Jan
Facial surgery may be considered by some patients when discussing changes in facial tissues, skin quality, tissue position, or the relationship between the face and neck. The suitability of surgery varies between individuals and can only be assessed after consultation and examination.
A consultation should include discussion of the patient’s medical history, anatomy, previous surgery, medications, healing factors, reasons for seeking information about surgery, alternatives, risks, recovery, and the option of not proceeding with surgery.
This article outlines five areas that may be discussed during consultation. It is general information only and does not replace personalised medical advice.
Changes in facial tissue position may occur over time and can vary between individuals. During consultation, the practitioner may assess the skin, soft tissue, facial structure, and the relationship between the cheeks, jawline, and neck.
Surgical options, if suitable, may involve repositioning facial tissues. The approach depends on individual anatomy, medical history, previous procedures, and the patient’s suitability for surgery.
No surgical technique is appropriate for every patient, and no specific outcome can be predicted from the procedure name alone.
Some patients may have changes in facial volume or soft tissue support. These changes may be related to anatomy, ageing, weight change, previous procedures, or other individual factors.
During consultation, the practitioner may assess whether any surgical or non-surgical options are relevant. In some cases, no procedure may be recommended. In other cases, options such as facial fat grafting or tissue repositioning may be discussed as part of a broader surgical plan.
Any decision about volume adjustment should be based on clinical assessment and a discussion of risks, limitations, recovery, and alternatives.
The lower face and neck may be assessed together because the position of tissues in one area can affect surgical planning in the other. A practitioner may assess skin quality, soft tissue position, neck anatomy, and any functional or medical factors that may be relevant.
Surgical procedures involving the lower face or neck require careful planning. They may involve incisions, tissue repositioning, wound care, anaesthesia, and a recovery period. The likely recovery process and possible complications should be discussed before deciding whether to proceed.
Facial surgery should not be presented as a way to achieve a particular social, emotional, or psychological outcome. Individual experiences vary, and surgery may not address broader concerns about self-image, social confidence, work, relationships, or wellbeing.
A consultation should provide an opportunity to discuss the patient’s reasons for seeking information about surgery, whether those reasons are appropriate for surgical decision-making, and whether referral or further assessment is needed before considering a procedure.
Patients should have time to consider the information provided, including the risks, limitations, costs, recovery requirements, and alternatives.
Recovery after facial surgery varies between individuals. Swelling, bruising, discomfort, tightness, altered sensation, temporary changes around incision sites, and activity restrictions may occur. The time required to return to work, exercise, and usual activities depends on the procedure performed, whether procedures are combined, and individual healing.
Follow-up appointments are important so that healing can be reviewed and any concerns can be assessed. Patients should follow the post-operative instructions provided by their treating practitioner.
All surgery has risks. Risks of facial surgery may include, but are not limited to:
The likelihood and significance of these risks varies between individuals. A consultation is required to discuss personal risk factors and whether surgery is suitable.
A consultation with Dr Adam Honeybrook can be used to discuss facial surgery, available surgical options, risks, recovery, alternatives, and whether surgery is suitable for your circumstances.
Dr Adam Honeybrook is a registered medical practitioner with specialist registration in Surgery – Otolaryngology – Head and Neck Surgery. Registration number: MED0001602935.
To contact the practice, call:
Dr Adam Honeybrook (MED0001602935) is a registered medical practitioner with specialist registration in Otolaryngology – Head and Neck Surgery. He holds Board Certification in the United States in Facial Plastic and Reconstructive Surgery and Otolaryngology – Head and Neck Surgery. Dr Honeybrook has undertaken additional training in facial procedures and is a Senior Lecturer at the University of Queensland.
Dr Honeybrook obtained his medical degree from the University of New South Wales, Sydney. He completed basic surgical training at Royal Prince Alfred Hospital, Sydney, and passed the United States Medical Licensing Examinations. His training included experience at Vanderbilt University Hospital and Duke University Hospital.
Dr Honeybrook completed a Facial Plastic and Reconstructive Surgery fellowship at the University of Pennsylvania under the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). He later undertook another fellowship in Louisiana and served as an Assistant Professor of Otolaryngology.
In 2020, Dr Honeybrook returned to Australia and currently works as a consultant surgeon at the Royal Brisbane and Women’s Hospital. He is a Fellow of the Royal Australasian College of Surgeons (FRACS) and the American College of Surgeons (FACS). Dr Honeybrook has contributed to peer-reviewed research and presents at national and international conferences on various surgical techniques.
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