Our Summary

This research paper discusses the effects of aging on the face, specifically how ligaments in the face weaken over time, causing parts of the face to sag. Traditional facelift techniques do not always address this issue satisfactorily, sometimes leading to an unnatural appearance.

The authors suggest that more advanced facelift techniques, which involve releasing certain ligaments, can help reposition sagging fat in the face and reduce the appearance of deep lines around the nose and mouth. These techniques can bring about a more balanced rejuvenation of the face.

However, such procedures carry a risk of facial nerve injury. Thus, many surgeons opt for less invasive methods. The researchers propose a modified technique that allows for a safe release of a key facial ligament, leading to a better balance in facial rejuvenation without needing a separate procedure for the middle of the face. This method also improves the contouring of the neck and jawline.

The study provides a detailed guide on how to carry out this modified facelift and neck lift surgery safely and successfully.

FAQs

  1. What issues are associated with traditional facelift techniques?
  2. How can more advanced facelift techniques address the issue of sagging facial fat?
  3. What risks are associated with advanced facelift techniques that involve releasing certain ligaments?

Doctor’s Tip

A doctor might tell a patient considering a facelift that there are advanced techniques available that can provide a more natural and balanced rejuvenation of the face. These techniques involve releasing certain ligaments to reposition sagging fat and reduce deep lines. However, it is important to be aware of the potential risks, such as facial nerve injury. It is recommended to discuss all options with a qualified surgeon to determine the best approach for achieving the desired results.

Suitable For

Patients who are typically recommended for this modified facelift procedure are those who are experiencing significant sagging in the lower face and neck, deep lines around the nose and mouth, and a loss of definition in the jawline. These patients may be seeking a more balanced and natural rejuvenation of their face without the risks associated with traditional facelift techniques.

It is important for patients to have realistic expectations about the outcomes of the surgery, as well as to be in good overall health and not have any underlying medical conditions that could complicate the procedure. Patients should also have a consultation with a qualified and experienced plastic surgeon to determine if they are a suitable candidate for this modified facelift technique.

Overall, patients who are looking to address sagging in the lower face and neck, deep lines around the nose and mouth, and improve the contouring of their jawline may benefit from this modified facelift procedure. It is important for patients to do their research, consult with a qualified surgeon, and have realistic expectations about the outcomes of the surgery before proceeding.

Timeline

Before the facelift procedure:

  1. Patient consults with a plastic surgeon to discuss goals and expectations
  2. Pre-operative assessment and preparation, which may include blood tests and medical history review
  3. Patient may be advised to stop smoking and avoid certain medications that can increase bleeding
  4. Surgical consent and discussion of risks and complications

During the facelift procedure:

  1. Anesthesia is administered
  2. Incisions are made in inconspicuous areas, such as around the ears
  3. Facial tissues are lifted and repositioned, excess skin is removed
  4. Deep facial structures may be adjusted to restore a more youthful appearance
  5. Incisions are closed with sutures or skin adhesives

After the facelift procedure:

  1. Recovery period, which may include swelling, bruising, and discomfort
  2. Follow-up appointments with the surgeon to monitor healing and address any concerns
  3. Gradual improvement in appearance as swelling subsides and scars fade
  4. Patient can resume normal activities after a few weeks, with final results becoming apparent over several months

Overall, a facelift procedure can provide long-lasting results in rejuvenating the face and reducing signs of aging. It is important for patients to carefully follow post-operative instructions to ensure a successful outcome.

What to Ask Your Doctor

Some questions a patient should ask their doctor about facelift surgery based on this research paper include:

  1. Can you explain the traditional facelift techniques and how they may not address weakening ligaments in the face?

  2. What are the potential risks and complications associated with facelift surgery, particularly in relation to facial nerve injury?

  3. Can you explain the modified facelift technique mentioned in the research paper and how it differs from traditional methods?

  4. How does the modified facelift technique address sagging fat in the face and reduce the appearance of deep lines around the nose and mouth?

  5. What are the expected results of the modified facelift technique in terms of facial rejuvenation and contouring of the neck and jawline?

  6. What is the recovery process like for the modified facelift technique compared to traditional methods?

  7. Are there any specific factors or considerations that make a patient a better candidate for the modified facelift technique?

  8. Can you provide before and after photos of patients who have undergone the modified facelift technique to demonstrate its effectiveness?

  9. How many times have you performed the modified facelift technique, and what is your success rate with this procedure?

  10. Are there any additional procedures or treatments that can complement the results of the modified facelift technique for a more comprehensive facial rejuvenation?

Reference

Authors: Cakmak O, Emre I. Journal: Facial Plast Surg. 2022 Dec;38(6):584-592. doi: 10.1055/a-1862-9024. Epub 2022 May 26. PMID: 35617950