Wide awake facelift

The procedure

An increasing number of patients are seeking treatment of mild to moderate sagging of their jawline which has gone beyond the reach of non-surgical treatments, yet is still not significant enough to justify a comprehensive face or neck lift. These patients are typically in their 40s and 50s and are troubled by their jawline and jowl development.  At Purity Bridge, we developed the Purity Bridge Facelift, a local anaesthetic short scar facelift performed in the clinic to address just such concerns.

It is a walk-in walk-out wide awake procedure, with no drains, no bandages and no general anaesthetic. Recovery is swift and the results are highly satisfying, looking natural but not overdone or overly tight.


How it is done?

After being carefully drawn on (surgical planning) and reassessed, you lie down and the team ensure you are comfortable. Gentle and slow local anaesthetic injections are administered along the scar line, and further injections are given into the cheek.

The skin is then elevated off the cheek (with a scar that runs approximately from the sideburn to the bottom of the ear) to expose the deeper supportive tissue of the face (the SMAS). Once the SMAS has been adequately exposed, it is lifted back to a more supportive position higher up, which is the key to lifting the jowls and improving the jawline. Once the series of SMAS stitches have been placed, the skin is gently re-draped and trimmed – the key is not to pull the skin tight to avoid a wind tunnel or mask like appearance, but rather to allow the skin to sit in a natural way.

After keeping you in the clinic for a period after the procedure to ensure you are well, and that you have had something to eat and drink, you are able to leave the clinic (accompanied ideally) to go home, or to stay in a local hotel.

Who is it suitable for a wide awake facelift?

The ideal candidate for a wide-awake facelift is in their 40s or 50s with mild to moderate jowl development and facial skin sagging. It can still be appropriate for those in their 60s and 70s in selected cases.

If you have more significant skin sagging or if your primary concern is your neck, it would be more appropriate to undergo a different type of facelift or neck lift, as the Purity Bridge Facelift will not sufficiently address these concerns.


What are the risks?

It is important to consider that just because we are able to perform the procedure under local anaesthetic in the clinic, rather than having to be in hospital, it is still a surgical procedure, and therefore there are still important risks that need to be considered.

The risks for a Purity Bridge Facelift include: bleeding (which may require a further procedure to stop it), infection (a low risk), problematic scarring, fluid build up (seroma, that may need to be removed with a needle), asymmetry (which is normal in all of our faces), numbness (to be expected initially over the cheeks), injury to the facial nerve (fortunately extremely rare), poor wound healing and the need for further procedures.

What is the patient experience?

There is no better way to describe how it is to undergo a Purity Bridge Facelift than to read an account of a patient who has undergone the procedure. Click here › to read about a patient who underwent a local anaesthetic facelift (in her case a MACS lift, which is a variation of the Purity Bridge Facelift).


What results can I expect?

Some examples of typical results are shown in the photographs above. The lax and sagging jawline has been restored to a more youthful position, improving the facial contours whilst still appearing natural – it is impossible to tell that these patients have had anything “done”.

Overall the Purity Bridge Facelift, a local anaesthetic facelift or wide-awake facelift has proven extremely popular due to its natural results, quick recovery and the fact that it can be done in the clinic, rather than the hospital.


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