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wasperformed FacialSurgery.com
Steven M. Denenber, M.D.

Facial Rejuvenation Surgery, Part I

Note: This essay is an online version of the manual that Dr. Denenberg asks his patients to read before they have a consultation for a face lift, eyelid surgery, or a skin peel.  You should find the essay educational no matter who performs your operation.

Introduction


This essay will discuss the most commonly performed operations of facial rejuvenation: face lifting, skin peeling, blepharoplasty (eyelid surgery), and eyebrow lifting.

Face lift


A face lift is an operation to remove excess skin of the lower face and neck. The operation diminishes jowls and sagging skin by tightening both the skin and the underlying tissues. A face lift may give the illusion of greater youth by correcting some of the changes that occur naturally with the passage of time.

The face ages in characteristic ways. A loss of elasticity in the skin plus the constant pull of gravity cause the skin to stretch and wrinkle.  Drooping skin on the lower cheek creates jowls, which are the little excesses of skin along the jaw line just to the side of the chin. The jowls obscure the smooth contour of the jaw line. Tightening the skin by repositioning it up and along the jaw line can decrease jowling.



A face lift reduces the jowls and decreases the excess skin in front of the neck.  She also had a skin peel, an operation that we'll discuss a little later.




In a young person the skin underneath the chin and in front of the neck is highly elastic. With increasing years, the skin loses its elasticity, and a normal combination of fat and loose skin can collect under the chin, creating a droop, or in more severe cases a "turkey wattle." In the face lift procedure, much of the excess skin under the chin is pulled up and out to the sides, putting it back on the cheeks where it used to be.

(Use the page links, immediately below this paragraph, to navigate through the pages of this chapter.)

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All surgery depicted in this essay, except where noted, was performed by Dr. Denenberg