As part of the normal ageing process the skin and connective tissues all over the body lose their elasticity. In the face this leads to the formation of wrinkles and furrows and together with the effects of gravity also sagging skin excesses in certain areas.
From both an anatomical but also aesthetic perspective the face is often divided into 3 sections:
Upper third: Forehead and eyebrows
Middle third: Eyes, cheeks and nose
Lower third: Mouth, chin and jaw line
It is very important that the expectations of what can be achieved with a face-lift are realistic. Neither is it reasonable, nor technically possible to recreate the appearance one had in one's 20ies. The aim of a face-lift should be to create a natural, fresh and vibrant appearance.
Depending on individual bone structure and soft tissue consistency, not only do all people age differently, but also different areas of the face can show signs of ageing earlier or later. However, to achieve a harmonious look it is often necessary to treat more than one area of the face, including the neck.
The most common procedures for each of the section of the face include
Upper third: forhead-lift, brow-lift
Middle third: upper and lower blepharoplasty, midface-lift
Lower third: face-lift, neck-lift
Which technique or combination of techniques are likely to achieve the desired effect must be tailored specifically to each individual.
In some cases other less invasive procedures such as lipofilling, botulinumtoxin or dermal fillers can be useful adjuncts to add final touches to a surgical lifting.