Facial Plastic Surgery Sydney
FACELIFT Surgery
A facelift (meloplasty or rhytidectomy) is a surgical procedure that lifts and tightens sagging facial skin and muscles to address skin laxity, deep creases, and loss of jawline definition.
The aim isn’t to make you look “different” — it is to help you achieve noticeable improvement in these concerns, while maintaining a natural, fresh overall appearance.
Elegant, harmonious, authentic.
Facelift and neck lift Sydney
“Through precise technique and attention to natural contours, my focus is on achieving outcomes that respect individuality and preserve expression. I value the capacity of this procedure to address age‑related changes, while maintaining natural facial movement and remaining true to each person’s unique character.“
Facelift surgery Sydney
What can a Facelift help with?
A facelift can address concerns about changes in facial contours, such as sagging, loss of definition, deep wrinkles and facial imbalance.
The facelift procedure:
- Improves facial contours by tightening underlying muscles and soft tissues
- Removes excess skin
- Restores a more balanced and natural appearance
- Achieves results that complement your unique facial features
Dr ILLIE takes the time to conduct comprehensive consultations to ensure you fully understand the procedure, recovery, and expected outcomes, and to support you in making an informed decision.
Before and After
Am I a good candidate?
Suitable candidates generally:
-
Are in good overall health and show signs of ageing, such as wrinkles or skin laxity.
-
Are non-smokers (or willing to stop temporarily), as smoking increases the risk of complications and slows healing.
-
Are typically between 45 and 85 years old, although suitability is assessed individually.
Relevant medical conditions that should be discussed during your consultation include any history of bleeding disorders, uncontrolled hypertension, poorly managed diabetes, cardiac conditions, or any health issue that may affect blood clotting, healing, or your overall suitability for treatment.
Procedure Options
Dr Vlad ILLIE offers a range of facelift techniques and tailors them to each patient’s individual anatomy and goals. Every approach is considered within the context of your overall facial structure, and Dr ILLIE will discuss which approach is most suitable during a comprehensive consultation. He will assess your anatomy, discuss suitable options, and outline the likely benefits, limitations, and risks. The final choice of technique will always be based on clinical assessment and your individual preferences.
Mini Facelift
-
Targets early sagging in jawline and cheeks
-
Shorter incisions → smaller scars, quicker recovery
-
Ideal for lower face improvements with minimal downtime
-
Can be standalone or combined with brow lift, eyelid surgery, or fat transfer
Deep Plane Facelift
-
Targets deeper tissues: muscles and fat pads
-
Restores mid‑face volume, softens nasolabial folds, sharpens jawline
-
Provides natural, long‑lasting results
-
Longer recovery due to deeper surgical adjustment
SMAS Facelift (Superficial Musculoaponeurotic System)
-
Targets the SMAS layer for structural support
-
Repositions, folds, or tightens SMAS based on anatomy
-
Improves jawline and mid‑face definition
-
Customisable to skin laxity and tissue droop
Vertical Facelift
-
Lifts muscles and fat pads to restore natural facial balance
-
Targets mid‑face and cheek sagging; often includes brow lift
-
Can be combined with neck lift if jawline laxity is present
Procedure snapshot
Surgical procedure duration: Approximately 3-6 hours
Hospital stay: 1 night for observation and care
Post-operation recovery:
-
- Take 2-3 weeks off work/ social outings to allow for initial healing
- Avoid heavy lifting and intense exercise for 4 weeks
- No driving for 2 weeks to ensure safety during recovery
- No smoking for at least 6 weeks before and after the procedure to support optimal healing
Your surgical team includes:
-
- Dr Vlad ILLIE, highly qualified plastic surgeon with extensive training both in Australia and internationally
- Specialist anaesthetist to ensure your comfort and safety throughout the procedure
- Accredited hospital staff and facilities meeting the highest standards of care
Expected results:
-
- Smoother, more refined skin texture
- Lifted and firmer jaw line for a refreshed appearance
- Enhanced facial contours that maintain a natural and balanced look

Surgical Steps:
-
- Incisions are carefully placed along the hairline, around the ears, depending on the technique and treatment area.
- The surgeon lifts the skin to allow access to the underlying tissues, including muscles, fat, and the Superficial Musculo Aponeurotic System (SMAS).
- Muscles and tissues are tightened and repositioned to restore underlying facial contours. Fat may be repositioned or removed as necessary.
- Excess skin is trimmed, and the skin is redraped smoothly over the newly contoured facial structure.
- Incisions are closed with meticulous, high‑quality suturing techniques designed to support fine, minimal scarring.
Surgical Considerations
Facial Anatomy & Ageing
The face is made up of several layers that work together to give it shape and movement. As we get older, changes happen in each of these layers, which can affect how the face looks over time.

Bone Changes
-
Facial bones provide the structural framework.
-
Age can cause bones to reshape or lose volume, including:
-
Mandible (lower jaw): loses volume, may lengthen or shift.
-
Maxilla (upper jaw) & pyriform aperture: can recede.
-
Orbits (eye sockets): may enlarge.
-
-
These changes reduce support for skin and soft tissue, leading to hollowing or sagging.
Soft Tissue and Fat Pads
-
Fat compartments give the face volume and contour.
-
With age, fat pads can shrink or descend, causing:
-
Cheek hollowing
-
Sagging around the midface and jawline
-
-
Ligaments and connective tissue weaken, contributing to these changes.
Muscle Changes
-
Facial muscles control expressions and movement.
-
Repeated use forms dynamic lines (e.g., nasolabial folds, crow’s feet, frown lines).
-
Muscle tone may alter, sometimes creating uneven facial movement.
Skin Changes
-
Reduced production of collagen and elastin makes skin thinner and less flexible.
-
Common effects include:
-
Wrinkles and sagging
-
Increased dryness
-
Uneven pigmentation, often worsened by sun exposure
-
Progression Over Time
-
40s: Early volume loss, reduced elasticity, mild sagging.
-
50s: Bone changes more noticeable; fat and muscle changes increase hollowing and sagging.
-
60s+: More pronounced changes with deeper wrinkles, marked sagging, and altered facial contours.
Age-related changes occur in layers: bones → fat → muscles → skin. Treatments by Dr Vlad ILLIE target specific areas for natural, balanced facial rejuvenation.
Types of Incisions
The choice of incision depends on the extent of correction needed and the areas targeted:
-
- Traditional Facelift Incisions:
These extend from the hairline below the temples, continue around the ears, and may extend into the lower scalp. A small incision under the chin may be included to improve neck contour. - Limited Incision Facelift:
Involves shorter incisions starting above the ear and briefly wrapping around the ear. This approach is suitable for patients requiring less extensive correction. - Neck Lift Incisions:
Typically placed around the ears and under the chin, these incisions specifically target excess skin and fat in the neck area.
- Traditional Facelift Incisions:
Effectiveness
A facelift can provide significant improvement in facial and neck contours by:
- Repositioning underlying tissues
- Removing excess skin
- Enhancing definition along the jawline and neck
While a facelift doesn’t stop the natural ageing process, it reduces visible signs of ageing and creates a more refined, balanced appearance. Over the next 10–15 years, some natural sagging and loss of definition may gradually return, but typically not to the extent it would have without the procedure.
Duration and Recovery
Procedure Duration:
The facelift surgery generally takes around 3 to 6 hours to complete. Patients typically stay one night in hospital for initial recovery and monitoring.
Recovery Timeframe:
- Allow approximately 2-3 weeks off work to support your initial healing phase.
- Avoid heavy lifting and intense physical exercise for at least 4 weeks to prevent strain on healing tissues.
- Smoking cessation is essential, with a recommendation to stop smoking 6 weeks before and 6 weeks after surgery to promote optimal recovery.
Swelling and Bruising:
- Swelling and bruising are common and may last for 2 to 3 weeks following the procedure.
- These symptoms gradually reduce as healing progresses.
Full Recovery:
- While most patients notice significant improvement within the first month, full recovery can take a few months as swelling completely subsides and tissues settle.
- The final appearance will become clearer over time.
Duration of Results:
- A facelift does not stop the natural ageing process but can reduce visible signs of ageing.
- The length of time results last depends on several factors, including:
- Skin quality and elasticity
- Lifestyle choices such as sun exposure and smoking habits
- Overall health and genetic factors
Consultation and Personalisation:
Dr Vlad ILLIE will discuss these factors with you during your consultation to help set realistic expectations and develop a surgical plan tailored to your individual needs.
Potential Risks and Complications
- Anaesthesia Risks: Reactions to anaesthesia, whether local or general, are possible. It is important to discuss your full medical history with your surgeon and anaesthetist beforehand.
- Bleeding and Haematoma: Bleeding during or after surgery can lead to a haematoma—an accumulation of blood beneath the skin—which may require prompt medical attention.
- Blood Clots: Clot formation near surgical sites can occur and may pose serious health risks.
- Infection: Rare but possible at incision sites or within deeper tissues, and may necessitate antibiotics or further intervention.
- Scarring: While incisions are made to follow natural skin creases, some patients may develop prominent or raised scars.
- Nerve Injury: Temporary or, rarely, permanent nerve damage can cause numbness, weakness, or altered facial movements, occasionally resulting in asymmetry.
- Temporary Numbness: Sensory changes around the surgery area are common and usually improve over time.
- Hair Loss: Temporary or permanent thinning or loss of hair may occur near incision sites.
- Facial Asymmetry: Despite careful planning, some unevenness may occur, which might require a revision procedure.
- Skin Loss: In rare instances, reduced blood supply can lead to skin tissue loss requiring specialised care.
The full range of risks and possible complications associated with facelift surgery will be discussed in detail during your consultation, with plenty of opportunity to ask questions, and you will also receive written information to review at home; throughout the process, Dr Vlad Illie takes every appropriate measure to minimise potential risks and support a safe surgical experience.
Safety Measures & Surgeon Expertise
Why is it important to choose a fully qualified, board-certified plastic surgeon?
Choosing a certified Specialist Plastic Surgeon (FRACS) who is a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS ensures your surgeon meets the highest professional standards. A fully qualified and AHPRA‑registered surgeon has completed rigorous training and adheres to strict professional requirements. Board certification and specialised training in facial surgery indicate that the surgeon has the expertise needed to perform procedures safely and competently, helping to reduce the risk of complications.
What qualifications and training does Dr Vlad ILLIE have?
Dr ILLIE brings extensive experience and highly refined surgical skills to facelift procedures, supported by his comprehensive plastic surgery training and more than a decade of performing complex facial reconstructions for patients with traumatic injuries and cancer‑related defects. This depth of experience shapes his approach to aesthetic surgery, enabling him to operate with precision, care, and a deep, anatomically grounded understanding of the face.
As a fully qualified plastic surgeon with training in facial surgery, Dr Vlad ILLIE is registered with AHPRA and holds relevant certifications that demonstrate his commitment to maintaining high standards of surgical care and patient safety.
How does Dr ILLIE ensure surgical safety?
- Conducts comprehensive pre-operative assessments to understand your health status and individual needs.
- Develops a personalised surgical plan tailored to your facial anatomy and goals.
- Uses refined, evidence-based surgical techniques to minimise tissue trauma and promote smoother recovery.
- Works within accredited surgical facilities that adhere to strict hygiene and safety protocols.
- Collaborates with experienced anaesthetists and nursing staff to monitor your wellbeing throughout the procedure.
What role do consultations play in safety?
Dr ILLIE prioritises thorough consultations to:
- Explain the procedure clearly, including potential risks and realistic outcomes.
- Answer all your questions to ensure you have a full understanding before proceeding.
- Discuss lifestyle factors such as smoking cessation and health optimisation to support healing.
- Set clear expectations to help you make an informed decision.
How are risks minimised during and after surgery?
- Careful patient selection and preparation, including managing any medical conditions.
- Strict adherence to infection control and surgical safety checklists.
- Post-operative monitoring and follow-up appointments to detect and manage any issues early.
- Providing detailed aftercare instructions and products to support recovery.
Recommendations for Patients
Maintain open and honest communication with Dr ILLIE throughout your surgical journey. It is important to provide a complete and accurate medical history, including any medications, allergies, or previous procedures. Discuss any concerns or questions you have, as well as your expectations, to ensure a clear understanding of the procedure and realistic outcomes.
Follow all preoperative instructions carefully. This may include:
- Adjusting or temporarily stopping certain medications as advised to reduce risks during surgery.
- Ceasing smoking at least 6 weeks before the procedure to support better healing and reduce complications.
- Maintaining a balanced diet and staying well-hydrated helps prepare your body for surgery.
- Arranging for support on the day of surgery and during the initial recovery period, as you will have limited mobility.
Adhere strictly to postoperative care guidelines provided by Dr ILLIE and his team. This includes:
- Proper wound care and hygiene to prevent infection.
- Avoiding heavy lifting, strenuous exercise, and smoking for the recommended duration to promote healing.
- Taking prescribed medications as directed to manage pain and reduce inflammation.
- Attending all scheduled follow-up appointments to monitor your recovery progress.
Be vigilant for any signs of complications and contact the clinic promptly if you experience:
- Severe or persistent pain that is not relieved by medication.
- Redness, warmth, swelling, pus, or fever, which may indicate infection.
- Excessive bleeding or swelling beyond what was explained during your consultation.
- Any other unexpected symptoms or concerns regarding your recovery.
Following these recommendations carefully helps minimise risks, supports effective healing, and contributes to achieving the best possible results from your procedure.
Combined Surgical Interventions
Facelifts are primarily aimed at addressing the mid to lower face, improving contours and reducing signs of ageing. To achieve a more comprehensive facial rejuvenation, Dr Vlad ILLIE often combines facelift surgery with other procedures, including:

Facelift + Neck Lift
This combination targets both the face and neck, further improving the definition of the jawline and neck contour by addressing loose skin, muscle tissue and excess fat. It supports a more cohesive and balanced profile.

Facelift + Fat Grafting
This combination targets sagging skin and volume loss in the face. Fat grafting relocates the patient’s own fat to support facial fullness, while the facelift addresses loose skin and underlying tissues. It helps maintain facial contours and balance. Individual results vary.

Facelift + Eyelid Surgery (Blepharoplasty)
By pairing facelift surgery with eyelid surgery, Dr ILLIE can refresh the eye area by removing excess skin and reducing puffiness around the upper and lower eyelids. This helps to create a more rested and alert appearance.

Facelift + Lip Lift Augmentation
For patients seeking a subtle, permanent improvement in lip shape, positioning and volume alongside facial contouring, combining facelift surgery with lip lift augmentation can achieve a balanced result.

Facelift + Brow Lift
Adding a brow lift to a facelift can redesign the brow position and smooth forehead lines, contributing to the upper third of the face. This combination can support overall facial harmony.
Combining these procedures can allow for a more harmonious and natural restoration of facial balance and ageing signs across multiple areas, with careful planning to ensure patient safety and optimal recovery.
Frequently Asked Questions
At what age is a facelift appropriate?
- Typically considered by people aged 40 to 85, but suitability depends on more than age alone.
- Factors include skin quality, degree of skin looseness, bone structure, muscle tone, and overall health.
- Dr ILLIE will perform a thorough assessment to determine if a facelift is appropriate for your individual needs.
How long does it take to recover from a facelift?
- Swelling and bruising usually last 2 to 3 weeks.
- Most patients can return to light daily activities within this period.
- Avoid strenuous exercise and heavy lifting for at least 4 to 6 weeks.
- Full healing, including scar maturation and settling of tissues, can take several months.
What is the typical recovery process like?
- Initial swelling, bruising, and mild discomfort are normal and usually improve within 2 to 3 weeks.
- Pain is generally manageable with prescribed medication.
- Follow-up appointments will monitor healing progress.
- Avoid direct sun exposure and strenuous activities until cleared by Dr ILLIE.
- Full recovery, including scar softening and tissue settling, may take several months.
How long will my facelift results last?
- Results generally last between 10 and 15 years, depending on individual ageing, skin condition, and lifestyle factors such as sun exposure and smoking.
- Maintaining a balanced diet, avoiding excessive sun, and not smoking can help prolong results.
- Natural ageing continues, so results will gradually change over time. Over the next 10–15 years, some natural sagging and loss of definition may gradually return, but typically not to the extent it would have without the procedure.
What should I do to prepare for my facelift surgery?
Follow all preoperative instructions provided by Dr ILLIE, which may include:
-
- Stopping blood-thinning medications and supplements (e.g., aspirin, fish oil) as advised.
- Quitting smoking at least several weeks before surgery to promote healing.
- Managing chronic health conditions such as diabetes or hypertension.
- Arranging for someone to assist you during the initial recovery period.
- Avoid alcohol and maintain good hydration in the days leading up to surgery.
Are there non-surgical options for facial rejuvenation?
- Yes, treatments such as muscle-relaxant injections, dermal fillers, and non-invasive skin tightening can effectively address mild to moderate concerns.
- These options provide temporary improvements and are less invasive, but do not offer the same long-lasting or comprehensive results as surgery.
- Dr ILLIE can advise on the most suitable approach based on your goals.
Will I need revision surgery later on?
- Ageing is ongoing, and some patients choose additional procedures to maintain or adjust their appearance.
- Revision surgery is not always necessary but may be considered if changes occur over time.
- Dr ILLIE will discuss realistic expectations and long-term plans during your consultation.
Will I have visible scarring after the procedure?
- Incisions are placed discreetly along natural skin creases and within the hairline to minimise visibility.
- Scars typically fade over time and can be further improved with proper wound care and sun protection.
- Dr ILLIE provides guidance on scar management during recovery.
Why should I book a facelift consultation with a qualified surgeon?
- Discuss your specific concerns and what you hope to achieve.
- Receive a clear explanation of the surgical procedure, including potential risks, benefits, and realistic outcomes.
- Confirm Dr ILLIE’s qualifications, experience, and approach to ensure your safety and satisfaction.
- Opportunity to ask questions and understand the full process before making a decision.
How do I choose the right surgeon for my facelift?
- Confirm they are a certified Specialist Plastic Surgeon (FRACS) and a member of the Australian Society of Plastic Surgeons (ASPS) or ASAPS, ensuring they meet the highest professional standards.
- Look for surgeons with substantial, specialised experience in facial procedures, including deep knowledge of facial anatomy and advanced facelift techniques.
- Review their before‑and‑after portfolio to assess consistency, attention to detail, and alignment with your aesthetic goals.
- Ensure they operate in accredited surgical facilities, which support safety, sterility, and appropriate standards of care.
- Choose someone you feel comfortable with, who listens to your goals and concerns and communicates clearly throughout the process.
- Dr ILLIE exemplifies these qualities, combining FRACS‑accredited training with extensive experience in facial surgery, personalised care, clear communication, and a strong commitment to patient safety.
how Dr Vlad ILLIE’s Approach Stands Out

Dr Vlad ILLIE is a highly qualified Specialist Plastic and Reconstructive Surgeon based in Sydney, with extensive experience in facial plastic and reconstructive surgery.
Dr ILLIE has completed comprehensive international fellowships in Oxford, UK and Stuttgart, Germany, specialising in microsurgical reconstruction, complex facial revision surgery, and advanced cosmetic techniques. His background also includes handling challenging reconstructive cases, including head and neck reconstruction, which contributes to his precise surgical skill set.
His technique is distinguished by:
- Minimal Visible Scarring
Incisions are placed strategically in natural creases and hairlines so scars are well concealed and fade over time. - Preservation of Facial Expression and Movement
Techniques that maintain muscle function and natural facial animation, avoiding a “frozen” or overly tight look. - Balanced Lifting of Both Midface and Lower Face
Attention to lifting the cheeks as well as the jawline and neck ensures a harmonious overall result, not just tightening skin in one area. - Natural Jawline without “Pixie Ears”
Dr ILLIE avoids excessive pulling of the skin behind the ears, preventing unnatural earlobe distortion (called “pixie ears”). - Smooth Neck Contours without Over-tightening
Careful handling of neck muscles and skin to avoid an overly stretched or unnatural neck appearance. - Attention to Skin Quality and Texture
Incorporation of skin resurfacing or other adjunct treatments, if needed, to improve overall skin health and appearance, along with the lift. - Avoidance of Excessive Fat Removal or Hollowing
Maintaining appropriate volume in the face to prevent a gaunt or overly sunken look after surgery. - Use of Layered, Deep Tissue Lifting Techniques
Engaging the deeper facial layers (SMAS, muscle) rather than just tightening skin alone, for longer-lasting results. - Personalised Approach Based on Age and Anatomy
Customising the extent and areas of lift according to the patient’s unique anatomy and ageing pattern, not a “cookie-cutter” method. - Comprehensive Post-Surgery Care and Support
Providing clear postoperative instructions and products, follow-up appointments, and accessible care for any concerns during recovery.
Further information
For facelift and facial cosmetic surgery interventions, please book a consultation with Dr Vlad ILLIE, Specialist Plastic Surgeon and Fellow of the Royal Australasian College of Surgeons. Dr ILLIE will provide further information on the treatment and specific recommendations for your circumstances.
For additional emotional care through your wellness journey, we can also provide psychological support.
Get In Touch
Ph (02) 9101 4707
Fax (02) 9182 0092
office@drvladillie.com.au
Sydney Centre for Plastic Surgery
Suite 1702, Westfield Tower 2
101 Grafton St
Bondi Junction NSW 2022
Gosford Private Medical Centre
Suite 2, 213 Albany St North,
Gosford NSW 2250
Breast reduction Sydney, Breast Reduction Surgery Sydney, Boob reduction, Breast Surgery, Breast reduction surgery, Breast surgery for back pain, Surgery for large breasts, Oversized breast surgery – Dr Vlad ILLIE, plastic surgeon Sydney
Breast Augmentation Sydney, Breast Surgery Sydney, Boob job Sydney, Breast Implants Sydney Eastern Suburbs, Breast Enlargement Sydney, Breast Enhancement, Breast Enhancement Sydney, Breast implant surgeon Sydney, Silicone Implants, Motiva Implants – Dr Vlad ILLIE, plastic surgeon Sydney
Breast Reconstruction Surgery Sydney, Breast Cancer Reconstruction Sydney, Diep Flap Surgery, Reconstructive Surgery, Breast Reconstructive Surgery, Breast Surgery Post-Breast Cancer, Breast Surgery Post-Mastectomy – Dr Vlad ILLIE, plastic surgeon St Vincent’s Hospital Sydney
Mummy Makeover, Saggy Breasts Surgery, Breast Lift & Implant, Boob lift, Breast enlargement and lift, Breast enhancement Sydney, Breast surgery post-pregnancy, Breast surgery post-weight loss – Dr Vlad ILLIE, plastic surgeon St Vincent’s Hospital Sydney
Breast Augmentation Sydney, Breast Surgery Sydney, Boob job Sydney, Breast Implants Sydney Eastern Suburbs, Breast Enlargement Sydney, Breast Enhancement, Breast Enhancement Sydney, Breast implant Surgeon Sydney, Silicone Implants, Motiva Implants – Dr Vlad ILLIE, plastic surgeon
Breast Revision, Breast Surgery Sydney, Breast implant revision, Breast augmentation revision, Breast implant replacement, Breast Implant Reduction, Breast Implant Replacement, Surgery for botched breasts – Dr Vlad ILLIE, plastic surgeon
Tuberous breast surgery Sydney, tuberous breast correction Sydney, tuberous breasts, plastic surgeon Sydney, cosmetic surgeon Sydney, severe tuberous breasts, mild tuberous breast, Tuberomastoplasty, Lollypop Breast Lift – Dr Vlad ILLIE, plastic surgeon Sydney
Asian Breast Surgery Sydney, Asian breast implants, Asian scar healing breast implants, Asian breast reduction Sydney, Asian breast revision Sydney – Dr Vlad ILLIE, plastic surgeon Bondi Junction
Breast implant removal Sydney, Breast explant Sydney, breast implant removal surgery, breast implant removal plastic surgeon Sydney, BREAST IMPLANT EXPLANTATION SURGERY, removal of the breast implants, breast implant revision procedures performed, including removal of breast implants – Dr Vlad ILLIE, plastic surgeon Sydney