Ready for a change
Illustrating the importance of studying aging and the anatomical and physiological underpinnings when planning surgical rejuvenation
understanding proportions and contours of the youthful Face
- Smooth forehead
- No “elevenses”
- No nasal descent
- Firm, full temples
- Laterally arched brows
- Full upper lids with arched upper lids
- Few fine smile lines
- Normal lower eyelid fold
- Nasojugal fold will be minimal
- Malar mound without a fold
- Lower fat pads barely visible
- No festoons
- Orbital rim hidden
- Smooth skin
- Cheek fullness “egg of beauty”
- Nasolabial folds mild
- Nasal tip projection
- Proud philtral columns
- Smooth lips
- Neutral or uplifted lateral labial commisure
- No melo-labial folds
- Â Jowls absent with firm jawline
- No neck bands
- Preauricular smoothness
- Submaxillary gland hidden
- Platysma firm Â
- Submental firmness
- Neck firmness
- Chin projection
Women Aging - Men Aging
Analysis of the Aging Face
- Forehead rhytids and ptosis
- Vertical glabellar folds
- Horizontal glabellar folds
- Temple rhytids and ptosis
- Rhytids related to brow ptosis
- Dermatochalasis and ptosis
- Creases of the queue de sourcil
- Lower eyelid fold
- Nasojugal fold
- Malar or zygomatic fold
- Lower fat pads and septal weakness
- Early festoons
- Skeletonization of orbital rim with orbitomalar ligament lengthening
- Solar elastosis, loss of facial fat, cheek rhytids
- Â Cheek flattening
- Nasolabial fold prominence and crease depth
- Nasal tip ptosisPhiltrum flattens and lengthens
- The dreaded lip lines
- Lateral labial commissure descent
- Melo-labial folds
- Jowls
- Cervical rhytids
- Preauricular rhytids
- Submaxillary gland ptosis
- Platysmal bands
- Submental fat
- Neck rhytids, fat and hollows
- Chin pad ptosis and retractionÂ
- Witch’s chin
63 Yrs Old with Fat Droopy Eyes
Salt Lake City, UT
Well, the last time I had a picture taken I could hardly see my eyes because of the weight of heavy eyelid. Then I paid attention to how I was actually using my eyes and I really noticed when I was looking at anything especially the computer I was straining my forehead to see better. Since I have had it done I no longer have to lift the forehead and tilt my head to see. It is amazing! I love…
D. Rock ​
Do you Have Questions
Age progression 20 to 80 year old male
There are many different options to treat your face and we can help you figure out the next steps.
How does the Face age?
How indeed! Andrew Marvell said it ever so elegantly, 400 years ago: “But at my back I always hear, Time’s winged chariot hurrying near.” Where to begin: the lines, the jowls, the dark circles, the gaunt eyes, the pallid skin, the pores, the warts, the spots the veins. The loss of that bloom, but a memory.
“I don’t want to look pulled.” “I don’t want to look like that singer, that movie star, that person on television.” “I don’t want people to know I have had a facelift.” “I want to look like me!”, I want to look like I am aging gracefully.” “I want to look my age, only healthy and happy.” “I want to make my ex-husband regret what he lost!” We have heard them all, and then some!
For analysis, explanation, and treatment options, we divide the face into thirds:
Treatment Options Upper Third aging (Blue Area)
Treatment Options Middle Third aging (Yellow Area)
Treatment Options Lower Third aging (pink Area)
My friends think I look at least 20 years younger
Salt Lake City, UT
Salt Lake City Plastic Surgeon: Absolutely wonderful surgeon, great human being and terrific, kind, staff. I had been trying to lose weight and been bothered by my appearance (my face) for a long time. You have to make a decision in your life about how you look but also how you feel and I felt energetic and young. You always want to look as good on the outside as you feel on the inside. You never feel as old on the inside and I had been thinking about having the surgery done for five years. After my face and necklift by Dr. Bhupendra Patel, I went to my mother’s 90th birthday party in Washington. The comments from everyone was “how come you have a daughter that is so young?” They could not tell I had had a facelift and necklift. Everyone thought I was 20 years younger!! I also had an endoscopic browlift and blepharoplasty called the hammock lift which has completely changed the way I look and I don’t feel tired. My friends think I look at least 20 years younger. I am so glad I got my face fixed! I am enjoying life! Dr. Patel kept on asking me to stop smiling as he took my photographs but I just couldn’t! I love my face but I especially love my neck. Dr. Patel told me that every young woman should be reminded to enjoy her long neck and firm jawline while they can because father time catcheth up with us all! How true….
