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Face

Face

"Youth is happy because it has the capacity to see beauty.
Anyone who keeps the ability to see beauty never grows old"
Franz Kafka

Beauty is indeed a power and beautiful men and women will never give it up easily. We live in a time and place where appearance is key and ‘youth, beauty, fitness' have become significant socioeconomic factors as well as personal preferences.

My facial aesthetics practice is founded on an accurate knowledge of facial anatomy: bony structure, soft tissue, muscle and fat compartments and an understanding of the effect of ageing on these separate components. These need to be understood if surgical or non-surgical means of reversing the appearances of ageing are to be effective.

Exactly as ageing is a slow, multifactorial process that didn’t happen overnight… so too is successful rejuvenation, a ritualised, multi-layered activity that requires effort and maintenance.

The sad and strange visages of overdone facelift procedures with distorted features have no place in modern practice and have no appeal to my preference for natural looking and youthful faces.

I practice elegant surgery as promoted by my colleagues on the international Plastic surgery circuit. My training has included international travel, conferences, hands-on anatomy dissection courses and one-to-one teaching with respected colleagues and mentors in Italy, France and Brazil.

"Beauty is power"
John Ray

I have developed a sensibility for nuanced, natural, three-dimensional facelifts that are about repositioning sagging underlying structures, re-draping facial skin, sculpting cheek mounds and using fat to give contour and depth to a face.

I personally favour the lamellar, high SMAS facelift, which combines a marked lift of the lower face and neck with a mid-face lift.

It is a challenging but effective technique suited to people requiring neck and mid-face lift in addition to a facelift that addresses jowls and deep marionette and nasolabial lines.

I offer a wide selection of facial rejuvenation techniques including SMAS plication, composite facelifts and in order to minimize scars "minimal access cranial suspension" (MACS lift).

Surgical Techniques

  • Face Lift
  • Neck Lift
  • MACS Lift
  • Upper Lid Blepharoplasty
  • Lower Lid Blepharoplasty
  • Lateral Brow Lift
  • Temple Lift
  • Micro Liposuction
  • Facial Lipofilling
Professor Ivo Pitanguy

"I believe that you should correct the [ageing] process with elegance and distinction.You should not overdo, because if you overdo, you are only creating a mask without expression, I try to bring naturalness."

Professor Ivo Pitanguy

Lipofilling

Youth is a shape

The ultimate filler is your own fat – The body tissue with the highest density of adult stem cells. The youthful splendour of many a face is based on its soft tissue and fat rather than its bone structure. With age, fat deflates and the tissues sag. Protocols to tighten and rejuvenate skin as well as re-inflate the individual fat compartments of the face can restore contours and more youthful features.

Fat can be used as a permanent natural filler that fills and volumises but can also be used to add structure by lifting cheek pads. Fat can be used almost everywhere with the potential added benefit of stem cells that rejuvenate and may actually regenerate new tissues.

Eye Surgery

Less is more

Upper lid blepharoplasty may be carried out as a local anaesthetic (awake) or general anaesthetic (asleep) day case. The procedure involves the removal of excess skin/muscle and occasionally fat tissue. The scar is placed in the upper eyelid crease.

Lower lid blepharoplasty is a remarkably effective method of rejuvenating the upper part of the face. I practice an open technique, which allows removal of excess skin as well as release and re-draping of the fat of the ‘lower eyebag’.

Face Shape

Every face is different, every request is unique, everyone deserves special care

Babies have faces that are round and alluring, designed to melt any heart and induce nurturing – large round eyes, fat cheeks, small chin and jaw.

As we age the lower half of the face grows disproportionately (maxilla, mandible). Males develop a more square face with a broader bi-mandibular distance as epitomised in the lantern–jawed hero of any swashbuckling novel. Such thrusting powerful jawlines signify a virile adult male.

Women meanwhile are identified by their sharply defined narrow lower face; described as heart or triangle shaped. This inverted triangle is the hallmark of a young, feminine profile.

Ageing

Beauty is a state of mind

As facial tissues age, underlying bone structure erodes, eyes become more sunken and teeth get looser and longer as gums recede. Facial fat begins to deflate and disappear (atrophy). Cheek fat pads droop downwards, exposing the eyebags and deepening the nasolabial grooves. Facial skin quality deteriorates, reduced water content leading to deflation of the dermis, whilst the surface displays the cumulative stigmata of sun damage (pigmentary changes, wrinkles, dryness, discolouration, open pores, lesions). As the skin loses elasticity, the weight of the underlying structures (glands, fat) cause sagging and the formation of jowls. Tight retaining ligaments mean deep grooves develop at sites such as the tear troughs and marionette lines.

All this results in loss of volume and definition of the once sharp outlines of the adult face. The presence of jowls and loss of chin/neck definition makes the ageing face shape seem increasingly square.

This might explain why men can look more masculine and distinguished with age as they continue to ‘square off’.

Women however lose their delicate triangular shape and become more squared off and masculinised until at extremes of age it is not easily possible to distinguish between the genders.

The patient’s needs determine the techniques used and therefore the outcome achieved.

Facial Aesthetics

Facial Aesthetics

Face Surgery

Face Surgery