Aging of the Face by Dr. BCK Patel Salt Lake City

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"Dr. Patel, I am starting to date and I had a first date with a man. I haven’t worn my contacts for at least 10 years but I decided to try them out on this date. He couldn’t stop talking about how beautiful my eyes are. I guess I should wear my contacts more often. Thank you for giving me back my beautiful eyes, Dr. Patel!" S.J 63 Yrs Old with Droopy brows and eyelids now fixed!- Salt Lake City, UT

Ready for a change

Here we will take you through the progression of an aging face and guide you through
the treatment options you have for every part of your face.

Even though we age similarly, we also age differently! The study of youth and understanding the processes of aging allows one to reverse some of these changes without giving silly over-operated results.

Dr. Bhupendra C. K. Patel MD, of Salt Lake City and Saint George illustrating aging in the Afghan Girl

The eyes remain just as lustrous but tissues around age: brows dome down, cheeks deflate and move downwards and early jowls appear

Just a few years difference shows the changes that are helped by the "Hammock Lift" to lift the tail of the brow, the lower lids and cheeks and jowls: A study in aging separated by 30 years

Illustrating the importance of studying aging and the anatomical and physiological underpinnings when planning surgical rejuvenation

An example of how studying the youthful face and age-related changes allows one to recreate the face so one looks like one did rather than "pulled" or "operated"

This series of photos illustrates the importance of studying photographs taken 35 years previously. With careful attention to anatomical and physiological detail, we can almost recreate the face of decades past. Sometimes, with reduction of unwanted collections of fat (jowls, neck) and recreation of depleted fat pads (cheeks, temples), we can almost make faces look better than they looked several decades before!

Women Aging

Men aging

Aging of a female over several decades

Aging of men over several decades. Aging in men is different from that in women

understanding proportions and contours of the youthful Face

Analysis 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

15. Cheek fullness "egg of beauty"
16. Nasolabial folds mild
17. Nasal tip projection
18. Proud philtral columns
19. Smooth lips
20. Neutral or uplifted lateral labial commisure
21. No melo-labial folds
22. Jowls absent with firm jawline
23. No neck bands
24. Preauricular smoothness
25. Submaxillary gland hidden
26. Platysma firm
27. Submental firmness
28. Neck firmness
29. Chin projection

Analysis of the Aging Face

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

15. Cheek flattening
16. Nasolabial fold prominence and crease depth
17. Nasal tip ptosisPhiltrum flattens and lengthens
18.The dreaded lip lines
19. Lateral labial commissure descent
20. Melo-labial folds
21. Jowls
22. Cervical rhytids
23. Preauricular rhytids
24. Submaxillary gland ptosis
25. Platysmal bands
26. Submental fat
27. Neck rhytids, fat and hollows
28. Chin pad ptosis and retraction
29. Witch’s chin

"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 63 Yrs Old with Fat Droopy Eyes - Salt Lake City, UT

Age progression 20 to 80 year old male

Do you Have Questions

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:

Division of the face into three zones to show the cosmetic surgical approach according to Dr. Bhupendra C. K. Patel MD

Cosmetic approach to the three facial zones

Treatment Options Upper Third aging (Blue Area)

Forehead and browlift

Botox

Filler
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Upper blepharoplasty

CO2 laser

Fat grafts

Cosmetic surgical approach to the upper third of the face to include the forehead and brows

Treatment Options Middle Third aging (Yellow Area)

Treatment Options Lower Third aging (pink Area)

Brilliant results with my Facelift with Dr. Bhupendra Patel in Salt Lake City and St. George: he is a magician.

dnatali
RealSelf Review

Bhupendra C.K. Patel, MD
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....
Overall rating *****