There is a saying “Nothing lasts forever” This applies to almost everything in life including the aging process of our bodies including the face. As we have discussed in the past if we live the aging process continues. It is a very complex process modulated at the cellular level with physical evidence of the skin and its texture, appearance, position, and presence or absence of glow.
This concept of glow was very important and has become very pivotal in the last few years. A facelift is a very complicated anatomic operation. Usually around the late 40s and 50s and beyond women and men begin to see changes in the skin position and laxity that creates a desire for improvement.
This focus that we all go through may usually lead us to a desire for a facelift. Anatomically the skin, the muscle throughout the face and neck, the fascia – which holds everything together, and fat must all be addressed. Management of each of these anatomic areas of the face and neck in the right experienced hands should lead to a very satisfying operation and result.
Facelift
Maintenance of this investment is essential. Recently, the last few years have rendered additional nonsurgical products and services which if administered judiciously following a facelift prolongation and maintenance can be expected.
Keep in mind that weight fluctuations, hormonal changes, gravity, the continuation of the aging process, physical health all affect not only the result but affects the maintenance and prolongation of optimal results.
The concept of neuromodulators -for example, Botox and Dysport, as well as bio stimulators, energy devices, regular facials, and application of sunscreen will contribute to healthier skin post-surgery.
A major facelift is an investment that can provide a very fulfilling transformation in the right hands in the right patient. Nevertheless, over time it’s not uncommon to need touchup after a major facelift. We may not need a full redo of the lift but there may be certain areas, especially of the neck that may need a touch-up to restore that most youthful look achieved initially. So yes, in certain instances a touchup and a redo may be indicated.
THOMAS TREVISANI, MD
BOARD-CERTIFIED PLASTIC SURGEON
MEMBER OF THE AMERICAN SOCIETY OF AESTHETIC PLASTIC SURGERY
