Facelifts: Turning Back Your Age

Posted: Dec 26, 2010 |

The whole idea of facelifts should be to look like a younger, fresher version of yourself.  You should not look different or like someone other than yourself.  Face lift results should be like turning back the clock.  It will look this way, as well as being very natural, as long as it's done properly.  But there are limitations for facelifts. Click to view more about facelifts.

If someone has a great deal of sun damage, if they have smoked a number of years, if they have abused alcohol, or if they are 65 or older, then they may not be able to achieve as dramatic a change as they might wish.  Also, if you have very fair Scotch Irish complexion, then the skin has a usually thinner dermis (this is the thick elastic part of the skin), and this will have less elasticity and show wrinkles more quickly with time.  Therefore, these patients usually do not get quite as good a result or as long lasting a result.  The lift will hold up well, but the skin will tend to form lines and redundancy more quickly. 

Also, as we age, part of the aging process is a decrease in blood supply to all parts of our body, including our face.  Our skin becomes thinner and we have less thickness and elasticity in the dermis.  But one of the key things in aging, that most people don't recognize, is that our faces deflate.  That is, as we age, we tend to lose our facial fat and become more gaunt in appearance.  If you look at a young person's face, it is full, soft and round.  This is why that removing while it's perfectly okay to remove fat in the neck and submental (underneath the jaw) area, you never wish to remove fat in any significant amount in the face itself.  Facial fat is precious and something that will continue to decrease as we age.  One of the mistakes that plastic surgeons made a while back was to remove buckle fat.  This is a very specialized fat pad in the cheeks and surgeons were removing it from a small incision inside the mouth in order to give a more defined cheek bone look and a less round face look.  The problem is, that this improvement may look good for 5 or 10 years, but then for the next 30 or 40 years, you will have a hollowed cheeked, gaunt, unattractive look.  So, removing buckle fat is indicated only in a very few people say most surgeons.

The facelift operation, perhaps along with breast augmentations, are the operations that seem to define plastic surgery today.  My own personal belief, after doing almost 2,000 facelifts, is that doing a skillful facelift is a very complex, detail ridden and frequently poorly understood surgery that can be absolutely spectacular if it's done well and truly appalling if it's done badly.  In my San Diego facelift practice, it became the single most popular and common surgery that I did and probably the one that gave me the most satisfaction when I felt I had done it just right.  I never ceased to be excited about how dramatic a change it could effect, particularly when accompanied by the other procedures that were frequently necessary, such as browlifts, upper and lower eyelid surgery, and lip augmentation.  In the right patient with good skin who was between 45 and 55, you could frequently make a difference of 10-15 years in the way they looked.  I realize my old chief in my residency would definitely scold me for saying that, but after asking my patients and nurses and the patient's family, I believe I can safely make that statement on what degree of improvement is possible in the ideal patient.  View more about my San Diego facelift plastic surgery center using the link www.drdavidwolf.com.

San Diego Face Lifts

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