Safe Frequency of Facelift Procedures and Longevity
Performing facelifts with care and skill can significantly enhance one's appearance, providing a youthful and rejuvenated look for many years. This procedure is not only effective for aesthetically enhancing the face but also for addressing the natural aging process. In this article, we will explore the frequency of facelift procedures and their expected longevity, along with key factors that influence the results.
Understanding Facelift Longevity
Facelifts, when properly executed, can have a long-lasting effect on an individual's appearance. Over my 40-year career, I have observed numerous women who have undergone multiple facelifts, and despite this, they generally appear younger than their contemporaries, provided they are not overdone. An overdone facelift often results in a unnatural appearance, characterized by improperly placed fillers and excessive hyaluronic acid.
Studies have conclusively shown that the longevity of a facelift is tied to the type of incision and procedure used. A full facelift, which incises the skin both in front of and behind the ear, typically lasts between 7 to 10 years. In contrast, a mini-lift, which only incises in front of the ear, lasts an estimated 5 to 7 years. A widely performed mini-lift is the MACS lift (minimal access cranial suspension).
Exploring Three-Dimensional Rejuvenation
While facelifts are two-dimensional procedures in terms of incision and muscle tightening, a full rejuvenation of the face requires a three-dimensional approach. This enhances the overall quality and longevity of the results. Autologous fat grafting is a preferred method, as it revascularizes and integrates fully into the surrounding tissues, enriching the blood supply to the skin. Although newly grafted fat can survive several decades, the native fat of the face is programmed to shrink over time. Therefore, regular fat grafting is necessary every three to five years to maintain the desired appearance.
Addressing Common Post-Facelift Issues
Poorly executed facelift procedures, even for the first time, can lead to unnatural appearances. For example, neck skin, which is qualitatively different from facial skin, can look windswept if incorrectly transplanted. Additionally, poor quality facial skin with deeply etched lines can create an appearance similar to this. The natural vertical lines in the skin can become more horizontal, resembling "kitten whiskers," requiring further attention through laser resurfacing. Another common issue is the widening of the mouth, a problem that can be exacerbated by uneven grafting techniques.
The Role of Fat Grafting and Its Benefits
A final bonus of facelift procedures is the incorporation of fat grafting. When done skillfully, the combination of a facelift and fat grafting can greatly reduce a person's perceived age by a generation. Fat grafting not only adds volume but also enhances the overall texture and quality of the skin. While some have criticized fat grafting, my extensive experience and long-term perspective have shown that a well-executed fat grafting procedure can provide long-lasting benefits.
Young people often take youth for granted, but those who appreciate and maintain it responsibly will benefit greatly from such procedures. By following best practices in facial rejuvenation, including proper sun protection, maintaining a healthy lifestyle, and regular facelift maintenance, individuals can enjoy a youthful appearance for years to come.