Facial ageing rarely affects just one area. By the time someone is considering a facelift, they often notice changes around the eyes and a loss of facial volume at the same time. Addressing these concerns together — in a single operative session — is something I discuss with many patients, and for the right candidate it can be an excellent approach.
Why Combine Procedures?
The face ages as a whole. A facelift lifts and repositions the deeper structures of the face and neck, but it does not restore the volume lost over time, nor does it address excess skin of the upper eyelids or puffiness beneath the eyes. Fat grafting and eyelid surgery (blepharoplasty) complement a facelift in ways that a facelift alone cannot achieve.
Combining procedures also has practical advantages. There is one anaesthetic, one hospital admission, and a single recovery period rather than separate episodes spread across months.
Who Is a Good Candidate?
Patients who benefit most are generally in good health, non-smokers, and have realistic expectations about outcomes. A thorough pre-operative assessment helps identify whether the planned combination is safe and appropriate. Longer operations require careful anaesthetic planning, and this is something I discuss in detail during consultation.
What to Expect in Recovery
Recovery from a combined procedure takes longer than from any single operation. Expect significant swelling and bruising for the first two weeks, with the majority resolved by four to six weeks. The eyes tend to settle first; facial swelling from fat grafting can take longer. Most patients feel comfortable returning to social activities at around four to six weeks, with final results becoming apparent over several months.
If you are considering facial rejuvenation and wondering whether a combined approach might suit you, I encourage you to book a consultation to discuss your individual goals.