How is facial rejuvenation surgery done?

  What is facial rejuvenation surgery: Facial rejuvenation surgery is a method of removing wrinkles through plastic surgery to restore the anatomical position and dynamic relationship between the various layers of facial tissues in youth. Facial rejuvenation surgery began in the early 20th century, and the surgical technique has evolved from simple to complex, the surgical site from local to overall, the peeling range from none to all, the peeling level from superficial to deep, and from single-level to multi-level peeling. The treatment of facial aging tissues has evolved from simple wrinkle excision to facial lift, which not only removes wrinkles but also tightens the loose facial soft tissues upward, to the modern demand for facial rejuvenation.  Facial rejuvenation surgery classification: Facial rejuvenation surgery is divided into subcutaneous peeling facial wrinkle removal and “superficial myofascial system” under the peeling wrinkle removal and subperiosteal peeling facial wrinkle removal. In the process of facial aging, skin elasticity decreases and laxity and deep tissue laxity does not develop at the same rate in each direction. The advantage of subcutaneous and inferior stripping respectively to loosen and lift is mainly that they can be fixed in different directions according to their laxity to achieve more harmonious and ideal results. The branches of facial nerve all travel on the deep side of the expression muscle, so inferior stripping is safe.  With increasing age, the bone decalcifies, the cranial bone volume decreases and the bony augmentation (e.g. around the orbit, zygomatic arch, zygomatic bone, maxilla, mandible) decreases or disappears. On the one hand, the balance dynamic relationship between the skull and deep tissues changes, on the other hand, the attachment points of the expression set and muscles shift downward, so that the whole layer of soft tissues of the face are relaxed and shifted downward. Subperiosteal dissection of the periorbital area, zygomatic arch, zygomatic body, maxilla, and upper part of the nasal bone is performed to loosen and tighten the muscle starting point, and also to lift and reset other soft tissues of the face. Subperiosteal dissection is suitable for younger patients with mild to moderate laxity of facial soft tissues and inconspicuous skin wrinkles. It is possible to correct the aging signs of 1M3 or 2M3 on the face without leaving incision marks in front of the ear.  If the patient is older and the signs of aging are more severe: multilevel peel facial rejuvenation surgery can be combined with subdermal peeling. Facial rejuvenation surgery can be divided into full facial wrinkle removal, forehead wrinkle removal, temporal wrinkle removal, and mid and lower facial wrinkle removal according to the location. Full facial wrinkle removal uses a continuous incision across the scalp from the left ear to the right ear, down to the front of the ear screen and in the sulcus behind the ear. It is suitable for people with particularly many and deep wrinkles in the aging of the whole face and neck, generally aged 45 years or older. The advantage is the ability to completely remove skin wrinkles and remove excessive sagging excess skin at the same time. The disadvantage is that the surgical incision is large and easy to produce scar, while the large incision inside the scalp can easily lead to hair loss and numbness of the scalp; the trauma is large and the degree of swelling is heavy, generally it takes 8 days to reduce the swelling and 2 months to fully recover.  Forehead wrinkle removal is suitable for those who have forehead elevation lines, deep inter-brow wrinkles and low brow arch at the same time: a coronal scalp incision is used, which can thoroughly expose and deal with the forehead and inter-brow muscles. Temporal wrinkle removal is suitable for those with downward shifted corners of the eyes, crow’s feet and loose skin in the temporal area. A curved 5 cm long incision at 2 cm of the temporal hairline is used to spread the crow’s feet, suspend the fascia and remove excess skin. The corners of the eyes are lifted up as needed. Lower midface wrinkle removal is suitable for those who have laxity and deep wrinkles in the lower midface. The skin of the lower midface and neck is peeled off, the deep fascia is suspended and fixed, and the excess skin is removed. Ancillary procedures can be performed in conjunction with facial rejuvenation surgery in order to complete the rejuvenation effect. If a neck lift is combined with liposuction or fat reduction of the neck, a more perfect neck and jawline shape can be achieved. If the bony augmentation of the eyebrow arch, cheekbones, maxilla, mandible, etc. is reduced after aging, implants can be used to restore the contour of youth.  Facial rejuvenation surgery requires attention: Removal of sagging skin through plastic surgery can restore other skin to its previous elastic state. Although facial rejuvenation surgery is fast and effective, it is after all an invasive surgery and there are many complications if you are not careful, such as incisional infection, hematoma, incisional scar, nerve damage, mask face, bilateral facial asymmetry, etc. Therefore, you should be careful when choosing facial rejuvenation surgery.