Facial aging reflects the dynamic, cumulative effects of time on the skin, soft tissues and deep structural components of the face, and is a complex synergy of the skin textural changes and loss of facial volume. Many of the facial manifestations of aging reflect the combined effects of gravity, progressive bone resorption, decreased tissue elasticity, and redistribution of subcutaneous fullness.
A convenient method of assessing the morphological effects of aging is to divide the face into the upper third (forehead and brows), middle third (mid face and nose), and lower third (shin, jawline, and neck). The mid face is an important factor in facial aesthetics because perceptions of facial attractiveness are largely founded on the synergy of the eyes, nose, lips, and cheek bones (central facial triangle). For aesthetic purposes, this area should be considered from a 3-dimensional rather than a 2-dimensional perspective, and restoration of a youthful 3-dimensional topography should be regarded as the primary goal in facial rejuvenation.
When considering facial rejuvenation, Dr. Clark will discuss your particular concerns. Every patient is different in how they see themselves and what in particular bothers them. The goal with facial rejuvenation is to improve the shape of the face and create youthful contours by re suspending facial muscles, replacing lost volume and removing redundant, sagging skin. It takes experience to make the correct diagnosis and create a safe, definitive surgical plan. Often this plan can be designed to improve the upper face (forehead and eyes) the mid face/cheek contour, volume and the lower face (jowling, neck laxity).
An interesting example of facial rejuvenation and restoring lost volume of the face can be seen in this patient treated in 2015. Six months following her facial rejuvenation I was seeing her on a post-operative visit and she offered me an interesting photo. Every few years she would visit Graceland (Elvis’ home). She wanted to show me the untouched photo her girlfriend took 4 years prior to her treatment compared to a photo with “Elvis” 6 months following her treatment. It displays how facial rejuvenation can re suspend sagging tissues, return lost facial volume and create a more youthful shape to the face.
There are multiple approaches and techniques available to improve the contour and smoothness of the face, cheeks, jawline, and neck. Better harmony of the units of the face and neck is the goal while addressing both the underlying laxity of supporting structures and layers as well as the looseness of the overlying skin. These outpatient procedures are performed under sedation or general anesthesia. The trend now is to offer less extensive procedures at younger ages to help preserve a nice facial balance.
As we age our skin loses its elasticity, facial muscles lose support and volume loss changes the shape of the face. Today men and women in their 50s and 60s are healthier, more active and more productive than ever before. More and more people are choosing to age gracefully by setting back the clock a few years through facial cosmetic surgery.
While we often include everything from the brow to the chin, from ear to ear as the face, a facelift is primarily focused on the mid-face and cheek region. For some patients, an eyelid liftmay also be recommended to achieve their overall desired result. Others may benefit from a brow lift and/or a necklift, allowing for facial rejuvenation in the upper, mid and lower face.
Dr. Clark is an active member of two prestigious professional societies for board-certified plastic surgeons, the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS). Click here to review the educational material from the ASPS. Click here for information from the ASAPS. You can also a video presentation about what to expect and tips for recovery below. Simply use the dropdown and select ‘Facelift’.