Recent Advances in Face Lift to Achieve Facial Balance

Abstract

Introduction: Facial balance is achieved by correction of facial proportions and the facial contour. Ageing affects this balance in addition to other factors. We have strived to inform all the recent advances in providing this balance.

Method: The anatomy of ageing including various changed in clinical features are described. The procedures are explained on the basis of the upper, middle and lower face.

Results: Different face lift, neck lift procedures with innovative techniques are demonstrated.

Conclusion: The aim is to provide an unoperated balanced facial proportion with zero complication.

Keywords: Anatomy of ageing; Face lift; Facial balance; Facial contour; Facial proportions.

Fig. 1

A front profile of patients aged 25 and 60 showing the tapered face becoming squarer as a result of intrinsic and extrinsic changes

Fig. 2

a Front profile of a patient aged 65 showing loss of facial balance in contour and proportions after losing teeth. b The balance is restored with occlusal rehabilitation, face lift and three weeks post operative Erbium laser resurfacing

Fig. 3

a A patient aged 62 showing extrinsic and intrinsic signs of aging with loss of alveolar height. b Postoperative was after implant dental restoration, genioplasty, face lift and laser resurfacing

Fig. 4

Pre and postoperative view of a 17 year old female oriental patient showing the improved forehead contour following 1800 follicular unit hair transplant (courtesy of Dr. Dae-Young Kim, Seoul, South Korea)

Fig. 5

Pre and postoperative profile and occlusion of a 20 year old patient whom underwent a mid face advancement osteotomy and onlay implants to malar and perialar areas

Fig. 6

A 50 year old oriental patient before and after 6000 follicular unit hair transplant (courtesy of Dr. Dae-Young Kim, Seoul, South Korea)

Fig. 7

A 35 year old Indian patient before and after 3000 follicular unit hair transplant (courtesy of Dr. Kishore Babu Bangalore India)

Fig. 8

A 28 year old male, oriental patient pre and postoperative sideburn follicular hair transplant (courtesy of Dr. Dae-Young Kim, Seoul, South Korea)

Fig. 9

Line drawing demonstrating box genioplasty

Fig. 10

Pre and post operative lateral view of a patient who underwent rhinoplasty and advancement augmentation box genioplasty

Fig. 11

Line drawing for a modified MACS lift

Fig. 12

A 48 year old patient who underwent lower blepharoplasty and modified MACS lift (pre and post operative profile)

Fig. 13

A 45 year old patient side profile who under platysmal plication and a neck lift