Combining Procedures for Full Facial Rejuvenation

Contrary to its all-encompassing name, facelift surgery doesn’t address the entire face. Facelift surgery, whether it be the traditional facelift or the mini facelift, is designed to combat the visible signs of aging on the mid and lower face. Through this procedure, wrinkles, fine lines, and deep creases are smoothed around the nose and mouth, jowls are lessened, and drooping cheeks are lifted by tightening the underlying muscles and repositioning the natural facial fat that may have dropped over the years. While the areas targeted with a facelift are all common areas that patients experience facial laxity, they are not the only areas that show visible signs of aging. The upper face, especially around the eyes, is often the first area to experience the effects of gravity and time. The majority of patients that I see come in with facial aging concerns that are not limited to only the upper portion of the face or the lower part of the face. Because of this, I often suggest combining procedures to attain full facial rejuvenation.

Facelift and Blepharoplasty

Blepharoplasty (also referred to as eyelid surgery) addresses skin and muscle laxity on the upper and lower eyelids. The skin on the eyelids is the thinnest on the face, and thin skin will always be more prone to aging as this skin has less strength and elasticity than thicker skin. All regions of your face experience stress from movement throughout each day. The skin on your lower face moves every time you speak or eat, and the skin on your forehead shifts each time you make a facial expression, but the skin around your eyelids experience the most movement with the thousands of blinks you take every day. This movement weakens the skin and the underlying muscles, which results in wrinkles that stem from the corners of the eyes; upper eyelids become heavy and droop over the eye, and lower eyelids form puffy bags that give off an appearance of tiredness and stress. Blepharoplasty trims the excess skin above and below the eye, removes the additional pockets of fat, and tightens the muscles to provide a lifted and refreshed eye appearance. When blepharoplasty is combined with a facelift, the eyes will no longer be ignored, and your facial transformation to a more youthful-looking you will be seamless.

Facelift and Brow Lift

Another area of the face that shows a considerable amount of aging is the forehead. As collagen and elastin break down, the skin on the forehead and brow begins to loosen. Deep, horizontal creases form along the forehead, and vertical lines form between the eyebrows. As a result, gravity causes the weight of this lax skin to push against the eyes, contributing to the appearance of heavy eyelids. A brow lift removes excess skin on the forehead and tightens the underlying muscles to smooth the upper portion of the face. Combining a facelift with a brow lift may become necessary for patients who experience significant facial aging.

Facelift and Neck Lift

The neck is often neglected during skin care routines and sunscreen application, making it susceptible to developing loose skin, banding, and other definitive signs of aging. Combining a neck lift with your facelift surgery can improve the lower face as well as sagging skin beneath the chin, vertical muscle bands in the neck, winkles in the neck, jowls along the jawline, and displaced fat deposits in the neck. This combination helps create a seamless transition from the face to the neck for comprehensive rejuvenation.

Combine Procedures to Maintain a Balanced Profile

My philosophy is that the best cosmetic surgery is the kind that no one can identify. Those around you may comment on how good and youthful you look, but they shouldn’t be able to determine what steps you took to get there. For patients seeking facial rejuvenation, combining procedures is often the best way to reach that ideal result. Treating the lower face without the upper, and vice-versa, can result in an unbalanced appearance. A face that isn’t harmonious is a tell-tale sign of cosmetic surgery, and this is what I want to avoid with my patients. When treating facial laxity, it is best to address the whole picture.