Facial rejuvenation is a broad term to describe multiple procedures that are designed to create a more youthful, rested appearance to the normal aging face. Typically surgical maneuvers, such as a Facelift, are designed to remove excess sagging skin, elevate sagging jowls and cheeks, and, to some degree, remove wrinkles. Improvements in the neck, jowl, and cheek skin are most typically achieved with face lifting techniques which can vary depending on the severity and the intended improvements sought.
There is no one standard way to do a Facelift although there are some common elements in all techniques. The standard Facelift involves the incisions created typically in front of the ear and extended behind the ear and into the scalp. A more limited incision surgery such as a mini Facelift or a MACS lift involves smaller incisions sometimes limited to in front of the ear and temporal scalp. They all involved some degree of elevating the skin off of the underlying thin muscular layer, some degree of manipulation of that muscular layer, and removal of excess skin. Cheek and jowl skin is removed and elevated through incisions in the preauricular and temporal scalp regions while the neck skin is removed primarily behind the ear. Modifications of this approach such as a mini Facelift are designed to address primarily cheek and jowl and are best utilized when neck laxity is not significant. A standard facelift involves rejuvenation of the neck and a necklift is considered part of that procedure. This procedure often involves an incision under the chin, removal of excess fat, tightening of divergent muscles in the neck and removal of excess skin. Adjuncts to facial rejuvenation include fat grafting, chemical peeling, laser peeling, and sometimes lip augmentation. Additional procedures are frequently added to a facelift to rejuvenate the entire face, most commonly upper Blepharoplasty, lower Blepharoplasty and often brow rejuvenation, such as a brow lift or temporal brow lift. Each patient is assessed individually for their desires and surgical needs.