Face FAQs

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    The primary reasons why people undergo this procedure are aesthetic. In some instances, people may be looking to correct facial trauma, but primarily, the chin augmentation procedure improves the overall appearance of the face. Greater balance and symmetry are the primary drivers for this procedure overall.

    The chin augmentation surgical procedure is performed under general anaesthetic and only requires a small incision through which the implant can be inserted. The implant is pre-selected based on your facial structure and aesthetic goals and the incision is stitched upon completion with dissolvable stitches.

    Chin implants are solid silicone prostheses which are inserted into the chin and the side of the lower jaw to give more definition to the lower third of the face.

    In a male patient, the implant can give a more chiselled, masculine appearance to the jaw. In women, it can assist in giving a better definition to the neck. A chin implant balances both the male and female profile and is sometimes combined with rhinoplasty, liposuction or a facelift. Implants are placed via a small incision either in the mouth or under the chin in a skin crease.

    These implants are not visible as they sit firmly on the jawbone itself and do not move or break over time. Surgeons should not be tempted to put in an over-large implant into the jaw as its appearance will be quite unnatural. If appropriately sized and placed, the implant should have a natural appearance.

    Before and After Chin Implant, Facelift and Necklift Surgery by Dr Hodgkinson

    Chin implants as well as cheek implants are created from silicone or Gore-tex which feel natural and improve shape and appearance immensely. With different outcomes for both men and women, Dr Hodgkinson will ensure that your implants match your facial aesthetic, and avoid the look of obvious cosmetic surgery.

    The only waiting factor for this procedure is the time required for the swelling to reduce after surgery. This will vary per patient with final results taking some months to appear in the longest cases.

    It is likely that you will experience some discomfort or swelling post-procedure. A dressing will be applied to help your recovery and pain medication will be provided to mitigate discomfort if required.

    It is vital that you ensure the incision site is kept clean, and in-depth instructions will be provided to you by our team to ensure you manage this correctly. Regular rinsing with warm salt water is recommended to prevent infection and you can use a cold pack to reduce the impact of swollen areas.

    Follow-up appointments will be scheduled to monitor your recovery.

    All surgery is coupled with a degree of risk, however, this is significantly lowered by the skill level of Dr Hodgkinson and his team. In the case of chin implants and augmentations, some of the potential complications may include:
    ● Temporary numbness
    ● Difficulty talking or smiling while the swelling resides
    ● Reduced ability to move various facial sections
    ● Implant movement, which in rare cases may require further surgery

    It is important to note that none of Dr Hodgkinson’s patients have experienced unexpected adverse effects from this, or any of his procedures. Providing your complete medical history is a way to further decrease the risk of complications.

    Dr Hodgkinson will assess your physical health prior to the procedure and will need to be made aware of any pre-existing conditions as this will influence the type of anaesthetic used and whether or not it is the right surgery for you.

    If you also take any medications on a regular basis, you will need to inform us of their type. We will also need to know if you have experienced any past reactions to medications or anaesthetics. This will all be discussed during your initial consultation.

    The double chin or turkey neck can occur as early as the late teens due to the hereditary feature of a chubby neck. Unfortunately, diet and exercise won’t always fix the problem. Prior to the age of 40, liposuction can be an effective way to target and remove these fatty accumulations. After 40, we must consider the laxity of skin and sagging muscles under the chin that begin to occur with age. To rectify this, the mini-lift is the treatment of choice as it will firm and provide tension to the underlying muscles of the upper neck. From the age of 45 onwards, fat and sagging skin combine, making the problem more severe. This is where the neck or a facelift procedure is a more effective option.

    To obtain a definitive answer on the most suitable procedure for you, we recommend a consultation with Dr. Hodgkinson, who has extensive experience in facelifts, and can provide the most honest and valuable information for making an informed decision.

    mid lower facelift surgery

    Before and 4 months post male facelift and blepharoplasty. Note the natural result

    A saggy neck, double chin, or “turkey neck” can cause significant distress and lack of confidence in men. To fix this, you may be suited to the mini-lift procedure, which will firm and create tension in the underlying muscles of the upper neck. Alternatively, you may require a neck lift or standard facelift. Dr. Hodgkinson has extensive experience in facelifts and will be able to determine which procedure will be best to rectify your situation during your consultation with him. Neck lifts are usually performed in the 35-45 year age group.

    Our team will give you in-depth instructions on how best to prepare for a neck lift procedure once you have decided this surgery is right for you. We will let you know if there are any medications or vitamins you should avoid prior to surgery, and if you are a smoker, it is strongly recommended that you quit two weeks before the procedure.

    Wear comfortable clothing on the day of surgery that does not pull on, or restrict the neck area and plan for your recovery time off from work. We also like to recommend that you set up a comfortable home recovery area prior to surgery, so that you can adequately rest after your procedure.

    The main goal of all neck and facelift procedures is to create a refreshed and youthful appearance similar to that of the patient’s aesthetic when in their early to late 30s. Many patients state the procedure has taken a few years off of their appearance while helping them to feel more confident and comfortable about themselves.

    Dr. Hodgkinson and his team place significant importance on minimzing procedural effects and easing the recovery for every patient to ensure the lowest risk of any complications developing. With any surgery however, there is a level of risk associated regardless of how skilled your medical team may be. In the case of a neck lift, you will likely experience some swelling or bruising for several days after the procedure. Your neck may feel tight, and you could also feel a tingling sensation or in some cases, even a slight burning. It is also quite common to experience numbness; however, all of these reactions are normal and expected within the first few weeks of surgery. They should not raise any concerns and the severity will differ for every patient.

    neck lift sydney

     

    Before and After Face Lift and Neck Lift Surgery

    All surgery will run the risk of infection; however our team and facilities work hard to keep this risk level low. Let us know if you experience high temperature post surgery, and if you do have a fever or unusual discharge from the incision, contact us immediately. Another rare but possible side effect can be an allergic reaction to anaesthesia; however, this risk is lessened by disclosing any drug allergies you may have to us during your pre-operative consultation.

    We have a 24hr after hours call service for all patients in the immediate post-operative period.

    The exact recovery time from a neck lift procedure will differ per patient; however, you will likely be able to return to work around 10-14 days after surgery.

    In regards to physical activity, we recommend waiting around three weeks before returning to strenuous movements like playing sport. Resting during this time will only help your recovery and results so holding off on anything too physical for as long as possible is to your benefit.

    It is important to be aware that the final results of the procedure may not be evident for several months. The healing process is significantly assisted by the least amount of strain placed on your body during recovery. Rest is important and planning to reduce work and home responsibilities help significantly.

    A tired or angry appearance is associated with brow ptosis (i.e. drooping). The eyebrows have begun to undergo the effects of gravity and instead of being arched over open eyes, they have descended and the eyes look small. Over-activity of the face muscles from frowning, squinting, asthma or breathing disorders is also often associated with brow ptosis. Although anti-wrinkle injections can temporarily improve the “scowling” appearance, a longer-term solution is a brow-lift.

    This procedure, popular in the 40–60 age group, can take away that worried, angry or tired appearance and make you look friendlier, fresher and less concerned. The endoscopic brow-lift is a major improvement over the traditional brow-lift as the incisions are small and the recovery time minimal. I have been performing the endoscopic brow-lift for more than ten years and the vast majority of my patients (nearly 500) have been highly satisfied with the result. The procedure is always performed as an outpatient at my clinic.

    eyebrow lift cost

    Before and 6 months after Brow Lift and Blepharoplasty for Men

    The brow lift is a sophisticated procedure and there are several things that you can do in preparation of any surgery to ensure the experience is as pleasant as possible with the least amount of downtime. Some preparation can include:

    • Staying as fit as possible to assist in the recovery process
    • Informing our team of any medications you are taking as some may need to be stopped
    • Quitting smoking
    • Provide a complete medical history which includes health issues past and present, medication you have recently taken, along with any allergies you may suffer from

    Medications that may need to be ceased can include non-steroidal anti-inflammatory drugs (NSAIDs), medicines containing aspirin, naturopathic substances including St. John’s Wort.

    You may also find benefit in preparing your home for recovery in advance, which can involve creating a comfortable space with pillows and ice packs. A partner, relative or friend should be organised to drive you home after the procedure. It would be preferable if that person, or anyone else, could keep an eye on you for 24 hours after you return home. Further preoperative instructions will be given to you by our team and it is crucial that you read and understand them. Please don’t hesitate to ask us any questions that you may have as it is essential that you are well informed and comfortable with this procedure.

    brow lift sydney

    Before and 4 months after brow lift

    A brow lift surgery is performed under general anaesthesia. As with any situation that requires anaesthesia, our team will assess any medications you are taking, as well as any allergies you may suffer from before proceeding. It is very important that you accurately provide all of this information prior to surgery.

    The modern surgical process, coupled with Dr. Hodgkinson’s skill set means the procedure is very safe; however, any surgical procedure brings with it the potential of various risks and complications.

    In the case of a brow lift, potential risks and complications of surgery can include:

    • All complications are rare, bleeding and infection are most unlikely. A drain is left in the forehead and removed on day 2.
    • Temporary numbness may occur
    • Reduced movement of the forehead muscles, also non-permanent is unlikely
    • The slight rise of the hairline or temporary hair thinning/loss may occur

    In very rare cases, permanent nerve injury can affect the control of eyebrow movement or create an asymmetry of the eyebrows, which may require revisional surgery. It is also important to note that we have had no cases where patients of Dr. Hodgkinson have experienced permanent complications.

    After the brow lift procedure, we strongly recommend that you drink plenty of fluids and consume a light meal in the two or three hours that follow. You will likely experience a level of pain or discomfort, which will differ for all patients but should be restricted to the incision area. Pain medication will be provided by our team for you if required. You will not need narcotics.

    You should expect a level of bruising or swelling, which is completely normal after surgery. This will disappear over time, but in some cases, this can take a number of weeks. To help your recovery, it would be best if you sleep with your head elevated as this will help to reduce swelling. Do not be alarmed if you also experience numbness in the scalp area behind the scar. This too will subside with time and is entirely normal.

    brow lift surgery

    Before and 6 months after brow lift

    If required, a small tube may be placed under the skin temporarily to drain any excess fluid, and you will likely need a few days of rest. During this time we recommend that you refrain from strenuous exercise and swimming.

    Please identify us immediately if any of the following situations occur:

    • Your temperature rises above 38°C
    • You experience significant swelling
    • The incision site appears to get itchier or redder
    • Your pain or any other issues heighten or worsen

    Post-operative care instructions will be given to you on how best to care for your affected areas following surgery, which may include certain medications to aid healing and reduce the risk of infection. Our follow-up process is designed to ensure that your aftercare and healing goes smoothly, and you can ask us any specific questions you may have in regards to what you should expect during your recovery at any point.

    As this surgery is invasive, a certain level of scarring is inevitable. Dr. Hodgkinson works to minimise scarring creating incisions in inconspicuous areas where possible meaning that the scars will be less visible. By making incisions along natural skin lines and creases, there will be far less of a visual impact post-surgery.

    While everyone heals in a different way, it is likely that your scars may fade over time. Please let our team know if you are prone to scarring prior to undergoing this procedure.

    There are aesthetic and functional reasons why people undergo cheek augmentation surgery. This is also a common procedure to couple with corrective jaw surgery for patients who have experienced facial trauma. The cheek augmentation procedure can help improve the overall appearance of the face, offering better balance and symmetry.

    This surgical procedure is usually performed under general anaesthetic. A small incision is made on the inside of the upper lip, where a pocket is then formed for the implant to be inserted. This process will vary if you are undergoing a cheek augmentation in conjunction with another procedure, which may require a different incision location.

    The implant that is used will be pre-selected based on the most appropriate one for your facial structure and aesthetic goals. Dr Hodgkinson will discuss this with you in detail prior to surgery. The incision is then stitched with dissolvable stitches.

    Cheek Implants have now become more popular as we are exposed to so many attractive fashion models with very prominent high cheek bones. High or prominent cheek bones are typically associated with young and beautiful, smiling faces. Flat cheeks may produce a sad or depressed appearance and cheek implants can produce a fullness similar to smiling.

    Cheek implants are created from silicone or Gore-tex and are usually inserted through a small incision inside the mouth. A wide variety of shapes and sizes is available. This is an outpatient procedure performed under twilight anaesthesia. After about a month, implants do indeed feel natural and produce an improvement in shape and appearance of the face, glamourising the face for women and strengthening it for males. Careful selection of the size and shape of your implants should be made by you and your surgeon. The implant feels just like your own tissue.

    cheek implants before and after

    Before and After Cheek Implant, Face Lift & Upper Eyelid Lift by Dr Hodgkinson

    We make all patients aware that all surgery brings with it a degree of risk. However, we take every precaution to ensure the risk level is as low as possible. In the case of cheek implants, some of the potential complications can include:

    • Temporary numbness around the mouth
    • Difficulty talking or smiling due to swelling
    • Reduced ability to move mouth or lips
    • Implant movement which may require further surgery

    Dr. Hodgkinson rarely experienced any risks or complications listed above.

    It is very important that you provide your complete medical history or any relevant lifestyle issues which may increase the risk of any complications during your pre-surgery consultations. Your physical health will be examined to ensure this procedure is appropriate, and we will need to be made aware of any pre-existing conditions or prior surgeries that you have had. All of this information will influence the type of anaesthetic used for this procedure and whether or not it is the right surgery for your needs.

    cheek implants

    Before and 6 Weeks After Cheek Implants.

    Along with this, we will need to be aware of any medications that you take on a regular basis, including over-the-counter oils or vitamin supplements. It is of particular importance that you inform us if you have experienced any past reactions to drugs or side effects from any medications or anaesthetics.

    This will vary with every patient, and may not be necessary in your specific circumstances. After the procedure, you will likely experience some discomfort or swelling; a dressing will be applied to assist in minimising this. In cases where it may be necessary, we will prescribe pain medication. This is an outpatient operation only.

    cheek implants cost

    Before and 3 Months After Cheek Implant

    Oral health is very important following the cheek augmentation procedure, especially ensuring the incision site is kept clean. Our team will give in-depth instructions on how to manage this, but regular rinsing with warm salt water along with any prescribed antibiotics may be required to prevent infection. A cold pack on swollen areas can also be of significant benefit, and we recommend sleeping on your back until the swelling dissipates.

    We will also schedule follow-up appointments to monitor your recovery as part of our in-depth aftercare process.

    The amount of time that the swelling may take to reduce after surgery will vary per patient. It is important to be aware that the final results of your new look may not be evident for some months. Depending on the type of implants selected for your procedure, the results can be very long-lasting.

    It is important to remember that cheek implants are made from silicone, a fact that leads many people to question the safety of silicone implants. There is currently no definitive evidence that deems silicone as a harmful substance when it comes to cosmetic surgery. Solid silicone implants are different, liquid implants are used for breast implants.

    It is also important to consider that it is unlikely this procedure will qualify for rebates from your private health insurer or Medicare.

    We also make smokers aware that they are at an increased risk of complications as a result of smoking. It would be best if you quit smoking if you are seriously considering this procedure or any other cosmetic surgery.

    Chin implants are another option for changing the features of the face, and much like cheek implants the implants can be made from various materials including silicone, polythene, or natural tissue from the body. Much like cheek implants, an incision is made under the chin or inside of the mouth. Operations which involve the use of your own tissue can require a cut to the bone of the chin which is then moved forward and secured with metal screws.

    If you are considering chin implants along with cheek implants, this can be discussed during your consultation to see if these two procedures will provide the aesthetic look you desire and whether or not they can be performed at the same time for a more efficient recovery process.

    The procedure to rejuvenate the eyes (eyelids) is called blepharoplasty. Blepharoplasty involves a surgical procedure, performed as an outpatient under twilight sedation or light general anaesthesia, where the excessive skin and bulging fat of the upper and lower eyelids is removed and the youthful stance of the eyelids restored.

    Care must be taken not to overresect tissue but to create a crisp fold in the upper eyelid and not ‘hollow out’ the lid. This outpatient surgical procedure requires precision and experience to rejuvenate your ‘look’.

    eyebrow lift sydney

    Before and 6 years after Browlift, Facelift, Rhinoplasty

    When thinking about facial rejuvenation, it’s important to consider your eyes as well. “Droopy”, “sleepy” upper eyelids and excessive “baggage” on the lower lids are quite common complaints by many patients seeking cosmetic improvement around their eye area. Racial characteristics, excessive expression, allergies and sun exposure all contribute to “droopy” lids where loose skin bends down the eyelashes. Removal of the excessive skin above the eyes and readjustment of crows’ feet can be achieved through eyelid surgery known as blepharoplasty.

    It is important that the surgeon has experience in this procedure as it is of critical importance to remove just enough excess skin and tissue to create a crisp and appealing appearance.  If too much tissue is removed, there is the risk of the patient having too startled a look and worse yet not being able to properly close their eyes which can lead to dry eyes and other ophthalmological issues. In the lower lids, bulging fat is removed alleviating the baggage and reducing the dark rings under the eyelids.

    Facelift with Blepharoplasty (Eyelid lift)

    Not all reasons for cosmetic surgery are wholly aesthetic, as many people also look to rectify things like peripheral vision obstruction via these cosmetic procedures.

    There will be cases that may not benefit from cosmetic surgery and it is always important to receive the correct diagnosis before opting for a cosmetic procedure. The consultation step, the first in Dr. Hodgkinson’s process is the best way to understand your situation and the best path forward.

    If problems via an obstruction to your peripheral vision are the main or sole driver of your research into cosmetic procedures, Dr. Hodgkinson may be able to help. While not all reasons for cosmetic surgery are purely aesthetic, it is essential also to recognise that not all causes of peripheral vision obstruction can be rectified via these procedures.

    There is a range of visual impairment conditions that will not benefit from cosmetic surgery such as glaucoma, a detached retina, and compression of the optic nerve. If a loss in vision is your main or only concern, we strongly recommend that you see an eye doctor first. They will be able to give the correct diagnosis, which will indicate if a cosmetic procedure would be of benefit to you.

    Beauty is subjective, and your idea of beautiful eyes may be different from someone else. During your consultation, Dr. Hodgkinson will work with you to find a look that you love, which also suits your aesthetic and will appear natural. The goal should be an eyelid that suits your unique facial characteristics with a harmonious result.

    A natural symmetric upper eyelid fold is often the priority for most patients, as is a stable supratarsal fold or a dynamic fold which will vary based on eye position. We may also look to remove upper eyelid fat to reduce the appearance of puffiness in the upper eyelid. You can rest assured that Dr. Hodgkinson will assess your unique look to formulate a strategy to enhance your features naturally.

    double eyelid asian eye surgery

    Making eyelid creases symmetrical

    Dr. Hodgkinson will work with you during your consultation to find a natural look that suits the aesthetics of your facial features.

    An upper lid blepharoplasty should remove just enough redundant skin from the upper lids to reveal a nice lid fold. If excessive skin is removed, patients may be unable to close their eyes properly. A well done blepharoplasty will leave enough skin on the lids to allow normal eyelid closure and showing a natural fold on which to apply eye makeup.

     

    eyelid-surgery

    Upper Eyelid Blepharoplasty

    You will be sedated intravenously and locally anaesthetised around the eye area. You will not feel any pain, possibly just a slight pulling sensation. After surgery ice-soaked gauze applied to the eyelid area reduces swelling and bruising.

    eyelid-surgery

    Upper Eyelid Blepharoplasty

    Everyone experiences different levels of pain due to their individual threshold; however, we have had a wide variety of patients who claim that eyelid surgery is relatively comfortable. It is quite rare that patients require narcotics or sedatives; however, these are on hand to reduce discomfort should they be required.

    Usually Panadol or sedatives only are needed to reduce discomfort. Ice soaked eye pads reduce swelling and soothing eye drops are used post-operatively. It is also possible to use ice-soaked eye pads to reduce swelling and ease any discomfort that may be experienced post-operatively.

    The duration of surgery is often dependent on the complexity of your specific procedure. Dr. Hodgkinson will need to gain an understanding of whether he is just operating on the eyelids, or if there is a need to also look at the eye bags (often more for aesthetic purposes).

    This will alter the time frame; however, just eyelid surgery is usually performed on an outpatient basis. The procedure involves simply a local anesthetic and an estimated surgery time of one to two hours.

    To understand the exact time frames relevant to you, speak to Dr. Hogkinson during the initial consultation. Once your situation and requirements have been discussed and thoroughly assessed, we will have a clearer understanding of durations. It is important to note that in all cases, you will require someone to drive you home after the procedure.

    It is quite common and no cause for alarm if you experience swelling, bruising, or redness, especially immediately after your procedure. There may be a small chance of watery eyes or light sensitivity, which can be helped by using a cold compress and keeping your head elevated. This will help reduce any swelling while also minimising discomfort. Eye drops may also be used if needed to lessen transient symptoms.

    This information on the appropriate products will be given by our team if necessary.

    Complications with this procedure are very rare, and Dr. Hodgkinson has many years of experience performing these surgeries on an extensive range of patients. However, as with any surgical procedure, there are risks that we make our patients aware of. These can include;

    • Bleeding (very rare)
    • Infection (very rare)
    • Blurred or double vision (exceptionally rare & transitory)
    • Loss of vision (exceptionally rare – Dr Hodgkinson has never had a case.)
    • Lid sagging in the upper or lower region (exceptionally rare)

    These conditions are likely only to be temporary, and our team works very hard to ensure that your procedure and recovery will be as safe as possible.

    In the case of eye bag surgery, it is unlikely that it will be covered by your health insurance provider, depending on your level of cover, as it is deemed an elective surgery. Only those deemed medically necessary are eligible for a rebate. We will have a clearer idea about this during your consultation; however, in most cases, this request is for aesthetic improvements only.

    Cases in which eyelid surgery is covered under an insurance policy need to be deemed medically necessary, usually due to a loss or obstruction of vision. If peripheral vision loss is an issue for you, we will be able to give you a clearer idea about what may or may not be covered by insurance. This will also be the time to receive the exact pricing for your procedure.

    Each patient is different, but some post-surgery outcomes can include;

    • Swelling for an extended period of time
    • Bruising
    • Tearing
    • Dry eyes
    • Conjunctiva
    • Itching
    • Blurring of vision
    • Tightness
    • Small scarring of the upper or lower eyelid area
    • Minor asymmetries in eyelid position

    All these problems are transitory and easily managed if they occur.

    Much like the duration time of your procedure, your recovery time is dependent on how complex your surgery is. In most cases, you will be allowed to go home when our team has confirmed that the local anaesthetic has worn off.

    Even with an understanding of your requirements, it can be challenging to give an exact recovery time due to the different healing abilities of each person. On average, a full recovery is usually seen around the 2-3 week mark.

    Dr. Hodgkinson and his team are well known for their highly skilled aftercare, ensuring that all patients are entirely supported through their recovery process.

    The team is on-hand to assist you at any point should in the very rare occurrence that you experience any difficulty. Dr H. Hodgkinson creates a safe and pleasant experience for all of his patients backed with total support from his experienced team. If you should have an issue during your aftercare process, the team is on-hand to assist you at any point.

    Several factors may require a different technique or render a patient ineligible for this procedure. These can include dry eye syndrome, uncontrolled medical conditions like hypertension, or prominence in the eyeball. The anatomic conditions of eyelids and the quality of the skin can also play a role when selecting this procedure as the best surgical option for a patient.

    It is also important to note that eyelid surgery is not the same as a facelift, despite using a similar technique. Blepharoplasty is only concerned with the eye region, whereas a facelift works with the lower part of the face. These treatments can be combined if that is necessary for achieving the overall goals of the patient.

    The slightest pulling down of the lower eyelid tissues can cause the white of the eye to be over-exposed, resulting in a ‘round eye’ or a severe, ‘hound dog’ appearance. Dr. Hodgkinson will determine who is at risk of developing this problem and use surgical procedures, such as canthoplasty or canthopexy, and temporary tarsorrhaphy to prevent the dragging down of the eyelid. A lazy eye (ptosis of the eyelid) is caused by a weakening of the lid-opening mechanism and can be repaired at the same time as blepharoplasty.  It is important to recognise the lazy eye pre-positioning.

    Yes, it is quite common for a Blepharoplasty to be performed with other procedures such as a face or brow lift. This is dependent upon your aesthetic goals and the recommendations made to achieve them by Dr. Hodgkinson during your consultation.

    As we age, it is common, in both women and men to not only develop droopy upper eyelids but baggy lower eyelids as well.  Eyelid surgery, which is technically know as upper or lower blepharoplasty is used to improve the appearance of the upper and lower eyelids.  For the lower eyelids, a transconjunctival approach is usually used, whereby the incision is placed inside the eyelid and to remove the excess tissue.  This means that there are generally no visible scars whatsoever with lower eyelid surgery.  It is critical that the surgeon has extensive experience in eyelid surgery as if too much tissue is removed or the incision is not appropriately placed, the patient may have resulting problems such as drooping of the lower eyelids known as ectropion.

    saggy-eyelids

    Upper and Lower Blepharoplasty

    A relatively straightforward and painless procedure, eye bag reduction is performed under either a local anaesthesia and sedation or general anaesthesia, whichever is deemed more appropriate based on the complexity of your requirements.

    In the transconjunctival approach an incision is made inside the lower eyelid or in the subciliary approach just below the lower lash line, after which the excess skin or fat is removed. These incisions are then closed with sutures or surgical tape with medications or ointment prescribed if required, to assist the healing process and prevent infection.

    Double Eyelid Surgery

    Some Asian patients don’t have an upper eyelid fold when their eyes are open but want to have what is called the “double eyelid” fold. Basic techniques just use a stitch through the eyelid which does not last very long.

    The surgical procedure that creates the best, permanent result involves making an attachment between the levatar muscle that lifts the eyelid and the skin of the eyelid. Caucasian and Asian patients have a natural attachment, but it is usually much lower in Asian eyes, so may not be noticeable when the eyelid is open.

    It is very important to make the fold the correct height. If a Caucasian height is chosen it may look unnatural for an Asian so a midheight is usually best. The procedure involves very carefully making a symmetrical incision, taking a very conservative amount of fat and stitching a connection between the levatar muscle and the skin. Twilight sedation is used so the patient can open their eyes during the procedure to ensure the folds are absolutely symmetrical.

    Blepharoplasty-asianUpper Eyelid Blepharoplasty

    Yes!  Dr Hodgkinson has thirty years’ experience in Asian eyelid surgery and a large percentage of Asian patients in his practice. He has also been a frequent member of the faculty at the Oriental Society of Aesthetic Plastic Surgery (OSAPS) conferences.  Dr. Hodgkinson often has the privilege of lecturing in Asia at cosmetic surgical meetings, as a guest lecturer in China, Taiwan, Thailand, the Philippines, Malaysia, South Korea, and Singapore.

    These opportunities have exposed him to Asian aesthetic surgery, and the top Asian aesthetic surgeons and about 15% of his patients in Sydney are of Asian or of Oriental extraction, or Eurasian. Dr. Hodgkinson enjoys working with these different ethnic subgroups and customising their eyelid and facial surgery to their particular aesthetics while making sure that the operation approximates to their ethnic ideals.

    He uses advanced techniques with permanent results, not the simpler stitch through the eyelid which might be less expensive but is less predictable and does not last long. Dr Hodgkinson is very careful to make sure that the fold/crease in the eyelid is at the correct height and has a natural and attractive Eurasian look.  The procedure is usually performed under twilight sedation to enable the patient to open their eyes during the procedure to ensure that the folds are absolutely symmetrical.

    double-eyelid-surgery

    Oriental Eyelid Blepharoplasty

    As with any surgery, there are some potential risks, however many patients come to Dr. Hodgkinson for his impeccable track record of various cosmetic surgery procedures with minimal complications. It is still essential for all patients to be aware of the potential risks associated with double eyelid surgery, which can include infection, bleeding, or abnormal scarring. The incidences of these complications are very small, and Dr. Hodgkinson’s team has a very effective aftercare process to monitor the progress of your recovery, which will allow for the early detection of potential complications.

    If you have had an unsuccessful double eyelid surgery performed by another surgeon, we can assist with revision double eyelid surgery. You may notice some asymmetry of the upper eyelids or prolonged swelling and puffiness as the result of a previous surgery. If this is the case, Dr. Hodgkinson can assess your situation and apply his comprehensive understanding of Asian eyelid surgery to produce a result that you will be much more comfortable with.

    As double eyelid surgery is performed as day surgery, you will likely be able to return home after the procedure. You may experience some mild discomfort such as swelling and bruising for anywhere between a few days up to two weeks. Every patient experiences a different healing process; however, most patients can return to office-style work after one week and light exercise after two.

    The effects of aging may determine the requirements of your surgery as excess upper eyelid skin caused by age may also need to be addressed. The same applies to a drooping brow that may be found in the older Asian population.

    Regardless of your age, however, Dr. Hodgkinson has the required years of experience and precise skills to achieving a natural look for the upper eyelids. Any complications that may be presented due to your age will be taken into account in the planning phase of your surgery and dealt with accordingly to ensure you receive the best result possible.

    The procedure is the same as if done when a child except it will be done under a light anaesthetic and sedation. Because an adult’s ears are stiffer than a child’s there may be more initial post-operative pain related to the increased tension on the internal stitches. But the result is the same—a flatter ear and a more attractive overall facial appearance. Some women have an otoplasty at 40 to 50 during their first facelift.

    Before and After Ear Reshaping Surgery by Dr Hodgkinson

    Bat ears or very protuberant ears usually cause parents concern when the child is attending pre-school or kindergarten. Unkind comments from other children may prompt parents to seek advice from a plastic surgeon. At least 80 per cent of the ears’ growth is complete by the age of six so the operation can be done any time after this.

    The ears protrude because of their shape and their projection from the side of the head. Both issues must be dealt with individually in each patient. The procedure to “pin” the ears back is carried out under a general anaesthetic. During the teenage years the procedure can be done under sedation and local anaesthesia only.

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    Before and After Otoplasty, Ear Reshaping Surgery by Dr Hodgkinson

    Small incisions are made behind the ear in the natural crease, so they are not obvious. Excess skin is then removed with the cartilage sculpted in such a way that the size of the ears is reduced while creating a new positioning closer to the head. Sutures are then placed in the cartilage which keeps them secure in their new position, creating an ear fold that looks very natural.

    This process takes around one to one and a half hours with the use of a general anaesthetic.

    You will be required to have a padded bandage around your head for roughly one week, which will help keep your ears in their new position while also protecting them while they heal. Following this time it is advised that a headband or stocking cap be worn whenever possible, but particularly at night for a further week after surgery.

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    Before and 3 months after Otoplasty

    While Otoplasty is not considered to be a painful operation, you may experience some numbness following the procedure. After about one week you should be able to return to work (or school) and may experience some bruising or swelling which will begin to settle down after the first week or two. Along with the cosmetic benefits of Otoplasty, we see many patients who have a boost in confidence thanks to their new and improved look.

    In regards to medical treatment alternatives, there are none that will achieve the results of Otoplasty, as it is the only procedure that can reposition or reshape the ears. As this procedure works to correct a visual aesthetic preference, many patients undergo it to boost their confidence in their appearance. Talking to a counsellor or psychologist may help to overcome you or your child’s concerns in regards to looks to avoid the procedure.

    A double chin is not only a sign of ageing or being overweight but can also be a hereditary area for fatty deposits. For persons in their teens to thirties who still have good elasticity in their skin (and even older in some cases) Liposuction to the chin and neck can produce remarkable results. Naturally, the surgeon must be artistically skilled in remodelling the patient’s profile to suit their features and facial balance.

    If you have loose, sagging skin and excess fat in the neck area that you are able to hold, then it can likely be removed. Your consultation with Dr. Hodgkinson is crucial and will be the determining factor as to whether or not this is the right procedure for you, or if a different course of action may be more suitable for your situation and goals.

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    Before and 6 months after Neck Liposuction and rhinoplasty

    Neck liposuction is often one of the most effective procedures in creating a younger aesthetic as a tight neckline is a key element to a youthful look. Sagging necks are usually a sign of ageing, and neck liposuction will give a very refreshed appearance to the patient.

    Neck liposuction produces a long-lasting result which will have a very low chance of requiring a second procedure however your weight must remain stable after the proceedure.

    Scarring will be minimal if existent at all, as only two tiny incision marks will be left under the jaw. It is common that you may experience a small amount of fluid weeping from the incision points, as is standard with all forms of liposuction.

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    Before and 6 months after Neck Liposuction

    It is common that you will be able to return to work quickly after the procedure, but this will vary with each patient as everyone has varying levels of healing ability. After surgery, you will be required to wear a neck garment which will help retract the skin, and it is common that you may experience slight bruising after the treatment.

    It is not uncommon that after the neck liposuction procedure, you will experience temporary bruising, swelling, or possibly numbness, particularly around the incision marks. For most patients, the discomfort is considered minimal and easily managed with medication; however, it is important to be aware that everyone has a different pain threshold.

    We strongly recommend avoiding strenuous activities for about two weeks to allow enough time for healing and to help achieve the most optimal results. All recovery information will be discussed during your consultation, along with any specific instructions that you will need to adhere to during your healing. As always, our highly skilled team is on-hand 24 hours a day to ensure that you do not experience any issues and have the necessary support during the healing process.

    Modern facelift surgery is quite a bit different from the way the procedure was performed in the past, which is also the way many people think it is still done. A facelift is no longer the stretching of wrinkled skin to create a smoother aesthetic. The advanced modern techniques used today look to reshape the layers of connective tissue that sits under the skin.

    The exact process of the procedure will depend on the needs of the patient, namely the ways in which their specific tissue will need to be manipulated, trimmed, folded, and fixed in place. All procedures look to achieve a natural, youthful appearance and discreet incisions which minimise scarring will be required. You will also go under general anaesthetic and twilight anaesthesia during the procedure.

    Ageing in the lower half of the face is often the cause of jowls, which is a commonly noted cause of distress for patients. The ageing process also affects the elasticity of our skin, which, when combined with issues in the underlying tissues and fat, creates a sagging, loose appearance, in the jawline. This loss of definition can lead to a double chin, which a facelift that focuses on the lower two-thirds can elevate.

    To have an effective outcome, this may also require fixation of the tissues underneath to create a long-lasting and natural result.

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    A three-month image of before and after a facelift surgery performed by Dr. Hodgkinson which exemplifies the possible improvements to the neck.

    You may have heard people refer to a mini facelift as a weekend facelift. While there is undoubtedly less downtime required for this procedure, a weekend is a little inaccurate. The healing process can be hard to quantify as everyone heals differently. Some patients have previously been able to return to work a week after surgery, while others need several weeks to recover from swelling or other side effects properly.

    Mini Facelift

    Face with Rhinoplasty

    In extreme cases, the actual results of the procedure are not evident until a year post-surgery. All of this being said, a mini facelift is classed as an outpatient procedure. This means that you will not have to remain overnight, and will be allowed to head home after your procedure. When home, you should focus on resting, wear a compression garment, and avoid any strenuous activity. The less strain placed on your body during recovery, the sooner you are likely to heal.

    The longevity of the results of a mini facelift will vary for each patient but should last anywhere between eight to ten years. During this time, however, the aging process continues, which works against the work of the procedure.

    There is a range of non-surgical treatments that help the results of a mini facelift to last for as long as possible, including:

    • Ablative laser treatments for skin blemishes
    • Cosmetic injections to target fine lines and wrinkles
    • Dermal filler injections for the lips, cheeks, and various other areas of the face
    • Liposuction which can target stubborn fat, restoring definition to specific areas of the face
    • Radiofrequency technology that can tighten skin

    The most common side-effect experienced by patients as a result of this surgical procedure is swelling. This is a normal part of the healing process that will subside with time and no cause for alarm. In some other cases, patients may experience bruising, another relatively normal side-effect, that will subside each day as your body heals.

    Mini Facelift

    The main goal of the mini facelift is the replenishment of a youthful jaw and neck.

    Our team will keep you well-informed as to the guidelines regarding your aftercare to ensure that you have a pleasant, and quick, healing process. Everyone’s body heals differently, so we cannot offer any exact timeframes. If required, we may prescribe certain medications or wound care, and our team is always on-hand to support you through your healing journey.

    The main goal of the mini facelift is to replenish the jaw and neck line contour. This can create a refreshed, youthful look that takes a few years off while helping people to feel more confident and comfortable with their appearance.

    The major risk with a facelift procedure is hematoma or blood collecting under the skin flaps of the face. To ensure this does not happen, a specialised clinic nurse stays with all of Dr. Hodgkinson’s facelift patients in order to stabilise the patients’ blood pressure and reduce anxiety or discomfort. The nurse stays in contact with Dr. Hodgkinson and the anaesthesiologist and can detect if a hematoma forms early on for immediate attention.

    As with any facelift procedure, it is important to time your surgery so that you have ample time off. We recommend a recovery period of at least a few weeks to fully heal before returning to the rigours of daily life, however, the targeted nature of the mid and lower facelift requires slightly less downtime than a full standard procedure. Winter is a popular time of year for a facelift procedure as it will reduce exposure to the sun, which can make the healing process a little more straightforward.

    There are a number of factors that will determine how long the results of this surgery last. Genetics and lifestyle habits such as drinking and smoking will play a part, along with sun exposure and stress. It is essential to keep in mind that you will continue to age after surgery; however, the mid and lower facelift procedure can help set back the hands of time, on average lasting from 8 to 10 years.

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    Before and After a Facelift Procedure

    Jowls are usually caused by ageing in the lower half of the face. While this is not always something that affects everyone as they age, it is a common situation we are presented with from patients. As we age, our skin loses elasticity and the underlying tissues and fat pats atrophy. This creates sagging or a loose appearance affecting the definition of the jawline and creating a laxity of the tissues under the chin (causing a double chin). The mid and lower facelift is the best procedure to treat sagging jowls as it will elevate the tissue. By focusing on this area, there is also the benefit of less scarring and down-time while still obtaining a long-lasting and natural result.

    Bruising and swelling are normal after facelifting, but the severity depends on the extent of the surgery and is minimised by bandaging and early ice application to prevent excessive swelling. Most people can go back to work after about two weeks, but the visible signs of surgery will still be evident for several weeks.

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    Before and 3 months after Mid Facelift and Necklift by Dr Hodgkinson

    Feeling a bit depressed is quite common during the immediate postoperative period and is more related to the reality of the process rather than the outcome; in fact, as time goes by and your rejuvenated, more youthful appearance settles in, the happier you will feel about it.

    Whilst a facelift can be done at any time, it is important to time your surgery so that you have ample time off (at least a few weeks) to fully heal before returning to the rigours of daily life.  That said, facelifts and other procedures, such as eyelid surgery, brow-lifts, neck-lifts and skin rejuvenation techniques like chemical peeling, laserbrasion and dermabrasion, are especially popular in winter. These procedures require the patient to reduce their exposure to the sun and this is easier to do in the cooler months. This exposure to the sun, however, if controlled does not preclude other seasons. Winter is also traditionally socially quieter than summer when holiday parties tend to take over.

     

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    Before and After Facelift Surgery by Dr Hodgkinson

    Whilst there is nothing set in stone as we all age differently, the age limit for a facelift is probably in the seventies unless the patient has unusually excellent health.  More and more people in their late 60s and 70s and occasionally now into their 80s are still in the workforce and still very active socially and professionally.

    Therefore, if 70 is not the time to give up activities then why would it be the time to give up appearances?

     

    Before and 6 months after Facelift and Blepharoplasty by Dr Hodgkinson

    A Mini-Lift is a minimal incision procedure on the lower two-thirds of the face that elevates and “fixes” the underlying tissues. The results always look more natural than just tightening the skin.

    The advantage of a minimal incision procedure over a traditional one is less scarring and less “down-time” while maintaining the longer lasting and more natural result of a complete facelift procedure by securing the lax underlying SMAS and muscle tissues.

     

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    Before and After a Mini-Lift by Dr Hodgkinson

    For deeper and more extensive lines I prefer to resurface the upper lip with either dermabrasion or the carbon dioxide laser treatment. The smooth resurfaced skin takes seven to ten days to heal and leaves new, pink skin which for six to eight weeks requires makeup to conceal and sunscreen for protection.

    The new, smooth upper lip can be a little shiny and lighter in colour than the rest of your face. This is why resurfacing the whole face is sometimes better so that there is a uniform lighter colour all over rather than have a demarcation line around your mouth and a sun-tanned, freckled complexion on the rest of your face.

    Before and After Facelift & Dermabrasion by Dr Hodgkinson

    No-one wants a double chin (or “turkey neck”) but regardless of your age, you can usually do something about it. From late teens some people notice the hereditary feature of a chubby fat neck. Just looking at your relatives gives you the clue that diet and exercise are not going to fix the problem. Liposuction is generally very effective for these fatty accumulations up to the age of about 40. After 40 years, men and women who are ageing relatively normally, note a laxity of skin and sagging muscles under the chin. A mini-lift is the treatment of choice at this age and can result in a marked “firming” and tensioning of the underlying muscles of the upper neck. After about age 45, fat and sagging skin combine to make the problem more severe and at this stage a neck-lift or a facelift is a better option. To find out the most suitable procedure for you, be sure to consult a surgeon with extensive experience in facelifts. Beware of the “latest”, the “newest”, the “L”, the “S” or “the turbo”! These procedures may have a nifty name but liposuction, a mini-lift and neck-lift have a proven track record of more than 20 years.

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    Before and After Face Lift & Neck Lift Surgery by Dr Hodgkinson

    Because the Australian environment is especially harsh on the skin and the skin may be sun-damaged, you may need more than just the tightening of the underlying tissues. In combination with a facelift you may benefit from a skin rejuvenation program using laser resurfacing or a chemical peel which can smooth out fine lines and wrinkles and make a great deal of difference to the texture of the skin and your complexion.

    Before and After Facelift & Eyelid Surgery by Dr Hodgkinson

    Men are also feeling the pressure of normal ageing—the sagging of the jowls, the double chin and the aged tired look. Most 50-year-olds, however, do not regard themselves as old and still feel competitive and turn to the gym, nutritional awareness, less smoking, anti-ageing medicines and yes, facelifts. Encouraged by the success of rejuvenation surgery in women, men are now coming forward for surgical procedures and 30 per cent of Dr Hodgkinson’s practice is comprised of men.

    The key to facelifts for men is to concentrate on defining the jaw and eliminating the double chin whilst not taking away all the lines of expression that are a natural part of a masculine face.

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    Before and After Male Facelift Surgery by Dr Hodgkinson

    A common concern of men and women in their sixties is that they have loose skin on their face. They want to get a facelift but they do not want that obvious stretched look of a facelift.  The ideal result is a natural looking facelift, with not so obvious changes.

    Fortunately, today’s procedures if done properly do not lead to that stretched, over-operated on “Hollywood” appearance of by-gone years. To achieve an un-operated, natural appearance the focus in the over-60 age group is completely different. Because the bones are degenerating and the mid-face is getting smaller, it is essential to focus on the bony structure of the face and facial volume. Because aged skin has more laxity, more redundant skin will need to be removed, usually resulting in longer scars. I concentrate not only on the skin and muscles, but also on the shape of the face. I re-establish the cheek projection and jaw-line and often put in more than I take out using volume-enhancing procedures such as cheek implants and fat transfer.

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    Before and After Facelift & Eyelid Surgery by Dr Hodgkinson

    A common question we hear is if a patient is for example in the forties and they have their first facelift, will they need another on 20 years later in their sixties?

    You will need another lift if you want to keep your youthful look, however it’s unlikely to be the same type of facelift. The second lift is likely to be more of a touch-up procedure at about 8 to 12 years after the first lift. The old incisions are revisited and the sagging tissues re-tightened.

    The over-operated-on “wind tunnel” appearance after two or three facelifts as often seen in the social pages, needs to be avoided. The tight look is avoided with judicious restoration of sagging tissues and by not removing any more skin. Another obvious look to be avoided is the long or distorted earlobes and a stepped or too high hairline.

    If you are committed to staying youthful, budget for later life; look after your first facelift by not smoking or taking drugs and by avoiding excessive sun exposure.

    Before and After Facelift Surgery by Dr Hodgkinson

    Definitely not. As we age, we begin to notice some excess wrinkling around our eyes, jowling and maybe some thickness under our chin and around the neck.

    The whole idea of waiting until 60 for a one-off facelift has gone. There has been a growing trend over the past ten years for people in their late 30s and early 40s to actively seek facelifting. In this age group the skin starts to give way to gravity—the brow may droop a little and the skin around the eyes loosen. However, muscle and ligament tone is still quite elastic and patients usually require less extensive rejuvenating techniques.

    Dr. Hodgkinson will minimise incisions by using less invasive techniques, often using the endoscope or limited incision surgery. Usually some tightening of the underlying muscle and ligament tissue is enough. The jowls and neck area can be tightened and the brow-lift procedure can elevate the corners of the eyes and also tighten the upper cheek area to restore the youthful contours of the face.

    Before and After Facelift by Dr Hodgkinson

    Yes you can.  The mid-face lift is ideal for people who have lost tone and volume in the middle third of their face.  High cheek bones have always been associated with youth and the maintenance of a youthful face as we age. The problem with ageing in the cheek area is that the tissues underneath the eye slide down with the effects of gravity and facial movement, producing nasolabial folds. These can be improved with injections of non-permanent injectibles; however, there comes a point where simply plumping up will not do the job.

    Fortunately, we now have a newer procedure called Mid-Face Lifting which is done without leaving evident scars. Small incisions in the mouth and hairline enable us to endoscopically release these droopy tissues to bring them up higher, recreating the fullness of youth in the cheek area. If a patient has always had a flat cheek, we can add cheek implants using the same manoeuvre.

    Before and After Facelift & Eyelid Surgery by Dr Hodgkinson

    Many patients ask this. The S-Lift is a re-invention of a very antiquated technique of facelifting; one that was abandoned because it did not address the major problems of ageing which include laxity of the soft tissues of the neck and fat accumulation. The S-Lift is described as surgery for beginners and a technique which merely approaches the laxity of skin issue. It is commonly known that tightening the skin alone leads to unacceptable scars and extremely short-term results. Before and after results most often published show patients after only a few days or weeks. The plastic surgical community abandoned the initial facelifting techniques (which were introduced in the 1920s and 1930s and continued into the 1950s) to perform more thorough procedures.

     

    With these early techniques, patients were dissatisfied with the fact that they underwent a surgical procedure with subsequent visible scarring and very temporary results. In the 1970s and 1980s, with the introduction of the more thorough procedures, it was established that by working first on the fat and the loose tissues underneath the skin to re-establish a youthful contour and then redraping the skin, a longer lasting, more natural and hence cost-effective result without the unwanted scars could be achieved. Dr. Hodgkinson states I am still following up the first facelift I did for a patient upon my return to Australia in 1990. This patient is still satisfied with her result almost 30 years later, because the issues and tissues of the ageing face were dealt with properly at the outset. I hope this explains to you what the S-Lift is and why I would never revert to a procedure which I know is a waste of a patient’s time, energy and money.

    Jowls are commonly associated with ageing in the lower half of the face. Everyone ages differently but jowls are a common complaint of patients that present at the clinic to find out what their options are and what is the best procedure to correct their sagging jowls.  As we get older, not only does our skin lose elasticity but the underlying tissues and fat pats atrophy as well.  This ageing process creates this sagging, loose appearance, wherein the jawline loses its definition and often there is also a laxity of the tissues under the chin, giving the person a double chin.

    The best procedure or treatment for sagging jowls usually involves a facelift of just the lower two-thirds of the face, which is enough to elevate these tissues combined with some fixation of the tissues underneath (not just a skin lift or S-Lift). It is not possible to create natural looking results when the skin is stretched and tightened like cling wrap to hold the sagging tissues in place. The advantage of the facelift combined with the fixation of the underlying tissues over more traditional procedures is that there is less scarring and “down-time” while still providing for a long lasting and more natural result. This is referred to as a SMAS lift.

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    Before and After Face Lift and Neck lift Surgery

    Everyone heals differently, so whilst there is no one answer to this question, there are of course guidelines to help you plan for your surgery and an uneventful recovery.

    The less invasive nature of today’s facelift procedures means that most people can be back at work after two weeks. There will be bruising and swelling after the operation but even the most severe swelling should be gone by the third week. Heavy work, stress and sudden movements should be avoided for the first ten days so as not to aggravate swelling or put any stress on the stitches.

    Before and 3 Months After Facelift by Dr Hodgkinson