We all take responsibility for defining our individual quality of life issues. When it comes to facial rejuvenation and facelifts medical principles must apply. The underlying structures are affected significantly by the aging process. This is seen primarily with sagging of the cheeks, neck, and forehead.
To treat the aging face, the patient adequately and thoroughly must consider the underlying structures. Therefore, that is why when I conduct the consultation, we always discuss the extent of sagging. No Botox and no fillers will help sagging skin and muscle. Therefore, if the patient is serious about turning back the clock, the first must consider these underlying structures.
Facelift and Fillers
A deep-playing facelift with a SMAS application is the best standard today. I am particularly aggressive about the neck area, and it is causing elements including skin, muscle, and fat. I think it’s essential to address these muscle bands in the neck directly and aggressively. The smooth, youthful neck is the goal. Nonsurgical treatments cannot provide as long-lasting and as thorough an anatomic treatment as a facelift. Some of the nonsurgical devices may provide temporary improvement but not as long-lasting as a comprehensive facelift.
Nonsurgical treatments like Botox and fillers are adjuncts to reversing the signs of aging by tightening and removing excess skin and muscle. We can’t say enough about the environment, including diet, hydration, smoking, and their effects on aging. When we look our best, we feel our best, and we can present our best selves to the world and participate to our fullest extent.
THOMAS TREVISANI, MD
BOARD-CERTIFIED PLASTIC SURGEON
MEMBER OF THE AMERICAN SOCIETY OF AESTHETIC PLASTIC SURGERY
