Facelift / Neck Lift
Sagging and volume loss of facial tissues is a natural part of the aging process. Surgical facial rejuvenation describes a group of surgical procedures that return the facial tissues to a youthful position, remove excess skin, and replace lost volume. The effects of these procedures do not stop aging, but rather turn back the clock; many patients return for additional surgery to correct new signs of aging that develop over time.
Descent of the brow occurs with aging. In women, the youthful brow should sit above the bony rim, and have a gentle lateral peak when the forehead is relaxed. In men, the youthful brow should sit at the bony rim. Depending on the amount of descent, different approaches can be used to lift the brow to its optimal position.
The facelift incision is traditionally located in front of the ear, and is partially hidden by the ear and hairline. The incision enables the surgeon to lift excess skin off the face and tighten deeper tissues, resulting in a youthful repositioning of facial fat and a redefined jawline.
A neck lift can address sagging neck skin, lines across the neck, and neck bands. A neck lift uses incisions behind the ear, in the hairline, and under the chin to access the muscles of the neck. The neck muscles are tightened, and excess skin and fat is removed.
With fat grafting, fat is taken from one part of the body via liposuction and injected into the face to replace volume loss. Fat grafting is usually completed over multiple operations, as the amount of fat “take” following grafting can be as low as 30%.