BOARD CERTIFIED BY THE AMERICAN BOARD OF FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY
BOARD CERTIFIED BY THE AMERICAN BOARD OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY
FELLOW OF THE AMERICAN COLLEGE OF SURGEONS
Creating Balance between the upper third and lower two thirds of the face
As a Beverly Hills board certified facial plastic specialist, I see people from all over the world who wish to have corrective facial rejuvenation. One of the most common complaints that I hear from people who have had facial rejuvenation elsewhere is that they look surprised, hollowed out and overall unnatural.
The upper third of the face includes the brows and upper eyelids. This area is one of the first regions of the face to develop a tired or aged appearance. Upper eyelid rejuvenation is very successful in helping to restore a youthful and rested appearance.
In the past the goal of upper eyelid rejuvenation was to remove as much extra skin, muscle and fat as possible. The problem with this approach is that a hollowed skeleton like appearance is far too often the result and this does a person no favors as it creates an unnatural and aged look as well.
As our knowledge of facial aesthetics has grown, we have realized that volume in the face is an essential component to youth and beauty and therefore the goals of upper eyelid surgery have changed. Now we remove only the skin and fat that are truly in excess and this is much less then that which we used to routinely excise. The result is a very natural and more youthful appearance.
Similarly the goals of brow lifting are different today then they were in the past. We have all seen people who look surprised because their eyebrows are far too high up on the forehead (usually from the older brow lift procedures). When examining a youthful face carefully it is quite clear that the brows are not high up on the forehead and only slightly higher then the upper orbital ridge. Furthermore, there is volume beneath the tail of the brow that dissipates with age. Therefore, the main aspect of the brow that needs lifting is usually the tail of the brow, with minimal, if any, need to lift the middle of the brow.
Most faces that have aged significantly show a loss of volume to the brow region and this effectively causes the outer aspect of the brow to fall. As a result, the most natural and most aesthetically pleasing results from brow lifting come from lifting the outer aspect of the brow more then the middle of the brow as well as restoring volume to the brow when needed.
We are now able to create a natural rejuvenation to the upper, middle and lower third of the face in a way that is far superior to that of the past. The results are youthful, beautiful and perhaps most importantly natural. The trend in facial plastic surgery is rejuvenation at a younger age as people need to stay competitive with their younger competition particularly in the workforce and as a result it essential that a person can return to work looking and feeling rested and youthful without the tell tale signs that facial rejuvenation used to create. People undergoing facial rejuvenation can no longer afford to look weird or pulled and thanks to our advanced skill, techniques and understanding we can now safely and consistently give people results that were not possible in the past.