Aging of the face affects each patient individually and therefore, consideration of any facial rejuvenation is a very personal decision. The facelift procedure, or rhytidectomy, addresses many aspects of the aging face in order to restore a refreshed, more youthful appearance. Areas of concern may be varied or specific.
Commonly, the regions of the jowls and cheeks are of particular interest to patients. With age, there is a loss of the youthful volume in the mid-face region in most patients. There also may be a concern regarding the definition of the jaw line, or excess tissue of the neck that can be seen as fullness, vertical bands, or the blunting of the angle below the jaw. The appearance of lines near your eyelids or around the mouth, or a lowering of the position of your brow may also be evident. While all of these issues may be addressed surgically, no cookie-cutter operation will achieve all of the goals that you may seek. The facelift operation must be specifically customized to each and every patient.
When considering a facelift procedure, careful assessment must involve evaluation of your facial balance. Your skin quality, the appearance and position of facial lines, and additionally your general health of the patient must be carefully addressed, as must the bony facial structure. The meticulous analysis of the patient's facial form is one of the most interesting aspects of plastic surgery.
As techniques in facelift procedures have evolved, many operations have been touted as the best way to achieve a youthful appearance. I believe that a safe approach to the facelift procedure is of foremost importance, and that an individual may benefit from a combination of surgical techniques. The SMAS, or suspension layer of the face, is almost always addressed in these operations. This layer is in continuity with the superficial muscle layer of the neck, and this can be taken advantage of in the contouring of a mini-facelift, or limited-incision procedure. The SMAS layer can be manipulated during surgery to provide a thinner facial shape in patients with a round face, or the SMAS can be used in different ways to provide volume to a face that appears hollowed. Improvement of the contour of the cheek may be performed by manipulation of the SMAS layer, or alternatively by lifting from a well-hidden eyelid approach. It is specific knowledge of facial anatomy, combined with a breadth of surgical techniques that allows your plastic surgeon to create an individualized approach for facial rejuvenation.
In combination with the facelift operation, ancillary procedures may be utilized to achieve optimal results. These may include eyelid surgery such as blepharoplasty, brow elevation, lip lifting or augmentation, or filling in the deeper lines above and below the corners of the mouth: the nasolabial folds and marionette lines. In depth discussions of each of these procedures allows the patient, as well as the surgeon, feel comfortable with the decision making process.