Intrinsic and gravitational changes affect facial aesthetics. The former is caused by environmental and social factors. The latter, however, is mainly an ageing phenomenon.
Surgical intervention is necessary to improve the gravitational problem, whereas the intrinsic changes can be improved by non-surgical procedures and various laser treatments.
The surgical procedures for upper face rejuvenation are brow lift with modifications and an upper blepharoplasty.
The mid-face, however, needs a facelift or one of these modifications.
The lower face problem is improved by a neck lift with simultaneous platysmal plication and enhancement of genial or chin prominence.
We firmly believe that a majority of facelifts should involve some sort of neck lift. Whereas a neck lift can be carried on its own, in younger patients it will give a defined neck contour and in the older patient group, the result can be a pleasant unoperated looking outcome.
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