With facial aging, many different areas of the face can begin to change at different rates and to different degrees and generally speaking, face lift procedures only address the lower two-thirds of the face. Therefore, when a facelift surgery is being considered it is prudent for the rest of the remaining facial features to be evaluated at the same time. These areas include the brow (forehead), upper eyes, lower eyes, midface, skin and nose. If one area of the face is rejuvenated while another area remain appearing older, an out-of-balance facial appearance can result. Therefore, a facelift is often combined with a browlift, facial fat grafting, upper eyelid surgery, lower eyelid surgery, skin treatments and/or rhinoplasty depending on each patient’s own personal needs and desires from surgery.
Facial fat grafting to the midface is an essential component of the volumetric facelift. It is well known that we all lose the fat in our face as we age which can lead to a deflated, tired and sunken appearance in the midface and a gaunt, unhealthy appearance in the cheeks. Fat grafting is safe and scarless. In addition, the patient’s own tissue is used and there is typically an inexhaustible supply. Facial fat grating simply restores what has naturally disappeared over time and the use of fat grafting allows for rejuvenation of the facial skin from the inside out because it is living tissue that continues stem cells and growth factors. Facial rejuvenation needs to move ones appearance in the direction of freshness and rested rather than looking artificial and plastic. Facelift surgeons that are not employing fat grafting in to their facelift armamentarium will undoubtedly fall behind the cutting edge of facelifting. As a contemporary surgeon, I feel plastic surgeons should be behaving more like sculptors than mere tailors in order to offer patients the best possible results and beautiful outcomes. Fat grafting requires the surgeon to think in three dimensions and to have an aesthetic sensibility that can often supersede technical arguments in importance. Unfortunately, this artistic ability does not come naturally to all surgeons and it cannot be taught much in the same way that you cannot teach a house painter to paint a timeless portrait of Mona Lisa. As more artistic surgeons begin to understand the potential magic of fat grafting, the evolution of facelifting will truly begin to advance to the next level.
Chemical peels and laser resurfacing can be done to reverse skin damage such as deep facial wrinkling and fine lines. These types of procedures are only safe in areas where extensive undermining was not performed during the facelift surgery (such as around the moth and eyes). A full-face resurfacing can more safely be done after six months of healing from the facelift. Sometimes chemical or laser assisted resurfacing of the skin is used to treat fine lines and reverse skin damage.
A chin implant can often be added during a facelift in order to strengthen the jawline and lengthen the neck which can help to create a more youthful and elegant neckline. Other adjunctive procedures include blepharoplasty, rhinoplasty, browlift, lip lift, corner of the mouth lift and Botox injections.
- Day Of Surgery
- Post Operative 1 day | 1 week | 1 Month | Long Term
- Male Facelift Surgery
- Revision Facelift Surgery
- Alternative Procedures
- Combined Procedures