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.

Cheek and Midface Lift

Cheek fullness or good volume of the midface is an essential component of an attractive, youthful appearing face. with the aging process, the fat pad that normally drapes over the cheekbones begins to sag and lose volume. This changes the shape of the face by creating less prominent cheekbones, a hallowed appearance under the eyes, a deep laugh line between the nose and lip (nasolabial fold) and jowls in the lower cheek. A cheek or mid facelift can be performed either alone or in combination with a brow lift to improve the upper face or a lower facelift which improves the neck and jowls. Dr. Clark, who is a board certified Plastic Surgeon with additional residency training in Maxillofacial surgery, uses minimally invasive, cheek and midface techniques with limited incisions,

The cheek incisions are resuspended over the cheek tissue bone restoring the more prominent youthful contour, improving the tear trough and the lower lid region while adding volume to the cheek. This procedure looks very natural.