This surgery is designed to revitalize the bottom third of the face by tightening the underlying facial structures that tend to slacken with age. It effectively eliminates jowls, smoothes out deep wrinkles, raises the corners of the mouth, and reduces loose skin on the neck and jawline. The end result is a noticeable lift to the bottom third of the face.
The procedure for a lower facelift is pretty much the same as that of the standard one. The only difference is that only the bottom third of the face is being addressed. There are several techniques that can be used for a lower facelift. Your surgeon will select the best approach based on your facial anatomy and patterns of aging. The two most commonly used techniques are the S Lift and the SMAS lift. While both can improve the look of an aging neck, they can be combined with a neck lift to achieve a more remarkable rejuvenation of the neck area.
As we age, changes occur in the upper, middle, and lower portions of the face. However, the changes in the middle section often occur earlier than those on the lower face. Such changes include sagging of the cheeks, deep wrinkles, loss of volume, and development of hollow areas below the lower eyelids. The mid-facelift is ideal for patients who don’t have sagging in the lower face. It effectively restores the face’s inverted cone appearance instead of the square look that develops through mid-face sagging. It can also smooth the nasal labial folds and elevate the cheeks to shorten the gap between the lower eyelid and the cheek, thereby giving a more youthful appeal.
A mid-facelift can be performed using different surgical techniques. During the ’90s, surgeons opt for facial implants to fill and lift the mid-third of the face. However, this approach became less popular when endoscopes were developed to access and lift the mid-face. With this technique, the surgeon makes small incisions above the hairline where the endoscope can be inserted. To gain access to the fat deposits that need to be lifted, the surgeon uses blunt forceps to elevate the underlying tissues. Then working toward the mouth, the surgeon lifts the tissue to create a small tunnel in the mid-face. The surgeon can also make incisions inside the mouth, along the gum line.
In both techniques, the surgeon places suspension sutures in the fat deposits that have shifted downward over time. The surgeon then threads the sutures through the incisions to lift the fat deposits and anchor them in a higher position. This gives the cheek area a lift deep underneath the skin and restores the round contours of the mid-face.
A forehead lift is slightly less dramatic than a complete facelift, focusing primarily on the upper part of the face. This procedure is particularly suited to individuals who have noticeable wrinkles on their forehead or worry lines between their eyebrows. There are a variety of different forehead lift procedures that are designed to address or deal with specific problems like a receding hairline, or male pattern baldness. In some instances, a forehead lift can lower the hairline, for example.
Though some individuals opt for Botox as a quick, though temporary fix to forehead wrinkles and worry lines, a forehead lift (also known as a brow lift or browplasty) can have dramatic, long-lasting results. There are four different types of surgery that can accomplish the goal of lifting the forehead and the brow to create a more youthful and more rested look:
- A petrichial lift is a procedure that lowers a patient’s hairline while simultaneously reducing wrinkles on the face. Not all patients want their hairline lowered and so this procedure is not appropriate for everyone. However, a petrichial lift may solve two problems with one procedure if a patient desires a lower hairline as well as fewer forehead wrinkles.
- The endoscopic lift can raise your hairline, making this procedure undesirable for individuals who have hair that is receding already. However, an endoscopic forehead lift is ideal for patients seeking a subtle eyebrow lift that is less dramatic than other types of forehead lift procedures. An endoscopic lift involves five incisions behind the hairline, which differentiates it from other procedures requiring one continuous incision.
- Coronal forehead lifts are among the oldest and most well-known types of forehead lifts. In a coronal lift, a large, continuous incision is made from ear to ear across the top of the head. A small strip of tissue is removed between the scalp and the skin of the face, slightly raising the hairline. Muscles and tissues are then readjusted to remove wrinkles in the forehead.
- Finally, a direct brow lift or mid-forehead lift is particularly popular among men who do not have a lot of hair. Direct brow lift incisions are hidden in the face where worry lines form rather than in the hairline.
Eyelid surgery, also known as blepharoplasty, is a popular choice among patients who wish to have a more rested appearance. This surgery reduces the amount of sagging in the upper eyelids and sometimes involves the removal of excess fatty deposits that can cause the upper eyelid folds to droop. Bags underneath the eyes as well as wrinkles can also be corrected to produce a youthful look.
Your surgeon will suggest one of several techniques to improve the appearance of your eyelids. The best technique will depend on a number of factors such as the position of your eyebrows, the amount of excess fat and skin in the eyelid, as well as the condition of the muscles around your eyelids. After the surgery, the recovery process is gradual so you must wait for several weeks to see the final outcome of the surgery. The incisions will fade over a couple of months and will eventually become barely visible. The removal of fat from your eyelids, which is often the cause of bags and puffiness, is permanent and these problems generally won’t recur. The results of eyelid surgery are usually long-lasting although they can be influenced by heredity as well as your lifestyle.