Best Clinic UK - Aesthetics Awards 2024
& Aesthetic Medicine Awards 2024

Face & Eyes

Facelift

at Cadogan Clinic, London’s Leading Cosmetic Surgery Specialists.

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Best Clinic London 2024

We were awarded Best Clinic London at the industry-leading 2024 Aesthetics Awards.

CQC ‘Outstanding’

Our Leadership is rated ‘Outstanding’ by the independent healthcare regulator in England.

20 Years of Safety

We’ve enjoyed a spotless safety track record over 20 years at the top of our field.

96% Excellence Rating

We support 30,000 patient appointments each year, 96% of which were rated 5*.

Medically Reviewed 20 February 2024, by Mr. Bryan Mayou (GMC: 1414396) - founder of the Cadogan Clinic and one of the world's leading plastic surgeons

What is a Facelift?

A facelift procedure typically takes place under general anaesthetic and takes between 1-3 hours. More complicated and extensive procedures can occasionally take longer.

A facelift procedure aims to rejuvenate the appearance of the facial area and restore a more youthful and rejuvenated facial appearance. The procedure involves tightening both the covering skin and the underlying muscle, called the platysma, and removing surplus skin from around the ears. We commonly combine this lifting with the volumizing treatments such as fat grafting to the chin, jawline, lips, cheeks and temples.

As we age, our faces show the most obvious signs of ageing.

We are most aware of ageing around the eye, the ears, nose and mouth. The facial skin loses elasticity and starts to droop, whilst the soft tissues (fat and muscle) hollow and the bone itself begins to resorb. The face loses it original youthful appearance, the earlobes and nose tip lengthen, and the lips become thin.

A UK facelift procedure typically takes place under general anaesthetic and takes between 1-3 hours. More complicated and extensive procedures can occasionally take longer.

Incisions are made behind and in front of the ears in order to minimize and hide scarring. In some cases, the incisions extend onto the scalp.

From there the surgeon will reach into the deeper layers of the face in order to reposition and lift the skin and soft tissues of the face, and restore the underlying facial muscles into a rejuvenated position. These muscles can also be tightened, and liposuction to the neck may also be performed to enhance the effect of the facelift.

As leading facelift London surgeons, we also offer both a mini facelift and a one stitch facelift as less invasive alternatives, which will be discussed with you at your one-to-one consultation.

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Facelift At a glance

Surgery Time

1 - 3 hours

Time off work

2 weeks

Hospital Stay

Day Case

Shower

After 1 week

Reasonable Mobility

After 2 days

Exercise

After 6 weeks

Sexual Activity

After 6 weeks

Sleeping on back

4 weeks

Full Recovery

6 - 8 weeks

Driving

2 weeks


Before and After Facelift

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Words from our clients:



The Cost of Facelift

Facelift costs can vary depending on the complexity of the procedure, the experience of your surgeon and the extent of post-operative care required. Enquire now to find out more.

Cadogan Clinic has collaborated with Chrysalis Finance to offer a variety of payment choices for our patients including:
6 months 0% Interest-free - APR
12 - 60 months at 14.9% APR
Flexible Finance

Get in touch with our surgical patient advisors for a personalised Facelift quotation and to discuss pricing and finance packages.

Get in Touch 0207 901 8500

Included in this treatment

Up to two 60 minute consultations with a leading specialist plastic surgeon at our award-winning premises in Chelsea

Your procedure carried out at London’s leading specialist cosmetic surgery centre of excellence

24/7 on call nurse assistance

Dedicated Patient Co-ordinator, as a personal point of contact through your journey with Cadogan

A pre-operative medical assessment to ensure you are fit for surgery

Comprehensive post-operative aftercare courtesy of our specialist cosmetic nurses


Why do people have a surgical facelift?

Why do people have it & Who is suittable

Rhytidectomy is a highly effective cosmetic procedure for both men and women to restore a youthful appearance to the face, and rejuvenate an individual's overall appearance.

Some of the major reasons to have a facelift include to:

  • Rejuvenate the facial area and look younger 
  • Tighten and smooth the skin on the face 
  • Remove excess sagging skin from the face
  • Reduce fine lines and wrinkles
  • Restore definition to the face
  • Sculpt facial contours 

Rhytidectomy results are long-lasting. Whilst the face will continue to gradually age with the passage of time following the procedure, it will do so from this newly rejuvenated point. This is what makes our facelift before and after cases so compelling.

Boosted by increasing demand from baby boomers in the 55+ age category, traditional facelift volumes at the Cadogan Clinic have grown 250% since 2019.

Who is suitable?

Cadogan Clinic considers individuals fit for the procedure, if all of the following are true of them:

  • You are in good psychological and physical medical health
  • You are at your ideal body weight
  • You have a positive outlook and realistic expectations of what can be achieved via surgery
  • You are seeking to rejuvenate the appearance of your face 
  • You are seeking to restore the contours of your face and neck
  • You are looking for long lasting, noticeable rejuvenation results 

Facelift UK providers should be considered far superior to seeking options abroad, as the safety and peace of mind we can offer as a London surgical is second to none.


Face Lift (Rhytidectomy) Surgeons

We have invited a selection of the country's very best consultants to join us at the Cadogan Clinic so that you can be sure that whatever the nature of your treatment, you will be seeing one of the top practitioners in the country.


What to expect

Below you will find some key information to help you prepare for surgery and make necessary arrangements to ensure you have the support you need and that everything runs smoothly on the day.

The first step for all of our facelift surgery patients is to meet with the surgeon we feel is best placed to perform your procedure for a consultation. At the consultation, you will be able to discuss with your surgeon what your hope to achieve from the procedure, as well as discuss in detail what may or may not be possible given your existing anatomy.

Your surgeon will take you through the options available to you, and which is the most preferential for you given your stated ambitions. Having established this, several key measurements will be made and standard clinical photography will be taken.

Some questions you may want to ask your surgeon include:

  • Am I a good candidate for this procedure?
  • Can I achieve the results I am asking for?
  • What will be expected of me to get the best results?
  • Do you have before-and-after photos?
  • How long of a recovery period can I expect, and what kind of help will I need during my recovery?
  • What scars will I be left with?
  • Will I be in pain after the surgery?
  • How soon after a facelift can I return to work?
  • Finally, a comprehensive discussion regarding risks and complications will take place, alongside a discussion regarding what to expect in the post procedure and recovery phase. Your previous medical history will also be recorded (including previous surgery, medications, allergies etc.) and an assessment of your fitness for surgery.

If your surgeon feels you are a good candidate for surgery, you are then invited to consider whether you would like to proceed for surgery or otherwise following a two week 'cooling off' period.

Within this period you are welcome to come in and discuss your potential surgery with your surgeon as many times as you like.

If you choose to proceed with surgery, the next time you come into the Clinic after your final consultation will be the day of your procedure. Before admission the following behavioural changes are recommended/required:

  • In the 6 weeks before your procedure, we recommend smoking is discontinued as patients who smoke have a higher risk of healing more slowly and complications (see FAQs)
  • In the week before your procedure, you must cease taking Aspirin or any medication that contains Aspirin
  • In the 6 hours prior to surgery, you must not consume food or any drink, other than small sips of clear fluid (e.g. still water, black coffee, black tea) which are allowed up to 2 hours before admission

On the day of your procedure, we ask that you arrive for your admission an hour before the agreed start time of surgery. At this point a nurse will come and record blood pressure and other relevant vitals, you will meet with your anaesthetist and your surgeon who will make the final mark-ups.

The procedure itself takes place under general anaesthetic over the course of one to three hours. Your surgeon will start by making an incision behind the ears. Whilst techniques vary, the general technique involves your surgeon separating your skin from the underlying tissue, before removing the excess fat and tightening the underlying tissues. Stitches are then used to fix the lifted tissue in its new position, and incisions are closed discretely behind the ear to leave minimal scarring.

You should not feel much pain immediately following the procedure, but you may have some for a few days or weeks afterwards. You'll be given painkillers if you need them.

Following the procedure, you will recover in our ambulatory recovery rooms for between two to three hours, dependent on the scale of the procedure. Once our specialist nursing team are happy that your initial recovery is complete and you are safe to return home, you will be allowed to leave the Clinic accompanied by a friend or member of your family.

Once home you will have access to our dedicated on-call nursing team 24 hours a day, 7 days a week. This team of specialists are dedicated to your comfort and pain control, and are there to field any questions you may have in the immediate post operative phase.

We ask that you come in and see our nursing team 1 week after surgery to ensure your incision sites have been properly reviewed. At this juncture we also recommend you meet with one of our on site aestheticians to discuss ongoing treatment to support the healing and scarring process.

We ask that you come in to see your surgeon after 6 - 8 weeks for a final check up.

The Patient Journey. A breakdown of what you can expect on your journey with us

We are deeply invested in ensuring that every step of your surgical journey with us is as informative and reassuring to you as it can be. This article outlines what you can expect at each stage of the journey

The Patient Journey

Frequently Asked Questions

Your consultation is designed to be perfect opportunity to ask all the pressing questions that you have to your consultant, ahead of making a decision on surgery. It is vital that you are fully informed before making your final decision, and the consultation is therefore a key part of the education and decision making process.

Some good examples of questions to ask, include:

  • Am I a good candidate for this procedure?
  • Do you think my goals are realistic given my existing anatomy?
  • Can I see some before & after pictures of facelift procedures you have done previously?
  • How long will my recovery take?
  • Is it true that Cadogan offers 24/7 on call nursing service?
  • What can I expect in terms of bruising, swelling and scarring?
  • What are my options if I am unhappy with my results?

As we age our skin loses its elasticity, and the underlying tissues lose their volume, as well as bone losing its structure. A facelift works by repositioning the soft tissues and skin to its former level and plumping out the soft tissues to give the refreshed look of natural youth.

A facelift is regularly done as a Day Case procedure, under local or TIVA, our gentler version of general anaesthesia. The procedure may take several hours, but you, the patient, will be able to go home to rest on the day of the surgery.

For a full standard facelift, the surgeon creates an incision in the front of the ear, up towards the hairline and behind the ear into the scalp. He or she will then lift the skin up off the face, gently pulling it into an upwards direction and removing any excess skin.

Depending on your individual case, the surgeon is likely to also tighten the SMAS, the deeper tissues on the face, or perform a neck lift to tighten the skin around the chin and jowls. Once the procedure is completed, the incision will be closed with staples or sutures, and dressings will be applied.

These days we generally use fat grafting in association with non-surgical procedures to help fill in concaves in the face that occur with age. There are numerous types of facelifts, depending on the results you're looking for, and the condition of your skin, your surgeon will decide what is best for you and make recommendations.

After your surgery, you will be asked to come in for a post-operative appointment to come back and see our nursing staff at the Clinic between 1 and 2 weeks after your surgery. At this point your incision sites will be reviewed, and your preliminary healing will be assessed.

After 6 weeks your surgeon will personally review your progress – again at the Clinic - and make sure you are recovering as expected. In addition, they will remove any stitches and advise you on the need for further dressings.

Throughout the recovery period you will have full access to our 24/7 on call nursing service, and full access to the Clinic and our post-operative facilities.

Our aim is to make you feel as comfortable as possible during the entirety of your recovery period.

As your anaesthetic or sedation wear off you will wake up in our recovery facilities at the Clinic. You may feel a little drowsy but this often wears off within a few hours. After several hours in recovery, you will eat and hydrate. At that point, you will be allowed to leave the Clinic by our nursing staff.

It is common to feel a little pain and discomfort in the immediate aftermath of surgery. This will wear off in due course. Our 24/7 on call service is open to all patients for any question or query they may have at this time.

You will not be able to drive yourself home after the surgery. You should arrange for someone to pick you up and take you home. In addition, you will need to ask someone to stay with you for the first 24 hours after your procedure.

You will need to avoid exercise for a few weeks, but you will be able to back in front of a computer as soon as the next day. There will be some swelling and bruising at the incision areas, which is normal and will fade in time and heal over the next week or so. You should be back at work after 2 weeks.

You may have heard or read online about patients, who are in pain with considerable swelling for weeks or months following a facelift, but this is highly unusual. It may be the result of poor technique or deep plane facelift, where all the soft tissues are lifted off the bone and placed at a higher level.

While this can give good results, we at the Cadogan Clinic, do not feel that the discomfort and long recovery time of this deep plane technique is worth it. We focus on getting you lasting, impactful results, without unnecessary downtime and pain or discomfort.

Final results are typically first seen six or so weeks after your procedure, with ongoing improvements beyond this point likely as the healing process fully completes over the coming 12 months.

Your surgeon will be able to give you specific guidance at your consultation.

Facelift results are essentially permanent but surgery will not stop your face from naturally ageing. For patients who take care of their skin, avoid smoking and excessive sun exposure, it should be possible to enjoy the benefits of a facelift for many years, having essentially 'put the clock back' a decade or so following surgery.

You should expect to retain the benefits from your facelift surgery. If it makes you appear 10 years younger, you should always retain that 10-year advantage.

There are also many non-surgical procedures that can be used to maintain results on an ongoing basis beyond surgery and keep your face looking young and fresh.

These are all offered at the Cadogan Clinic, and include:

The latest and possibly the best adjunct is Stem cell treatment.

  • Don't smoke! Smoking ages you, accelerating the ageing process dramatically.
  • Drink less alcohol! Alcohol dehydrates your skin and we want your skin to remain firm and supple in order for results to be long-lasting.
  • Keep a healthy weight! Significant weight fluctuations can change the shape and elasticity of the skin on your face. To remain that vibrant, youthful look following your facelift, avoid or cut back on alcohol.
  • Drink lots of water! Water hydrates your skin, it keeps the face looking full and fabulous.
  • Always wear sunscreen! Every day- no exceptions. The sun damages your skin, causes wrinkles and advanced ageing.
  • Take care of your skin! Following the instructions laid out to you by your surgeon for proper aftercare are of the utmost importance. It's also important to use high-quality skin creams, serums and to continue having professional treatments such as peels, fillers or Botox to continue to support your desired aesthetic.

Certain lifestyle factors can increase the risk of complications during and after your surgery. These include smoking, drinking alcohol, being overweight and taking drugs (for medical or recreational use.)

The most common impact of smoking before your surgery is that it increases your chances of developing an infection and inhibits your body's natural healing processes. We insist that all patients stop smoking and using nicotine products at least six weeks before surgery. Reducing alcohol intake is also strongly advised.

Your doctor will discuss your current BMI and drug use at your consultation and advise you further on this.

Aside from lifestyle factors, there are other external factors that determine how long a facelift will last, such as age of the patient and the condition of the patient's skin.

Darker skin that is in a healthy condition will respond better at the time of the surgery, as opposed to fairer skin that has sun damage or is thinner. However, patients who are under the age of 60 typically have the longest lasting results.

The skill of the surgeon and the technique used are also an important factor in the longevity of a facelift.

Your surgeon will give you specific advice on how to wash and bathe after the surgery.

In general, you may gently shower and wash your hair 48 hours after a facelift surgery, taking particular care on the treated areas. You can also blow dry your hair on a cool setting. Be gentle when brushing or combing your hair so that you do not catch your comb in the suture lines. You must follow your surgeon's specific advice.

It is normal to feel a little self-conscious when you are in public following facelift surgery due to the visible swelling, redness and bruising that will inevitably occur on the face during the preliminary recovery phase.

The vast majority of bruising and swelling should have comfortably settled by around 2 to 3 weeks, so it is at this point that you should first plan to be seen by friends and colleagues.

Full recovery can take several months, so we do advise you plan well ahead to ensure that you give yourself enough time to recover before a major event such as a wedding or birthday. We would recommend allowing between 2 to 3 months.

It is typically possible to start wearing makeup again 2 weeks after your procedure. At this point, you can then use camouflage or concealer cosmetic products to cover any remnant bruising you may still have.

Of all the scars you may have from plastic surgeries, scars on the face are the best of the whole body. They are not only well hidden, but also settle efficiently. For most healthy people, surgical scars from a well-performed facelift do not cause any issues.

Even for patients who produce keloid scars can consider having a facelift, even though they will require extra Scar Management during their aftercare treatment.

Facelifts are becoming less invasive and scars fewer. Nevertheless, the standard scars themselves are short and hidden around the contours of the face, in the front of the ear, under the earlobe and in the crease behind the ear.

It is perfectly possible to carry out a facelift under a local anaesthetic, but most of our patients prefer the type of general anaesthesia we give at the Cadogan Clinic (Total Intravenous Anaesthesia (T.I.V.A.)) for full facelift surgery.

TIVA delivers anaesthetic intravenously via a computerised pump able to monitor anaesthetic levels closely. This close calibration allows your anaesthetist to keep you at a relatively shallow level of anaesthesia, meaning your sickness is minimal following your procedure and you can start your recovery quickly. You will also be allowed home an hour or two after the surgery is completed, even if the surgery has taken several hours.

Local aneasthetic or sedation are better options for less invasive facelift surgery such as mini-lift or micro-lift surgery.

Plastic surgeons tend to be sceptical of non-surgical injection-led treatments when it comes to delivering long lasting facial rejuvenation results.

However, we do recommend non surgical alternatives for younger patients or patients with only minor signs of ageing.

There are limits, however. It is very difficult to fix drooping, sagging older skin. with a non-surgical facelift. You also cannot expect full resolution of deep wrinkle lines and drooping skin with fillers and injections, and of course, over time fillers fade and need to be replenished.

There are also various laser and high energy device rejuvenation treatments that we offer at the Cadogan Clinic, such as Laser Resurfacing, IPL, and Ultherapy. These treatments can be sufficient for some patients, but this depends entirely on the condition of the skin.

We typically recommend non-surgical treatments as a maintenance adjunct to surgical treatment, wherever possible. Surgical facelifts remain the better option to ensure dramatic, long lasting results. When it comes to drooping, sagging skin and deeply set wrinkles on the face, a surgical facelift is the best option.

In sum, whilst non surgical treatments can delay the effects of ageing to a certain superficial level, but the emptiness of the face and folds of loose skin will require surgery.


Words from Our Founder

Mr. Bryan Mayou

At the Cadogan Clinic we see facelift surgery as a bespoke journey that can start as young as 40 and can continue well into your 70s, with our list of options ranging from the very latest minimally invasive techniques to more comprehensive 'deep plane' or traditional techniques, such as the ones we have been discussing here. We see these latter options that explore the deeper layers of tissue in the skin as particularly effective for those with more developed signs of ageing. The results are incredible, and can turn back the clock decades over the course of just a few hours surgery.
Mr. Bryan Mayou

A state of the art, award winning clinic.

Founded in 2004 by world renowned plastic surgeon Mr Bryan Mayou, we now work with over 100 leading consultants and successfully treat over 20,000 patients each year. We have been winning industry awards since inception.

About Us

Best in Class Facilities

All of our treatments take place at our beautiful boutique premises in Chelsea. We have six consulting rooms and five operating rooms, as well as a dedicated pre and post-operative suite, and a full team of specialist nursing staff.

Our Clinic

A Strong Tradition of Innovation

We were founded in 2004 by world renown plastic surgeon Mr Bryan Mayou, best known for his pioneering work in the area of liposuction, lasers and microvascular surgery. We continue to collaborate with pioneers in our field.

Our History

At Home in Sloane Street, London

We are proud that our state of the art award-winning clinic is located in one of the best neighbourhoods in the country

Welcome to Sloane Street

Clinics Nationwide

We offer surgical consultations in London, Birmingham, Chelmsford and Bristol, and attract international patients from all corners of the globe such as as the USA, the Middle East and Europe.

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What are the risks?

Facelift surgery is a safe procedure, but it is common after a surgical facelift to experience:

  • Bruising and swelling
  • Temporary numbness
  • A small amount of scarring 

As with all surgical procedures, facelift surgery carries some risk and it is possible that you might experience:

  • Nausea 
  • Bleeding or Infection 
  • Poor healing of incisions and scarring
  • A collection of blood underneath the skin (haematoma)
  • Death of fat tissue (fat necrosis) or embolism
  • Hair loss or hairline distortion

Your surgeon will discuss these risks comprehensively at your consultation and explain how likely these risks and complications are, and how they would be treated.


Face & Eyes

Related Treatments

We believe in the delivery of excellent outcomes and results, and exceptional levels of service. Our outcomes are natural and long-lasting, and we remain the premier choice for cosmetic surgery treatments in the UK.



Trustpilot

Laurel Wreath for Awards

2024

Aesthetic Medicine 2024

UK Clinic of the Year

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Laurel Wreath for Awards

2024

Aesthetic Awards

Best Clinic, London

Laurel Wreath for Awards
Laurel Wreath for Awards

2024

Aesthetic Medicine

Best Clinic, London

Laurel Wreath for Awards
Laurel Wreath for Awards

2023

Aesthetic Awards

Highly Commended

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Laurel Wreath for Awards

2021

Aesthetic Awards

Highly Commended

Laurel Wreath for Awards
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2021

MyFaceMyBody

Best Plastic Surgery Clinic, UK

Laurel Wreath for Awards
Laurel Wreath for Awards

2020

MyFaceMyBody Awards

Best Plastic Surgery Clinic, UK

Laurel Wreath for Awards
Laurel Wreath for Awards

2019

MyFaceMyBody Awards

Best Plastic Surgery Clinic, UK

Laurel Wreath for Awards

0207 901 8500

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