Sylvia – 59 years old
Introduction
Sylvia, an energetic 59-year-old woman, came to my practice feeling frustrated that her recent significant weight loss, while beneficial for her health, had left her with unexpected consequences. The dramatic weight reduction had resulted in skin sagging that made her appear considerably older than she felt inside. What particularly distressed Sylvia were the frequent comments from friends and family that she looked “sad” even when she felt happy – her resting face had developed a perpetually melancholic expression that didn’t reflect her true spirit. She described feeling as though her face had “gone south,” with everything seeming to droop downward, creating an appearance that was completely at odds with her vibrant personality and positive outlook on life.
Consultation
During our consultation, Sylvia’s primary concerns centered around the comprehensive aging-related changes affecting her neck and lower face. She pointed out the prominent neck and platysmal bands that had become increasingly visible, the complete loss of jawline definition that once gave her face structure, and the development of prominent jowls that obscured her natural facial contours. The lax, droopy skin and tissue throughout her lower face contributed to the downturned appearance of her mouth corners, creating that “sad” expression that so troubled her. Interestingly, Sylvia mentioned that her family historically had excellent jawlines, and she was particularly motivated to regain the strong jaw definition that she felt was part of her genetic heritage.
On examination, I observed significant skin laxity throughout the lower face and neck region, with pronounced jowling and loss of the cervicomental angle. The platysmal bands were quite prominent, particularly when she spoke or smiled, and there was notable descent of the mid-face tissues. Her mouth corners had indeed turned downward, contributing to the sad appearance she described. Together, we developed a comprehensive treatment plan that would address all of these concerns holistically. I recommended a deep plane facelift to reposition and elevate the deeper facial structures, a neck lift to restore her elegant neckline and address the platysmal banding, and a forehead lift to open up her upper face and counteract the downward pull. To specifically address the mouth corner issue and create a more youthful lip appearance, I suggested a lip lift, and finally, a TCA peel to improve the fine lines and overall skin texture. Sylvia was thrilled with this comprehensive approach and felt confident that it would restore the face that matched her inner vitality.
Day of Surgery
On the morning of her procedure, Sylvia arrived with a mixture of excitement and natural pre-operative anxiety. She expressed how much she was looking forward to seeing her “real face” again – the one that reflected her true age and spirit rather than the prematurely aged appearance caused by her weight loss. Her positive attitude and realistic expectations made me confident that she would be an excellent candidate for this transformative procedure.
Recovery
Sylvia’s recovery progressed exactly as anticipated for a deep plane facelift combined with neck lift and forehead lift. The first two weeks involved the expected swelling and bruising, which is completely normal following such comprehensive facial rejuvenation. She was diligent about following all post-operative instructions and remained positive throughout the healing process. There were no complications, and by the third week, the initial swelling had begun to subside significantly. By the one-month mark, Sylvia was already seeing dramatic improvements, with her new facial contours becoming increasingly apparent and natural-looking.
Results
At three months post-operatively, the transformation achieved with Sylvia’s deep plane facelift, neck lift, and complementary procedures has been truly remarkable. Her jawline has been beautifully restored – strong and well-defined, reminiscent of the family trait she so valued. The neck lift has eliminated the platysmal banding and created a smooth, elegant neckline that perfectly complements her rejuvenated facial contours. The skin laxity and jowling that previously aged her appearance have been addressed, creating a natural, lifted look without any artificial tightness.
Most importantly, the downturned mouth corners have been corrected through the combination of the deep plane lift and lip lift, completely eliminating that “sad” resting expression that had caused her so much distress. The TCA peel has refined her skin texture and addressed the fine lines, creating an overall fresh and youthful appearance.
By the three-month mark, all swelling has completely resolved, and the final results are beautifully evident. What brings me the greatest satisfaction is seeing how Sylvia’s confidence has been completely restored. She frequently comments that she finally looks as young and vibrant as she feels, and that her face once again reflects her true personality. The frequent comments about looking sad have been replaced with compliments about how refreshed and happy she appears – which is exactly how she feels. Sylvia’s results at three months post-operatively demonstrate the power of comprehensive facial rejuvenation when tailored to address each patient’s specific concerns and goals.
Ready to Rediscover Your Confidence?
If you’re experiencing similar concerns about aging, weight loss-related skin changes, or feeling that your appearance no longer reflects how vibrant you feel inside, I’d love to discuss how we can help you achieve your aesthetic goals. Every patient’s journey is unique, and during a personalised consultation, we can explore the treatment options that would be most effective for your specific needs and desired outcomes.
Contact our practice today to schedule your confidential consultation and take the first step toward looking as youthful and confident as you feel.
Real Lasting Results Speak
We offer free initial phone consultation with our specialist team, if you are interested in the next step, we’d then like to invite you to come in for in person or online consultation with Mr Supriya.
Consultations are £100 with Mr Supriya and are deductible from any surgery booked with us. The consultation fee also includes follow up consultations.
Our Locations
- London City
The Wellington Hospital, 15 – 17 Lodge Road
London NW8 7JA
- London City
98 Harley Street
London, W1G 7HZ
- Milton Keynes
Athena Surgical Centre
16 Davy Avenue, Knowlhill
Milton Keynes, MK5 8PL
- Northampton
The Three Shires Hospital
The Avenue
Northampton. NN1 5DR
London City
The Wellington Hospital
15 – 17 Lodge Road
London NW8 7JA
London City
98 Harley Street
London, W1G 7HZ
Milton Keynes
Athena Surgical Centre
16 Davy Avenue, Knowlhill
Milton Keynes, MK5 8PL
Northampton
The Three Shires Hospital
The Avenue
Northampton. NN1 5DR
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