A Facelift, or rhytidectomy, is a procedure that aims to tighten and smooth the face, giving an overall younger appearance. This is done by tightening the muscular and fascial layers of the face and neck and redraping the skin, removing any excess.
Different regions of the face can be "lifted," such as the forehead, midface (cheek area), lower face (jawline), and neck. These can be done together or individually, with the patient's specific goals in mind.
Many procedures complement well with a facelift, including eyelid surgery, fat grafting, rhinoplasty, and chin augmentation. Suggestions about combining any procedures are strictly aimed to achieve the patient's goals.
A brow lift is a procedure that aims to lift the forehead and temporal region of the face. This typically consists of an incision along the hairline, separating the skin and soft tissue from the bone, and anchoring it at a higher point. This results in a smoother forehead, free of deep wrinkles, and eliminating any brow hooding over the eyes. Ultimately this gives a younger, less "angry" appearance, while also occasionally fixing functional drooping into the field of vision.
Eyelid surgery, known as blepharoplasty, can target the upper or lower eyelids, or both. The goals with upper blepharoplasty are to remove excess skin of the eyelid, and occasionally excess fat. This removes redundancy that bunches when the eyes are open, making the eyes look younger. In certain situations, results can benefit from additional fat grafting when the eyes are deeply sunken in.
With lower blepharoplasty, the main goal is usually to remove "bags" underneath the eyes. These bags occur because fat within the eye socket herniates out. Treatment involves removing the herniated fat and redraping the skin.
Occasionally, a small sliver of skin may be removed. An add on in certain situations can be a cathopexy, which involves raising the lateral corner of the eye. This isn't always needed, but can accentuate results when done.
Rhinoplasty, or a nose reshaping surgery, involves various techniques aimed at providing different support and shape to the nasal subunits. Goals are highly variable with nasal surgery and that makes this one of the more diverse surgeries that are done. Depending on the patient's goals, cartilage can be manipulated, removed, or added in an effort to achieve the right functional and cosmetic results.
Ear reshaping surgery, or otoplasty, is another surgery that can encompass various techniques to achieve changes in the shape and structure of the ear. This can involved pinning ear back further on the head, adjusting ear lobe size, adjusting asymmetries, and more.
Chin augmentation is the process of enhancing the size and projection of the chin. This can have a dramatic improvement in the facial appearance, as it can balance a deficiency that ultimately affects multiple proportions in the aesthetics of the face. Typically this will involve inserting an implant that matches with the necessary goals of each patient. It is relatively simple and completely transforms the lower face contour.
Lip reshaping surgery can involve many techniques, including lip lift, lip reduction, or lip enhancement. Depending on the goals, the lip can be enhanced, which is typically done with autologous fat; reduced by removing portions of the inner lip; or lifted by eliminating skin above the lip to decrease the distance from the nose to the lip, while rotating it and allowing a fuller look.
While facial surgery, when done properly, has some of the most dramatic anti-aging results in our field, there are still limits. Fine lines and wrinkles are one of the main limits. Fine wrinkles in the skin are typically unable to be completely eliminated surgically, no matter how tight a lift can be. Instead, the field has developed incredible laser technology and can induce damage in the various layers of skin, allowing your own body to build collagen to repair itself. This process builds the necessary collagen that is able to smooth fine lines. The carbon dioxide (CO2) laser is one of the best technologies for this effect. It can be used independently or in combination with other facial surgery procedures.
Facial Liposuction is similar to traditional liposuction with the exception of using smaller cannulas. This is needed because sculpting that is done in the face is at a much finer level. This can be done independently or in combination with other procedures, such as a facelift.
Facial fat transfer is typically an underutilized, and unappreciated procedure. The major changes of aging in the face occur from not only "sagging" of the fat, but also atrophy, or fat loss. Fat transfer involves taking fat from any part of the body, purifying it to obtain only the best fat cells, and injecting them into areas to replenish prior loss. The restoration of fat in the face in one of the main ways to contour facial boundaries, provide shape, and fill in deficits. These goals can, in of themselves, provide a dramatically more youthful appearance. The benefit of fat over fillers is that fat lasts indefinitely, while fillers have a time limited efficacy. Facial fat transfer is also a key component of other facial surgeries, including facelifts.
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Chantale joined Youthful Images in November 2021 as one of our Front Office Coordinators. She started her career as a dedicated Human Resources professional with a passion for fostering a positive work culture and facilitating employee development. After years of experience in HR operations, she took her first steps into the field of aesthetics and has found a new home at Youthful Images. This opened the opportunity to get her foot into the door to learn from an amazing team of highly educated and experienced professionals. Chantale enjoys her work responsibilities as a Front Office Coordinator but the most rewarding part of her job is making patients feel welcomed, have an amazing experience, and seeing and hearing them achieve their aesthetic results.
When Chantale is not at work she loves to garden, ice skate, be active in fitness, practice her French language skills, and travel the world. Last, but not least, she enjoys being a fur mom to her Chihuahua named Coco Bijou.
