CONSTANT

Facial surgery,
considered as a whole.

The aim is not to create a different face, but to restore a fresher, more youthful version of yourself — preserving identity, proportion and harmony.

Artistic illustration for facial aesthetic surgery

Approach

Preserving what is recognisably yours.

Facial ageing is rarely the result of one isolated change. Volume, tissue descent and skin quality evolve together, and the relationship between the face and neck remains important.

Surgery is therefore planned around the individual rather than around a single preferred technique. The aim is a result that looks refreshed, rested and harmonious — without losing the features that make the face recognisably your own.

Facial ageing

Illustration showing facial volume changes with ageing

Volume

Changes in facial volume and its distribution influence contour, proportion and the transition between facial regions.

Illustration showing descent of facial soft tissues with ageing

Descent

Soft-tissue descent affects the cheek, jawline and neck and is considered in relation to the face as a whole.

Illustration showing skin laxity and surface changes with ageing

Skin

Skin quality, laxity and surface change are distinct considerations and may require different forms of treatment.

Illustration of balanced proportions across the face and neck

Harmony

The objective is not to treat each feature in isolation, but to maintain balance between the face, neck and the individual overall.

Procedures

Artistic three-quarter portrait illustrating the face and neck as one aesthetic unit

Face & Neck Lift

Facelift and neck-lift surgery is considered as one continuous problem rather than as separate regions. The operation is tailored to the pattern of ageing, skin excess, soft-tissue descent, facial volume and the relationship between the face and neck.

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Detailed illustration of one eye and surrounding facial anatomy for eyelid-surgery planning

Eyelid Surgery

Upper and lower eyelid surgery is planned in the context of the surrounding brow, cheek and overall facial balance.

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Detailed illustration of one eye, eyebrow and forehead for brow-lift planning

Brow Lift

Brow position and shape are assessed together with the upper eyelids and forehead rather than as an isolated feature.

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Planning

One face, not a collection of procedures.

Fat grafting, skin resurfacing and selected non-surgical treatments can sometimes complement surgery when they address a separate component of facial ageing. They are considered in context rather than presented as substitutes for an operation when surgery is the more appropriate treatment.

Consultation

A consultation provides time to discuss your concerns, assess the face and neck as a whole and consider which options, if any, are appropriate.

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Written and reviewed by Dr Constant van Schalkwyk, Specialist Plastic Surgeon ·