The upper face
consists of forehead, eyebrow and eyelid area. Dropping brows and
deep furrows in the forehead area can be corrected by an incision
behind the hairline followed by elevation of the skin, which is then
pulled tight and excess trimmed away. This tightens the forehead and
widens the eye opening, muscles can be freed to release wrinkles and
frown lines. Only a fine scar is left behind the hairline.
The mid face
involves eyelids, nose and cheeks, down to the jaw line. The lax
skin and muscle in this area produce deep wrinkles and folds running
down from the nose and jowl formation. An incision extends from the
temple downwards over the small cartilage bump in front of the ear to
the earlobe. The skin is then freed and gently pulled back to give a
youthful appearance.
An SMAS procedure can be performed which combines tightening of sagging facial muscles with the overlying skin which gives a more natural, longer lasting appearance. The scars are again hidden in the temple hair around the ear.
The lower face and neck ageing
problems include formation of jowls (‘turkey neck’), double chins
and fatty deposits in the neck area. The incision begins around the
earlobe and extends behind the ear and in the hairline without being
evident even with the hair pulled back. Liposuction to the neck and
jowls is possible to remove the fatty deposits.
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