Lower-Face Lift
The lower face, which extends from the lower border of the nose to the lower chin, defines the lower third of the face. Aesthetically, it is considered alongside the neck. From bone to skin, the face is made up of five distinct layers. Tight attachment ligaments extend from the bone to the skin in specific areas of the face. Soft tissues are pushed downwards and laterally as a result of time and gravity. There is no loosening in the area occupied by the aforementioned retainer ligaments, and soft tissues protrude from between these ligaments. When this happens on the lower face, the cheeks overflow from the chin margins, which is known as the ‘bulldog deformity’. Furthermore, the face loses its oval shape and becomes square. An unpleasant and furious picture emerges when the corners of the mouth drop downwards. This look gives ladies the impression of being ‘masculine.’ Because males get more manly as they age, they may be seen as “charismatic” until the deformity reaches a particular threshold. The greater the prominence and strength of the lower jaw bone structure, the greater the capacity to support the soft tissues. As a result, the soft tissues of the face droop later, and the signs of aging become apparent later. Until recently, women preferred an oval face shape, but it is now popular to seem masculine with a strong ‘jawline,’ i.e. jaw line.
Teeth have a big impact on how the lower face and lips look. In those whose tooth structure is not smooth and orderly, no matter how much the surface tissues are interfered, it will be insufficient. It may be required to intervene in the teeth initially in order to acquire the desired aesthetic look.
Lower face lifts are achieved by intervening the skin and superficial soft tissues beneath the skin. Prior to surgery, the location of the lower and upper jaw bones and teeth in relation to each other is critical. In some circumstances, persons may need to be investigated for bone structural correction and jaw surgery. If the teeth are well-positioned but there is inadequate bone, implants, fillings, and fat injections can help to support the prominence of the bone structure. It is possible to fix a chin tip that is too far forward or backward.
Depending on an individual’s physical characteristics, the lower face and neck region normally begins to droop visibly beyond the age of 50.
How Is A Lower Face Lift Procedure Performed?
Lower facelift is performed by entering through an incision starting from the front of the ear and returning to the back of the ear. It is usually done by combining it with a neck lift. In this case, the incision can be extended further into the hair. It can be done by just stretching the skin, but its permanence is often not satisfactory in this way. Operations performed by stretching and then covering the skin with a number of surgical methods without completely separating the subcutaneous superficial layer, which includes the mimic muscles, from the underlying tissues, are more successful. The procedures performed by going deeper into the plane and completely freeing the said superficial layer from the underlying tissues provide the most satisfactory results, but there is a risk of permanent nerve damage since the branches of the facial nerve pass through this layer. Although the nerves are usually affected temporarily, there may be permanent effects in deep plane facelifts
The surgery is performed with an incision extending from the front of the ear to the back of the ear and into the hair, and the scars are permanent. However, the face area heals better than other areas of the body, and the scars lose their clarity after about 1 year. However, in smokers and diabetics, since the end vessels are affected and tissue blood supply will deteriorate, there are cases where the postoperative recovery is delayed and the scars remain evident.
Since the lower face is the last sagging region of the face, lower face and neck lift operations are usually performed at a later age than other operations. As age progresses, the likelihood of accompanying systemic diseases increases.
Especially in people with high blood pressure, post-operative bleeding and, accordingly, deterioration of blood circulation in the skin in the area of bleeding may occur. Facial blood circulation is an organ that is very good. Although this is an advantage in terms of fast and good healing and reduced risk of infection, it poses a risk due to the high risk of bleeding. Preoperative evaluation may be required for high blood pressure. In case of increasing bleeding after the surgery, the patient may need to be taken back to the operating room and the bleeding to be stopped surgically.
If the lower face sagging is not very advanced, suspension processes with permanent or temporary threads can give very successful results. For those whose lower face is not very dominant, it is possible to clarify the jaw line with filler and fat injections and to postpone the surgery. However, if the lower face is intervened too much with fillings, the lower face becomes dominant and an abnormal ‘interfering’ appearance emerges. In addition, a more edgy and masculine appearance is obtained.
What exactly is a lower face lift?
The technique of identifying the superficial layer and the skin, including the mimic muscles, by putting the skin AND MIMETIC MUSCLE LAYER in distinct layers higher and laterally and eliminating the surplus is known as a lower face lift. As a result of the removal of extra and sagging skin, the jaw line is restored and clean, the corner of the mouth is repositioned, and the appearance of wrinkles is minimized. The facial oval clears up again, giving you a more energetic, young, and feminine appearance with less sadness, anger, and masculinity.
What Is the Procedure for a Lower Face Lift?
Lower facelifts are conducted by entering through an incision from the front of the ear to the back of the ear. It is frequently done in conjunction with a neck lift. The incision might be extended farther into the hair in this scenario. So is possible to achieve it by simply stretching the skin, although the results are not always desirable. More effective operations involve extending and then covering the skin with a variety of surgical ways without entirely separating the subcutaneous superficial layer, which includes the mimic muscles, from the underlying tissues. The operations are carried out by delving further into the plane and totally releasing the aforementioned surface layer from the underlying tissues produce the best outcomes. ALTHOUGH, there is a danger of lasting nerve injury since the branches of the facial nerve travel through this layer. NEVERTHELESS nerves are normally briefly impacted, deep plane facelifts may have long-term consequences.
The procedure is carried out through an incision that extends from the front of the ear to the back of the ear and into the hair, and the scars are permanent. However, the face heals faster than the rest of the body, and the scars fade after roughly a year. However, because the end vessels are compromised and the tissue blood supply deteriorates in smokers and diabetics, there are situations when surgical healing is delayed and scars linger, apparent.
Lower face and neck lift surgeries are typically performed at a later age than other treatments since the lower face is the final drooping part of the face. As people become older, the probability of developing systemic disorders increases. Post-operative bleeding and, as a result, impairment of blood circulation in the skin at the area of bleeding may occur, particularly in persons with high blood pressure. Although this has the advantage of faster and better healing and a lower chance of infection, it also has the disadvantage of a higher risk of bleeding. High blood pressure may necessitate a preoperative assessment. If there is an increase in bleeding following surgery, The patient may need to be returned to the operating room to have the bleeding stopped surgically.
If the lower face drooping is not severe, suspension procedures using permanent or temporary threads can produce excellent results. For people whose lower face is not prominent, filler and fat injections can be used to refine the jaw line and postpone surgery. However, if the lower face is too interfered with fillings, the lower face becomes dominant and an abnormal ‘interfering’ look develops. Furthermore, a more edgy and macho aspect is achieved.
What Is the Purpose of a Lower Face Lift?
A lower face lift is used to provide a more feminine, young, and active appearance by repositioning drooping soft tissues downwards and laterally upwards. The chin line is emphasized. Furthermore, because the corners of the lips rise upwards to produce a happy expression. It is generally done in conjunction with neck lift surgery to make the jowls and neck appear younger. The wrinkled and droopy look is lessened since the skin is stretched in the same session.
What Is the Purpose of a Lower Face Lift?
Lower face lift surgery is appropriate for healthy adults over the age of 18 who are able to undergo general anesthesia, do not have any extra illness, and are under control.
