Facial Rejuvenation Procedures by Anthony MacQuillan

Our face is perhaps our most defining feature and is intimately bound to not only how we view ourselves but how others view us.

There are certain visual cues that we associate with youth and others that we associate with signs of ageing. In youth, a sharply defined angle between the neck and jaw is a prominent feature, with a sense of facial fullness over the cheekbones and a smooth transition between the cheek and upper lip. The lower eyelids blend into the upper cheek and the upper lids display a clear strip of skin visible above the lashes with the area below the eyebrows appearing subtly full.

As we age the soft tissues of the face alter through the combined effects of gravity, sun damage and changes in hormone levels. Underneath the soft tissues, the skeleton of the face also undergoes modification with bony resorption leading to loss of volume and decreased support for the overlying soft tissues.

This ageing process blunts the demarcation point between the jawline and the neck, (at worst resulting in a continuous band (or bands) of skin running from the undersurface of the chin and jaw directly to the collar bones) and disrupts the clean shape of the jawline (resulting in characteristic sagging seen with jowls). The cheeks start to develop a hollowed appearance and a line of demarcation appears between the cheek and upper lip known as the nasolabial fold. As volume is lost around the cheek bones the lower lid appears distinct from the cheek itself and can appear to become puffy. In the upper lid excess skin can cause a hooded appearance and the zone between the eyebrow and upper lid tends to lose volume and hollow.

Each of these features is due to specific changes in the anatomy of the face. Proper treatment is dependent on an understanding and knowledge of these changes and an approach that restores support and volume to the muscles, ligaments and skin where these have been lost.

Like most problems in life, a single approach to correct what are often multiple anatomic changes will not work – one size fits all is never going to be the answer in something as individualised as facial ageing. Every person has their own specific concerns relating to how their face has aged and addressing these concerns with a single treatment or procedure will not work, certainly not for all patients.

An example of this is the perception that a Neck Lift can only be performed as part of a Facelift. For many people the idea of having to go through a Facelift to change the shape of their neck is too great an ordeal but if as a surgeon you understand the nature of the problem and the underlying anatomy the neck can easily be treated in isolation with fantastic results.

As a surgeon however, it is only through knowledge, understanding (and most importantly listening to your patients concerns and needs) that you can deliver outcomes for your patients that will meet their goals and this means choosing the correct procedure(s) for that particular patient’s needs.

Anthony uses the latest 3D scanning technology to create before and after visuals that give you a realistic view of the results. See his 3D Imaging Videos.

A Facelift by Consultant Plastic Surgeon Anthony MacQuillan can help reverse some of the effects of gravity and the ageing process on your face and neck.


2 to 4 hours
Hospital Stay
1 night
Full Recovery
4 to 6 weeks
Final Results
It can take 3 months for visible improvements to appear and you can enjoy a more youthful, rested appearance.