Blog

By Dr. Jesse E. Smith, MD, FACS
Facial Plastic Surgeon

Welcome to the second part of our comprehensive guide to facelift surgery. In this installment, we will delve into the intricate anatomy of the face and explore how it ages over time. Understanding the key structures of the face, such as the skin, muscles, fat pads, ligaments, and bone structure, is essential for anyone considering this cosmetic procedure. By gaining insights into the factors that influence facial aging, such as genetics, sun exposure, smoking, diet, lifestyle, and environmental factors, you can make an informed decision about whether a facelift is right for you.

Key Structures of the Face

Facial anatomy is complex and comprises several key structures that are crucial in facelift surgery

• Skin: The largest organ of the body, providing cover and protection. It consists of multiple layers, each playing a role in aging.
• Muscles: Facial muscles are responsible for expressions. They are interconnected with skin and fat, influencing how aging changes the face’s appearance.
• Fat Pads: Fat in the face is segmented into distinct pads. Their size and position affect facial fullness and contour.
• Ligaments: There are ligaments in the face that attach to the bone and go to the skin. These ligaments help support the fat pads and muscles, and are an important part of aging.
• Bone Structure: The facial skeleton provides the framework. Changes in bone density and volume with age can alter facial contours.

How the Face Ages

“Facelifts are an invasive and detailed procedure. It is important to choose a Board Certified cosmetic surgeon to perform your surgery. Dr Jesse Smith is double board certified and is a facial specialist, so rest easy knowing that you are in very experienced and capable hands when you come to us.”

–Shasta Mills
  Surgical Scrub Technician

• 1. Skin Changes: As we age, skin loses elasticity and collagen, leading to wrinkles and sagging. Sun damage and lifestyle choices can accelerate these changes.
• 2. Muscle Tone Alteration: With age, some facial muscles weaken while others may become more prominent, contributing to changes in facial expression and appearance.
• 3. Fat Redistribution: The youthful face is characterized by evenly distributed fat pads. With aging, these pads can diminish or descend, leading to hollowed areas or jowls.
• 4. Ligament elasticity and stretching: This allows muscles and fat pads to sink and redistribute.
• 5. Bone Resorption: Aging can lead to a reduction in bone density and volume, particularly around the jawline and cheeks, impacting the overall shape of the face.

Factors Influencing Facial Aging

• 1. Genetics: Determines the intrinsic aging process, influencing how early or late these changes appear and their severity.
• 2. Sun Exposure: UV radiation accelerates the breakdown of collagen and elastin fibers in the skin.
• 3. Smoking: Contributes to premature aging by reducing blood supply and nutrient delivery to the skin.
• 4. Diet and Lifestyle: A healthy lifestyle and diet can delay signs of aging, whereas stress, poor nutrition, and lack of sleep can hasten them.
• 5. Environmental Factors: Pollution and other environmental toxins can contribute to skin damage and premature aging.

Understanding the intricate anatomy of the face and the process of aging is crucial for anyone considering facelift surgery. It helps in setting realistic expectations and understanding the potential outcomes of the procedure. In the next part of this series, we will explore how to determine if you are a suitable candidate for facelift surgery, including factors like health, skin type, and personal goals.

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Join us in the next installment of “The Ultimate Guide to Facelift Surgery,” where we will provide essential insights into making an informed decision about undergoing this transformative procedure.