Facial Rejuvenation surgery

Facial rejuvenation is any cosmetic or medical procedure used to increase or restore the appearance of a younger age to human face. The specific term, however, refers to a set of surgical procedures which try to restore facial geometry and skin appearance which are typical of youth, by using a combination of brow lift, elimination of eye bags, eyelids lift, elimination of senile spots, skin aging, facial sagging and wrinkles by face lift and rhytidectomy and physical or chemical peeling, chin lift (reduction of double chin), restoration of facial hairline, etc. These procedures are usually successful and in some cases achieve striking results.

Influence of changes in bone structure

More recent research has pointed out the influence of changes in the facial skeleton with age on the appearance of "oldness", especially in the mid-face area and the lower part of the orbitsnose. quantitative study with CAT scans of the faces of men and women in several age brackets [1] has revealed that there is an appreciable amount of loss of bone tissue in these regions with age, leading to changes in angles, lengths and volumes, and also decreasing the distance between the eyes. This occurs earlier in women than in man. It has been hypothesised that skin sagging and wrinkles may occur not only because of loss of soft tissue and fat, but also because bone retraction creates an excess of skin which is no longer flexible. Future facial rejuvenation techniques may take into account these findings and restore bone lost by aging processes.

Visual appraisal of facial youthness

Human visual perception is notable to its sensitivity and accuracy in estimating or perceiving age by instant pattern recognition of facial features. Often, human faces with no measurable difference in facial geometry and appearance are perceived as having different ages. This mechanism is not yet entirely understood, but they may be related to the subtle changes in facial bone structure related above.

Trends in facial rejuvenation

According to the American Society of Plastic Surgeons, more than 114,000 facelifts and nearly 55,000 forehead lifts were performed in the USA in 2004, the majority on women. A significant upward trend on the number of facial rejuvenation procedures is predicted, due to the following factors:
  1. Men have also started to perform these procedures at increasing numbers;
  2. Emphasis on image of youthfulness by the mass media and fashion;
  3. Increasing numbers of senior people enjoying good health and financial affluence at older ages;
  4. Decreasing costs of surgery and other cosmetic procedures, making them affordable to all

Facial Rejuvenation: Making Beautiful Skin Possible Again

The wrinkles and fine lines, age spots and saggy skin, they are all now a choice. In the past our skin was the surest sign of our age, but today the science of skin care has given us a variety of treatments which are making old-looking skin on our face a thing of the past.

Treatments

Cosmetic researchers have made dramatic advancements in the science of skin care and facial rejuvenation. Today we have access to exciting and innovative methods of turning back the hands of time and improving the look, feel, texture and tone of the face. From injections like Botox® and Restylane®, to laser and light based devices, facial rejuvenation can take years off your appearance.

The Patient's Guide® to Facial Rejuvenation

Our goal with this website is to help you navigate the many choices now available for facial rejuvenation. Television, internet, radio are all awash in advertisements selling the next great solution for aging skin. It's difficult to know what to believe. Our website is written and edited by some of the world's leading dermatologic scientists and clinicians. As a Patient's Guide® website, we are committed to the highest standards of medical accuracy and review. It is very important to know that nothing can replace the advice of your doctor and this website is no exception. Before doing anything, consult with your doctor.

Facial Rejuvenation – It's Time for You to Look Younger

Facial rejuvenation includes varieties of major permanent and long-term plastic surgery, less invasive mid-range surgical procedures, and non-invasive temporary skin treatments. Our facial rejuvenation articles explain conditions and treatments from facial bone loss, to chemical peel, to psoriasis, to new skin treatments like vibraderm.
This Consumer Guide gives you a wealth of information to help you make the best decisions for your condition and take the right steps towards achieving your goals.

What You Need to Know About Facial Rejuvenation

Signs of aging may be more visible on the face than any other area of the body. Facial rejuvenation is a strategy using a variety of treatments to combat a variety of forces at work in an aging face. Here are some of the factors that may accelerate facial aging:
  • Exposure to sun, wind, excessive heat and cold.
  • Chemical and biological pollution.
  • Hormonal changes, depleted collagen production, thinning of the skin due to free radical damage, facial bone changes, and slacked facial ligaments.
  • Improper daily habits in terms of skincare, diet, exercise, and cigarette smoking.
  • Medical conditions including skin disorders, acne, and chicken pox, which may produce scarring.
  • Miscellaneous physiological functions can produce freckling pigmentation spots (lentigos), dry spots (keratoses), broken capillaries, and hyperpigmentation from hormonal changes (which may be induced by pregnancy or birth control medications).
  • Genetics.
Facial rejuvenation can mean different things to different people. There are non-invasive and minimally invasive treatments and procedures used to improve slight facial imperfections, including stem cell face lift. There are plastic surgery procedures that can dramatically improve the appearance of the face. All of these are forms of facial rejuvenation. The most successful approach may be a combination of procedures and treatments for a comprehensive facial rejuvenation strategy.

Facial Bones Change With Age

A recent ASPS study helped us better understand how aging affects facial bones. New information about shifting bone structure and bone loss has an impact on how plastic surgeons treat patients seeking cosmetic procedures.
Learn why understanding bone changes is so important.

Anti-Aging Skincare

Today, medical skincare programs are available to address the specific needs of aging people. Advances have also been made in the area of exfoliation and moisturizing to maintain skin tone and appearance. There are also nonsurgical facelift treatments available to improve skin texture, elasticity, and pigmentation. Other common treatments include antioxidant therapy, vitamin c, and retin-a.
More effective treatments are becoming available for skin disorders and adult acne. Facial exercise has been used to prepare the skin for certain skin resurfacing treatments. Laser hair removal helps eliminate facial hair that comes with age. Micropigmentation has arrived on the consumer market to assist with hyperpigmentation (skin discoloration spots), thinned lips, and fine hair follicles. Menopause is better understood, making it easier for both patient and doctor to combat aging appearances associated with menopause. Vitamin supplements and natural healing have become popular as well.

Skin Resurfacing Treatments

Microdermabrasion, vibraderm, chemical peel, and laser skin resurfacing improve skin texture, the appearance of fine lines, hyperpigmentation, freckling, dry spots, and pore size. Some skin resurfacing procedures offer supplementary benefits such as reducing the appearance of broken capillaries and improving collagen production. Laser scar removal can assist with aging scars.

Facial Fillers and Injectables

Facial fillers such as Restylane, sculptra, fat transfers, collagen, and radiesse work to fill in furrows, wrinkles, and folds in many of the lower facial areas. Some of these fillers increase volume in hollowed or sunken facial areas. Botox and Dysport release the contraction of the muscle in order to reduce muscle-causing wrinkles in the upper facial area. Some facial injectables and fillers may provide additional anti-aging benefits as well. You can begin with this injectable fillers overview.

Plastic Surgery Procedures

Mini and micro procedures such as a feather or thread lift or other facelift variations may improve the appearance of a specific facial feature for five or more years. A facelift can dramatically improve the appearance of certain facial areas for ten to 15 years. The brow lift can reduce severe wrinkles in the forehead and brow area. Blepharoplasty can remarkably improve excess fat above the eyes and certain wrinkles in the eye area. If you are interested in a facelift, it is important to discuss the facelift cost with your surgeon so you have a better understanding of the associated fees of the procedure. It is also important to ask him or her to view a portfolio of facelift before and after photos to see how the surgery could help you. Facial implants, including cheek, chin, or jaw implants, can improve the appearance of reduced bone structure in an aging face. The neck lift is another facial-rejuvenation procedure, giving your neck a more youthful appearance. Rhinoplasty is a facial-rejuvenation component to correct or improve the appearance of your nose.
Facial Rejuvenation: Fine Wrinkles:

Skin rejuvenation is the visible improvement of sun damaged skin through the use of pulse dye laser technology which will stimulate the underlying collagen.
THE LASER SOLUTION FOR SKIN DAMAGE
Are you a candidate for facial rejuvenation, also known as photofacials?
The answer is "Yes" if your skin shows evidence of chronic exposure to the sun's ultraviolet light.Physicians call this condition "photodamage", and the most obvious signs are coarsening of skin texture, wrinkling, irregular pigmentation, and enlarged blood vessels and pores.
How do I know if I have photodamaged skin?
If you are over 30 years old and enjoy an active lifestyle your skin is probably showing signs of damage.
How many treatments are required?
Typically several treatments are required for full-face treatment. The average treatment takes about 20 minutes. Results may become apparent after a few treatments (usually over 2 months).
How does pulse dye laser treatment differ from CO2 lasers, chemical peels, and dermabrasion?
Unlike CO2 lasers, dermabrasion or chemical peels that remove the outer skin and require significant healing time, the pulse dye laser gently penetrates the skin without damaging it.
What will I look like after surgery?
Results will vary but you should expect your skin to appear reddened. You can expect to return to your normal activities immediately with minimal precautions such as sunscreen.
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http://t2.gstatic.com/images?q=tbn:ANd9GcQITGq0oU8Kr_TtXADis6KrHg7y8iAg0pGldhz2AHiM9s3wlzt6tTstbvZYhttp://t3.gstatic.com/images?q=tbn:ANd9GcQ1FC4eL25VVEmM6yfcHqAZVAupCR2TQ7ChYPyTAGCOcQkyzp5-nRNvzTMyhttp://t3.gstatic.com/images?q=tbn:ANd9GcQhlwCEWPOvluTJ7lgiWYjiGzNgyzOqEblEEDvrcoAzr2198Wsu7TrNCM2Phttp://t1.gstatic.com/images?q=tbn:ANd9GcTvbxeW0NbvFOD9zrofjFvzgjNhggi_kt3SZGl36vrtG2gMWJ4mhuGKwWAEhttp://t3.gstatic.com/images?q=tbn:ANd9GcRNiikpBKB1q-b8Lvvef_GIKT9rrWbfBorC98OybCwvXb4TzNkHXn1c2iyohttp://t0.gstatic.com/images?q=tbn:ANd9GcSseFPnciVCxin6kt3iszmrNTYfHR8CaZM-Z9uUMo_5q-NucKXKlmXy0eR2sQhttp://t1.gstatic.com/images?q=tbn:ANd9GcT_RYJF4QCrEGrVsG542_cWr1f_glE7WQ3E-c_CKtTuqvLhS5opvqgnRS1Ahttp://t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