Balance is an attribute that facial plastic surgeons pursue for their patients. Think of the face as divided into horizontal thirds, with the forehead and eyes at the top, the nose and cheeks in the middle, and the neck at the bottom. When assessing a patient who comes to my La Jolla practice for facelift surgery, I want to ensure that the results are balanced both symmetrically and horizontally.
That’s why facial rejuvenation procedures each target specific areas of the face. In fact, the term facelift can be misleading, because it only addresses the middle third of the face. In fact, there are 3 levels of surgical facial rejuvenation:
- Brow lift: Often the earliest signs of aging are forehead wrinkles and vertical “worry” lines between the brows. Droopy eyebrows also contribute to an older, tired appearance. An endoscopic brow lift is a technique for suitable patients that allows experienced plastic surgeons the ability to achieve excellent results with minimal incisions.
- Facelift: Techniques surgeons use vary, depending on the patient’s needs, but a facelift commonly refers to surgery that tightens the muscles to improve the appearance of the cheeks and jowls.
- Neck lift: Neck rejuvenation is accomplished by reducing, or even removing, the sagging skin that’s often referred to as a wattle. Excess fat, lax skin, and weakened muscle can all contribute to a neck that can make people appear older than they are.
Although a surgeon can perform each of these procedures on its own, many patients elect to combine them to achieve that crucial balance I previously mentioned. Few people want to eliminate furrowed brows only to still have a sagging jawline. Patients should ask their surgeons whether a full-face rejuvenation with a combination of these procedures would be best for them.