head on. It lifts skin, distrubutes fat, adds fat if necessary tightens the ligaments and augments the underlying bone or deep fascia. This reversing of the ageing process ensures a natural dramatic look. Other modalities tend to ‘hide’ the ageing deformity and are not natural solutions. A facelift is the ONLY natural solution to the ageing face.
There are many facelift options as follows:
Mini Facelift: A small incision around the ear is made to access the cheek SMAS and the SMAS is tightened with a series of sutures. Suitable for mild ageing.
MACS or Thread Lift: The use of barbed sutures with (MACS) or without (Thread) making an external skin incision. Suitbale for mild ageing.
Short Scar Face lift: An incision in the anterior hairline, in front of the ear and just behind the ear lobule to access the face and cheek to lift the SMAS. Suitable for moderate ageing.
Facelift with SMAS Plication or Resection: This is a full Facelift incision that involves anterior hairline, in front and behind the ear, and posterior hairline to access the face, cheek and lateral neck. Suitable for any ageing deformity
Composite Facelift: Full Facelift incision with lifting of the 3 layers of the face as one composite flap in one direction
High SMAS Facelift: Full facelift incision with powerful movement of the SMAS in any direction required to restore beauty and movement of the skin independently. This Facelift gives the best results and is practised by Facelift Plastic Surgeons and is Dr Jack Zoumaras Facelift of choice. Suitable for all ages.
“I developed my technique after years of Study that began in Adelaide in the year 2000 and culminated in invited prestigious fellowships in Manahattan, Miami, San Francisco and Paris. I was trained by the best facelift plastic surgeons in the world to become one of the best. As Sydney is unique to Australia as Australia is to the world I have evolved my facelift expertise and offer 4 different types of facelifts to the individual that is custom to them.
The signature facelift is the High SMAS facelift that is suitable for everybody but not everyone wants this as the investment is high and the time of surgery is longer. The next facelift is the SMAS plication or resection this is a popular choice for those that have moderate to advanced ageing and can impact the neck area without doing a neck lift. The next face lift is the short scar facelift which is suitable for those who are younger in their 30s-50s or those that need a touch up facelift. A mini lift is suitable for those between the age of 35-45 and it is performed in the office.
A neck lift may be added to the above facelifts with the exception of the shot scar to create a harmonious neck and face contour and jaw dropping results.
The average time of a Facelift varies from 1.5 hours for the short scar to 2.5 hours for the Smas plication Facelift and 4 hours for the High SMAS signature Facelift. A neck lift will add two hours to the above times. All of my Facelifts come with unlimited structural fat grafts , dermabrasion, and a chemical peel to re-surface this skin on the face.
Once your surgery goes above 4 hours it is recommended you stay the night and all patients undergoing a Necklift stay for one night. When drains are used I do not place any dressings on the face as I believe the dressings to be to cumbersome and can interfere with the blood supply of the Facelift flap. In hospital the first night you will be looked after by the hospital nurses and be asked to rest. Pain is minimal and swelling begins to peak the next day. You may shower the next day and drains will remain till Day 4. If no drains are used as for a short scar Facelift then a light compression bandage is applied to your face and the formal garment applied the next day.
I encourage lying on a flat hard pillow because flexing of the neck can interfere with healing and smoothness of the Facelift flap. I advise that you do not eat hot or spicy foods for a weak and refrain from talking, as these factors can increase bleeding and bruising.
My nurse and I will see you at Day 4 to remove the drains and some sutures and place you under our healing LED light. You will also return at Day 8 for the remaining sutures.
Cost of a Facelift
A Facelift is a major facial rejuvenation procedure that requires an artistic eye and skillful execution by a highly trained specialised Facelift Plastic Surgeon that Dr Jack Zoumaras is. The operation takes time and the results speak for themselves. The investment to look and feel great
varies from $16,000 to $31,000 for the surgical fee alone depending upon the type of Facelift that you have.
Disclaimer: At Artiste Plastic Surgery, our Plastic Surgeons led by Dr Jack Zoumaras have been trained to the highest possible degree. All surgery has risks and it is always advised to get a second opinion. Risks are very real and we cannot guarantee any result. Results are illustrated as a guide only. All risks are managed and any need for revision surgery or complications (1-5%) can be managed by our specialist plastic surgeons.
Any statements on how you will feel is based on Level V Evidence:
Level V: How you will feel after plastic surgery varies between individuals, depending on psychological and physical factors. Our internal research is based on how patients in our practice feel after surgery.
The blogs are not a substitute for a medical consultation and do not form as part of the doctor to patient relationship.