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Face & Neck Lifts

 

Our patients who seek evaluations for facelift surgery express that they feel disconnect between how they look and how they feel. This mismatch is often due to the effects of aging that they see in their face, vs the youthful nature they still feel.  This mismatch can be with a  face lift surgery, or a non-surgical laser facelift procedure, giving  your facial features a refreshed and defined, yet natural look.

 

Face & Neck

Three regions are addressed in rejuvenating the aging face. The midface, or malar region undergoes hollowing and descent of natural fat pads as the aging process unfolds. During a surgical facelift, the native fat pads are lifted to restore the volume in the cheeks in order to enhance the underlying bony contour. The lower face, which includes the area around the mouth and lower jawline demonstrate deepening of the cheek folds along with development of the dreaded joweling along the jawline. Suspension of the platysma during a facelift will restore the smooth jawline and soften the deepened folds. With advanced aging, the neck may develop platysmal banding, or a ‘turkey gobbler.’ There may also be a double chin as fat accumulates beneath the weakened muscle and loose skin.

While we all desire the simplest and least invasive approach to correcting the effects of aging, certain issues require the appropriate technique to achieve the most natural and long-lasting results. The following are the main areas addressed in facial rejuvenation surgery:

Submental Fat

Patients who only need liposuction beneath the chin without a lift are generally younger without significant muscle or skin laxity. When performed in the lower face and neck, care is taken to avoid a hollowed look.

Muscle Laxity

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Platysma Muscle Suspension

The platysma muscle sits beneath the skin of the neck and lower face, enveloping fat pads. Over time, this muscle loosens and sags, causing deepening of the cheek folds, cheek fat pads, joweling of the jawline, and banding under the chin. These bands or ‘turkey gobblers’ deceptively look like loose skin, but move with muscle contraction. Platysmaplasty is a procedure performed through a small incision under the chin, where the bands are tightened and flattened. This is frequently done during a face and necklift along with submental liposuction. It is performed without face or necklift in younger patients with adequate neck skin elasticity.

Descent of Fat Pads

midface_img2The face possesses certain fat pads that provide natural fullness and contour. As one ages, these fat pads in the cheeks and under the eyes lose volume and begin to descend. The resultant effect is hollowness beneath the eyes and cheekbones along with deepening of the cheek folds and appearance of jowels. These fat pads are embedded within the platysma muscle. Isolating and (re)suspending this sheet of muscle will raise these fat pads into their native position, restoring a full and youthful look.

Skin laxity

Loose and excess skin is corrected with face and necklift. Patients with milder skin laxity or aversion to anesthesia are also candidates for the less invasive laser facelift. In cases of significant skin laxity and muscle looseness, surgical facelift and necklift will help achieve the most natural results. The incisions have minimal visibility through well camouflaged incisions placed within creases around and behind the ears and hairline. Platysmaplasty is almost always combined with surgical facelift and necklift, as a saggy plastyma muscle needs to be addressed as well.

Bony Framework Deficiency

1Microgenia, or small underprojected chin can hinder optimization in lower facial rejuvenation. The deficiency can be present throughout life, or develop as bones are resorbed throughout the aging process. Through a small incision beneath the chin or inside the mouth, a naturally contoured sterile chin implant can have a dramatic effect on augmenting the jawline and balancing out the facial proportions. This procedure is also commonly performed with rhinoplasty to facilitate balance between the nasal and chin area.