Face Lift – A Closer Look At Novel Surgical Trends

Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;}   Face lifting was performed firstly inthe early years of the 19 th century. Throughout the most of the 20thcentury a face lift mostly involved skin surgical excision and undermining. Arevolution occurred in the 1970s when the public became exponentially moreinterested in the procedure and some surgeons started using surgical techniquesthat aided in dissection of the superficial fatty layer of the face incontinuity with that of the neck. Since then, techniques have been describedthat involve every possible skin incision, extent of tissue manipulation, planeof dissection, type of instrumentation, and method of fixation. Many of theseinnovations provide little long-term benefit when compared to skin underminingthat would expose the patient to more risk.   Placing tension on the skin is no morean effective way of lifting the face and leads to the “face-lifted” look and unpleasantscars in addition to distorting the facial landmarks such as the front hairlineand the ears. The current new trend is toward redistributing, or augmenting,facial volume, rather than flattening it with excessive applied tension.   New face lift surgical trends aredirected toward less invasive surgical procedures as it has been proved byresearchers that the more “invasive” surgical techniques have not reproducedbenefits in comparison with their risks. Moreover, the public outgrowing demandfor rapid recovery has widely marketed the acceptance of simplified procedures.The ultimate goal of a face lift should be to help the patient look better, notawkward or operated on. Excessive tension, massive removal of facial fat,exaggerated changes, and focusing on one region while ignoring another may betranslated into disharmony. The face is best manipulated and analyzed equallyconsidering the entire face and the entire body, not the individual component ofeach, lest the “forest would be lost for the trees.”   Recognition of areas of facial atrophyis pivotal in determination of the right surgical approach for face lifts. The progressionof aging not only involves sagging of the tissues and deterioration of the skinitself but also atrophy of underlying tissues, especially fat, in certain regions.Most patients are best treated with limited removal of fat from certain areas. However,other cases are best served by addition of fat to areas of marked skin atrophy.   Face lifts are perfect therapeuticoptions for only lid drop (ptosis) and atrophy of facial subcutaneous tissues. Facelifting can’t improve the quality of the facial skin itself. Accordingly, face liftingis not a treatment for sun damages, wrinkles, creases, or irregularpigmentation. Fine wrinkles and irregular pigmentation are best treated withskin care and resurfacing procedures.   Dr Calvert is a certified Board PlasticSurgeon (Los Angeles) who specializes in face lifts. Dr Calvert abides by thenovel trends in plastic face lifting. He will help you decide if you’d reallybenefit from a facelift. Dr Calvert now uses endoscopic face lift techniqueswhich have proven efficacy by providing better assessment of the structuralanatomy and the overall state of the facial tissues.

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  Face lifting was performed firstly in the early years of the 19th century. Throughout the most of the 20th century a face lift mostly involved skin surgical excision and...

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