Facelift (Rhytidectomy)

Facelift surgery (rhytidectomy) at Dr Joshua Berkowitz Sydney addresses facial ageing through surgical repositioning of descended soft tissue, removal of excess skin, and tightening of the underlying SMAS layer. Targeting jowls, deep nasolabial folds, mid-face descent, and neck laxity, the procedure produces a natural and lasting facial rejuvenation. Performed under general anaesthesia by specialist plastic surgeon Dr Joshua Berkowitz in Sydney, NSW.

Facelift surgery (rhytidectomy) offered by Dr Joshua Berkowitz in Sydney, NSW, Australia, is a comprehensive surgical procedure designed to address the structural changes that occur in the face and neck with advancing age. As facial soft tissues lose volume and skin elasticity diminishes over time, the cheeks begin to descend, jowls form along the jawline, deep nasolabial folds deepen, and the neck develops excess skin and platysmal banding — all features that can create a tired or aged appearance that does not reflect how a patient feels internally. Dr Berkowitz's approach to facelift surgery in Sydney targets the underlying anatomical causes of this ageing rather than simply removing excess skin. The procedure addresses the superficial musculoaponeurotic system (SMAS) — the fibromuscular layer beneath the facial skin — which is repositioned and tightened to restore structural support to the overlying soft tissue envelope. The mid-face and cheek fat compartments are repositioned superiorly to restore youthful cheekbone prominence; descended jowl tissue is lifted and the jawline definition is restored; the neck platysma muscle is addressed for patients with neck laxity or banding; and excess skin is trimmed and redraped around the ear with well-concealed incision lines. The outcome is a natural-looking facial rejuvenation without the overly tight or 'done' appearance associated with skin-only tension techniques. Surgery is performed under general anaesthesia at an accredited Sydney facility. Recovery involves swelling and bruising for approximately two weeks, with most patients returning to social activities at two to three weeks and final results appreciated at three to six months. A thorough pre-operative consultation at Dr Berkowitz's Sydney practice assesses facial anatomy, skin quality, degree of ptosis, and patient goals to design the appropriate surgical approach. In Australia, all facial surgery pricing is provided at consultation in compliance with TGA advertising regulations.