With increasing age, the effects of gravity, exposure to the sun, and the stresses of daily life the effect can be seen on the faces.
What is ageing?
The primary event of facial aging is gradually exceeding cell and extracellular matrix loss. The solution for atrophy is, of course, the restoration of volume. Age related visible changes in our face are mainly due to fat redistribution.
This is how fat characterizes the face’s shape from infancy through adulthood:
A baby has an identifiable of fat in its chubby cheeks, jowls and neck rolls.
In youth deposits of fat are hidden by fullness that is presumably colloidal fluid held in place by proteins, hormones, and hyaluronic acid. All these substances that impart fullness are present in a young person diffusely from bone to skin.
These are gradually lost. In middle age, fat deposits of the jowl, above the nasolabial fold, in the eyelid, and so forth become more visible as their surrounding fullness disappears.
Not only they become more obvious but also many of the underlying structures of the face, such as the submaxillary gland and the bony skull are more discernible as separate entities.
Interestingly, in the older adult the same young fat distribution occurs again, but we ascribe it to loose skin and blame gravity.
The best candidate for a facelift is a man or woman whose face and neck have begun to sag, but whose skin still has some elasticity and whose bone structure is strong and well-defined. Most patients are in their forties to sixties, but facelifts can be done successfully on people in their seventies or eighties as well if you don’t have any major medical illness.
A facelift can’t stop the normal aging process. It improves the visible signs of aging by removing the hanging fat, tightens underlying muscles, and redrapes the skin of face and neck. A facelift can be done either alone, or in combination with other procedures such as a browlift, blepharoplasty, or rhinoplasty.
A facelift can make you look younger, fresher and enhances self- confidence. But it can’t give you a totally different look, nor can it restore the health and vitality of your youth. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.
Fast Facts about Face-Lift:
Length of Surgery: 3 to 4 hours.
Anaesthesia: General or Local+i.v sedation
Length of stay: 1 day
Recovery: Mild discomfort: 24 to 48 hours, Hair Shampoo & Bath after 48 hours, Swelling & Bruising gone in two weeks, Full effect in 2-4 months after skin is fully contracted.
Scars: Inconspicuous, concealed in hair and facial skin creases. Scar behind ear may be most visible.
Risks/Possible Complications: Although possible but unlikely. In addition to Anaesthesia related complications other risks include:
AFTER COMBINED FACELIFT & BROWLIFT
As we age, excess skin and fat accumulate around the eyes. Untreated, excess skin and fat can lead to a heavy feeling around the eyes. There is even difficulty in keeping the eyes open. In the lower eyelids, it can give rise to unsightly bags and a general appearance of tiredness.
With cosmetic eye surgery (blepharoplasty), this appearance can be improved to get a youthful look.
Forehead lift (Brow lift ) may be right for you, if you have expression lines or other signs of aging in the forehead and brow region which you find bothersome. Browlift raises the eyebrows and smoothens the forehead for a more pleasant, rested, open-eyed appearance.
Chemical peel is a cosmetic procedure to remove damaged or aged layers of skin to reveal the softer, more youthful and glowing skin underneath. It is also helpful for facial blemishes, wrinkles and uneven skin pigmentation and pregnancy marks(Melasma). Trichloroacetic acid (TCA), alphahydroxy acids (AHAs), Easy phytic acid, Argipeel,are used for this purpose.
Various Types of Facelift Procedures available at Saraswat Hospital are;
MACS Lift- MACS is an abbreviation for “Minimal Access Cranial Suspension”, a facelift technique devised by Patrick Tonnard & Alex Verpaele from Belgium, that delivers skin rejuvenation similar to a traditional facelift, with less invasive surgery and a much smaller scar. Dr Satya Saraswat has attended CATFAS V (Controversies, Art & Technology in Facial Aesthetic Surgery) meet held at Ghent, Belgium organised by Dr Patrick Tonnard & Alex Verpaele in September 2015.
MidFace Lift- The mid-face lift or cheek lift is the cosmetic surgery to restore the natural shape of your lower eyelids and cheeks. With aging, skin loses elasticity and tone, causing the cheeks to sag and eyes to appear tired.
The cheeklift corrects undereye puffiness, depressions in the upper cheek, and prominent nasal folds. This Cosmetic Surgery is sought because it provides natural and youthful appearance without an overdone pulled-up facelift look.
Ancillary Procedures with Face Lift-
Various procedures like Nanofat Grafting, Neck Lift, Blepharoplasty, Browlift, Rhinoplasty and Chin Implant are often combined with Facelift for an overall facial rejuvenation.
Dr Satya Saraswat at Saraswat Hospital provides the standardised Facelift and other Facial Rejuvenation Surgeries to patients from India and worldover.
Adipose -Derived Stem Cells (ADSCs): Current Findings and Future Perspectives in Structural Facial Fat Grafting for face lifting and rejuvenation
Although the plastic surgery literature acknowledges that atrophy plays a part in facial aging, it places emphasis on the role of descent of fat too. Now -a-days gravitational aging is the target for much of conventional aesthetic surgery. The premise of gravitational has dictated surgeries like face lift, brow lift, eyelid correction and laser skin resurfacing to reverse the aging process. These procedures are contingent upon excision and lifting of redundant, prolapsed, or descended tissue. But to consider gravity the exclusive culprit of facial aging and sagging is simplistic. Unfortunately there are no animal models for gravitational aging, there is tremendous individual variability in the degree of sagging and age related fibrosis may counteract increased laxity.
When we look at results of our past efforts to rejuvenate the face, we can conclude that excisional based surgery has not truly provided all the answers to facial rejuvenation, a perfectly performed facelift may produce an unnatural surgical result and not a rejuvenated appearance. Clearly there is more to restore a natural, more youthful facial appearance than what just lifting can provide.
A new paradigm has emerged to supplant this established dogma, the face does not descend so much as contract by virtue of volume loss. Over the past several years, fat grafting has gained tremendous momentum in clinical practice due to its potential applications in trauma, reconstructive and aesthetic surgery. Recently we transfer stem cells – adipose derived stem cells to be very precise with fat for the following reasons:
Benefits of Stem Cells in a Fat Transfer
Aging and Rejuvenation
Atrophy is the defining feature of aging it also represent a primary challenge in the evolving quest to find the best approach for rejuvenating aging faces and bodies. Rejuvenation is not about suspension or sagging: it is all about augmentation in order to restore youthfulness and contour in a natural and aesthetic fashion. One major goal of rejuvenation procedures is to rebalance fat and restore harmony to the face. This can be accomplished by micro liposuction of the fatty”mounds” and fat transfer to the sunken “depressions”. Restoration of homogeneity to the facial structure reduces the sharp shadows associated with aging.
Augmentation represents the past and the future of rejuvenation. It also holds the key to possible new developments such as tissue repair. Examination of the results over time reveals promising posttreatment changes in the quality of the patient’s skin after the placement of grafted fatty tissue under it. In addition to restoration of youthful contours, intrinsic qualities of skin texture, elasticity and color return to a more youthful state for an extended period of time.Stem cells have been shown to be present in significant quantities in harvested fatty tissue. Perhaps they are mending the sun-damaged, aging epithelium.
Sagging of the aging face may occur mostly as a result of changes in the fat compartments that are coincident with chronological aging. Localized overabundance of fat may weigh down the tissue. Conversely an area devoid of fat resembles a deflated balloon by inducing the downward displacement of facial skin. In elastic recoil due to photodamage compounds this effect.
If altered fat distribution underlines the differences between the young and old face, a new model for the youthful countenance might arise.
A young face has a smooth, ample distribution of fat. There is a forward projection with facial arcs highlighting specific areas and causing minimal shadow.
In contrast, the aging face has “ mounds” and “ depressions” producing deep shadows and irregular highlights. In thin individuals these “ mounds” of fat may be minor, but in most middle-aged adults, the mounds occur in a strip down the central face from mid cheek to jowl, along the nasolabial and labiomental folds. Fat pocketing can also be seen suborbitallly on the lateral zygoma, submentally and along the neck platysmal bands. Since body fat rises with age, so does facial fat.” depressions in contrast, occur periorbitally in the malar, buccal and temporal areas and on the far lateral cheek.
Fat loss manifests around the mandible and throughout the forehead and scalp. The most common area of the face which are treated with autologous fat grafts include the nasolabial groove, marionette lines, midface, and lips. Autologous fat performs best in the midface area considering the longevity compared to other more mobile area such as lips and marionette grooves.
Meeting with Dr satya is just like talking to an old friend..very war hearted person and explained the procedure with utmost details. Never had any apprehensions regarding surgery...... Was an experience and have gained confidence in myself Regarding my looks and would recommend everyone whosoever is planning or even thinking about it..... Please go ahead in the guidance and care of Dr.satya Saraswat.. ;-).........- Dr. Anurag -