Our Summary

This research paper discusses the complex process of facial aging. It explains that our faces age due to several factors that work together, including changes in skin quality, the natural pull of gravity on our skin and underlying tissue, and the loss or apparent loss of volume in the face. The paper emphasizes that the most significant cause of this volume loss is changes in the structure and loss of bone in the face, which creates characteristic shadows and hollow areas. This is combined with changes in the soft tissue of the face, which the researchers are still working to fully understand. The study also mentions techniques like using a person’s own fat to restore facial volume and facelift surgery (Rhytidectomy).

FAQs

  1. What are the main causes of facial aging according to the article?
  2. How does skeletal remodeling and bone loss affect the appearance of the face?
  3. What is autologous fat grafting and how does it relate to facial aging and facelifts?

Doctor’s Tip

A doctor might tell a patient considering a facelift to also consider incorporating facial volume restoration techniques, such as autologous fat grafting, to achieve more natural and long-lasting results. This can help address the underlying cause of facial aging and complement the effects of the facelift procedure. It is important to have a comprehensive consultation with your doctor to discuss all available options and create a customized treatment plan that meets your individual needs and goals.

Suitable For

Facelift surgery is typically recommended for patients who are experiencing significant signs of facial aging, such as sagging skin, deep wrinkles, and loss of facial volume. Ideal candidates for facelift surgery are generally in good overall health, have realistic expectations for the outcome of the surgery, and are motivated to undergo the procedure for personal reasons rather than external pressure.

Patients who are bothered by the appearance of jowls, loose skin on the neck, and deep lines around the mouth and nose may benefit from a facelift. Additionally, individuals who have lost significant facial volume due to aging or weight loss may also be good candidates for a facelift, as the procedure can help restore a more youthful and rejuvenated appearance.

It is important for patients considering a facelift to consult with a board-certified plastic surgeon to determine if they are a suitable candidate for the procedure. The surgeon will evaluate the patient’s facial anatomy, skin quality, and overall health to determine the most appropriate treatment plan to achieve the desired results.

Timeline

Before facelift:

  • Patient may notice signs of aging such as wrinkles, sagging skin, and loss of facial volume
  • Patient may consult with a plastic surgeon to discuss options for facial rejuvenation
  • Surgeon will assess the patient’s concerns and goals, and recommend a facelift procedure if deemed appropriate
  • Patient will undergo pre-operative evaluations and preparations, including medical history review and blood tests

After facelift:

  • Patient will undergo the facelift procedure, which typically involves tightening of facial muscles, removal of excess skin, and repositioning of facial tissues
  • Patient will experience some swelling, bruising, and discomfort in the days following the surgery
  • Patient will follow post-operative care instructions provided by the surgeon, including keeping the incision sites clean and avoiding strenuous activities
  • Over time, swelling and bruising will subside, revealing the final results of the facelift procedure
  • Patient will enjoy a more youthful and rejuvenated appearance, with improved facial contours and tighter skin

Overall, the facelift procedure can provide long-lasting results for patients looking to address signs of aging and improve their self-confidence.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with a facelift procedure?

  2. How long is the recovery period after a facelift and what can I expect in terms of post-operative care and follow-up appointments?

  3. Are there any non-surgical alternatives to a facelift that may be suitable for my specific concerns?

  4. How long-lasting are the results of a facelift and will I need additional procedures in the future to maintain my desired appearance?

  5. Can you provide me with before and after photos of previous facelift patients you have treated?

  6. What specific techniques do you use during a facelift procedure and how do you customize the treatment to meet my individual needs?

  7. Are there any lifestyle changes or precautions I should take before and after the facelift to optimize the results and minimize potential risks?

  8. How much experience do you have performing facelift procedures and what is your success rate with this type of surgery?

  9. What type of anesthesia will be used during the facelift procedure and what are the associated risks or side effects?

  10. What are the costs associated with a facelift procedure, including any additional fees for anesthesia, facility use, and post-operative care?

Reference

Authors: Buckingham ED, Smith SW. Journal: Facial Plast Surg Clin North Am. 2020 Aug;28(3):397-407. doi: 10.1016/j.fsc.2020.03.011. PMID: 32503721