Understanding Facial Aging
Despite the fact that all of us are unique individuals with different facial structures, our faces change in predictable ways as we age. Aging and gravity are powerful forces, and the changes that you're seeing happen to everyone, sooner or later. These changes start at different ages in different people, often determined by genetics, environment, sun exposure, smoking, activity, and general health. Most patients start seeing the very first changes in their mid-to-late 30's.
Losing Structural Support
Your skin sags, your cheeks start to fall, your chin droops, and the skin under your neck stretches. What's happening? You are losing structural support. The fine connective tissue framework of your face is loosening and stretching due to gravity and years of facial expression. You'll hear terms such as "turkey neck" or "jowls" referring to these changes.
If you think your face reflects loss of structural support-you need to consider a facelift (either partial or full). Non-invasive treatments such as fillers do little to solve the problems of loss of structural support and may make you look unnatural.
Losing Skin Quality
You see lines and wrinkles (called rhytids in plastic surgery parlance) where your skin used to be smooth. The surface of the skin looks older, and you may notice discolorations and blotchiness. Our doctor recommends the fractionated co2 laser for rapid healing and smoother skin (recommended by Vogue magazine, April 2009 -as best skin laser).
Exposure to the sun and smoking accelerates the aging process. Sun rays and nicotine both damage the blood supply to the skin, resulting in a dull ash-like skin texture.
If patients do not change their smoking habits or sun-exposure, the results of the laser treatment will not last. Use of sunblock and proper hydration are also very important for youthful, healthy skin. Our doctor's facelift surgery also addresses the loose skin and muscle by lifting it from below the muscle, resulting in a natural, youthful and tight look, without a stretched appearance.
Dealing with the Effects of Aging Loose Muscles Under Skin
Many superficial muscles in the face (so called SMAS layer-or Superficial Muscular Aponeurotic System) have an attachment into the skin. These muscles age and droop with the skin and result in a deepening of the nasolabial folds around the mouth as well as the jowl. In the neck, this muscle is called the platysma and as it loosens, we develop neck bands and the jawline definition is lost. Our doctor’s facelift and necklift procedures targets these loosening muscles by going under them (without separating them from the skin as in a traditional SMAS facelift) and lifting them to their more youthful position from the deeper plane underneath these muscles. This not only achieves jawline and cheek definition but expedites recovery since the muscle layer is not separated from the skin layer. By not separating it from the skin, less bruising and swelling occurs.
Losing Facial Volume and how to treat it?
Another change that you may see as you age is the loss of fat and volume around your cheeks and, lips and eyes. This loss of fat and muscle leads to a hollow or sunken appearance to the cheeks and eyes. This is accompanied by a fullness lower in the face next to the mouth (so called jowl). This jowl consists of fat and muscle that dropped with gravity. So not only does fat and muscle volume become less but whatever fat or muscle is there drops to the wrong area (jowl) with gravity. Our doctor's modified lower facelift addresses this descended cheek fat and muscle by going under it in the deeper plane and repositioning it to its original youthful position under the cheekbone. This recreates the youthful cheekbone and jawline definition. This is in contrast to older facelift techniques like skin lifts which just tighten skin or older SMAS techniques which separate the muscle layer from the skin, thinning out the face and creating a pulled, unnatural look. Our doctor modified and developed newer techniques which address all components of aging which include dealing with loosening muscle and sagging jowl fat. If the patient has a really thin face and requires more volume, Our doctor will include fat injections with the facelift procedure, to regain youthful volume.