Home Cosmetic Surgery General The Fabulous 40s

The Fabulous 40s

Facelift for Women

An increasing number of patients in their 40s are not waiting until they look ‘old’ to have a face lift, says Sydney plastic surgeon Dr Darryl Hodgkinson. Aimee Surtenich reports.

Patients are increasingly having facelifts in their 40s, an age previously thought to be too young for this type of surgery, says Dr Darryl Hodgkinson. ‘The female 40-something in Australia represents a group of women who are often socially successful, professionally advanced and wish to maintain their hard sought and achieved edge. These women have the time and resources to consider a real, meaningful result or rejuvenation which will last them through their fifth decade,’ he explains.

Early ageing of the face, which begins in the late 20s and during the 30s, can be turned back or delayed using non-surgical techniques such as anti-wrinkle injections, chemical peels, Thermage and skin rejuvenation procedures, but the sagging of tissues and facial deflation cannot be successfully treated just by fillers and non-surgical techniques alone. ‘There comes a point, usually as patients approach their early 40s, when they are actually wasting their financial resources if they desire a real result. It is at this point when they should consider surgical options,’ says Dr Hodgkinson.

Facelift Sydney

‘The experienced cosmetic plastic surgeon can offer a range of surgical procedures which give a definitive result and a higher level of patient satisfaction than that which can be achieved by continuing with less effective non-surgical injection options,’ he continues.

‘For many women, the biggest hurdle between career and family commitments is finding the time, usually one week to 10 days, to recover from a surgical procedure. However, given the definitive results and their long-lasting nature it proves to be a good investment both in time and finances compared with years of anti-ageing beauty products, treatments and cosmedical treatments.’

Eyelid or brow surgery are often the first facial rejuvenation procedures sought after by both women and men in their 40s. This is because, as we age, the upper eyelids become heavy and folds form; on the lower lids there may be bulging of fat and wrinkling. ‘Patients often present to me saying that friends and colleagues comment on how tired or negative they look,’ says Dr Hodgkinson. ‘Eyelid or brow lift surgery can be performed at a separate stage or in conjunction with other surgical lifting procedures such as those that address early jowling and neck sag. These early lifts which are performed in the younger patient are often referred to as a “mini-lift”, a “two-thirds facelift” or a MACS lift.’

Before Facelift After Facelift
Before and after (with makeup) facelift by Dr Hodgkinson
Facelift for Women Sydney Women Facelift
Before and after (with makeup) facelift by Dr Hodgkinson
Facelift in Sydney Facelift in Sydney
Before and after (with makeup) facelift by Dr Hodgkinson
Facelift Facelift for Women
Before and after (with makeup) facelift by Dr Hodgkinson

In the mini, two-thirds facelifts and the MACS lifts, the SMAS and platysma, which are deep tissues, are used to re-suspend the sagging tissues in the neck and jowls. ‘Having performed over 2,500 facelifts in my 30-year career of plastic, cosmetic and reconstructive surgery, I find this surgery in the 40s age group is highly appreciated by the patients, giving them a confidence that is perhaps waning because of their noticeable ageing,’ he says. ‘Patients have the surgical procedure performed in the Double Bay Day Surgery, our dedicated, fully licensed and accredited day surgery facility. Facelift patients go home to recuperate with one of our specialist post-operative nurses. In this way we avoid performing surgery in a general hospital as there is generally a lack of specialised care available for cosmetic surgical patients.’

The doctor/patient relationship and patient safety are extremely important. The suitability of the patient both in terms of their medical health and psychological state and support are paramount to obtaining optimal results. ‘My highly trained staff and I consider what risks might be present in each particular case and minimise those by patient selectivity and intense early one-on-one postoperative care,’ says Dr Hodgkinson.

‘The surgical rejuvenation experience is beginning earlier and earlier in cosmetic plastic surgery. This trend towards earlier and more subtle results is taking hold with women in their 40s who don’t see the need to wait until they look “old” to have surgery so that they can look refreshed and vital again – they want to continue to look vital every day,’ he concludes.

Examples of before and after photos in the 40-year-old age group can be seen in the following case studies.