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Face & Neck Lift (Preservation Approach)
Face and neck lift surgery addresses age-related changes in skin, fat and deeper support structures to restore balance and definition while preserving individual identity.
​My Approach
Facial ageing is not merely about skin laxity - it involves gradual descent of deeper supporting structures and changes in soft-tissue volume. The goal of a face and neck lift is therefore not to pull, but to restore. My approach follows the principles of preservation surgery, where the natural anatomical layers are lifted in continuity rather than being separated or excised unnecessarily.
This method allows the face to move as one cohesive unit, maintaining natural expression and character. It results in less swelling, faster recovery, and longer-lasting harmony between the face and neck.
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​For comprehensive rejuvenation, face and neck lifts can be performed alongside nanofat rejuvenation, upper and lower blepharoplasty, or a rhinoplasty, depending on each patient’s anatomy and goals. This integrated approach restores both form and volume, achieving balanced, natural renewal rather than isolated improvement.
Planning & Technique
In suitable patients, I perform a preservation deep-plane lift, where the dissection is carried out beneath the SMAS (superficial musculoaponeurotic system) while preserving key structures. This addresses not only the lower face, but also the midface and undereye areas - inherent limitations of the traditional deep-plane approach.
I learned this technique from my colleague in Paris, whom I have known since our research fellowship days at Harvard and Massachusetts General Hospital. His mentorship and precision-oriented philosophy deeply shaped how I now approach facial rejuvenation - with respect for anatomy and restraint in dissection.
The preservation approach reduces the need for excessive separation of the skin in the face and neck area, thereby lowering the risk of bleeding and skin necrosis. It also promotes faster recovery and a more natural result - after all, peeling the skin of a fruit and then laying it back down would never look quite the same. Importantly, the preservation approach also reduces both the need for and risks associated with submandibular gland procedures, without compromising results. These benefits were all reported in Plastic and Reconstructive Surgery by my colleague in Paris recently.
Recovery & Expectations
Most patients return home the same day or after an overnight stay, especially if drains are used. Swelling and tightness are expected early on but generally improve within two to three weeks. Gentle lymphatic care, proper rest, and adherence to post-operative instructions such as keeping head elevation will all help to optimise recovery.
Final refinement of facial contour and tone continues over several months as tissues heal and settle naturally. My focus is to ensure recovery feels as calm and deliberate as the surgery itself.​
Post-operative care extends beyond routine reviews - it is an integral part of Dr Ng’s surgical philosophy. Through Doctor Stitch, an aftercare service founded to ensure seamless continuity and comfort, every patient is followed up personally by Dr Ng. Whether at home or in clinic, he provides attentive, discreet, and consistent care throughout the recovery journey.​
Frequently Asked Questions
1. Will a preservation approach look natural?
Yes, by lifting in continuity and respecting soft tissues, movement feels cohesive rather than “pulled,” preserving natural expression.
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2. When is face and neck lift surgery appropriate?
When structural descent leads to visible laxity of the lower third of the face and neck that impacts proportion and identity, not simply superficial redundancy.
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3. Can it be combined with other procedures?
Often e.g., fat grafting, blepharoplasty, or other refinements as part of balanced rejuvenation.
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Related Reading
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My blog post on facelift related issues I commonly see following overseas procedures
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Nanofat - a regenerative technique that can complement facial surgery by improving skin quality and radiance
