Inherent Contradiction in Facelift Operation

Usually, in a facelift operation performed for rejuvenation, drooping cheeks are eliminated by pulling drooping soft tissue back and upward. In this method, a contour is corrected into a round shape to a certain degree, and wrinkles and irregularities on a facial surface are decreased. But by pulling soft tissue backward, the hairline of a forehead in a front view is not only retreated, but sideburns in a profile view are also retreated; thus, an enlarged facial surface unavoidably results (Fig. 46.3).

This result inherently contradicts our common understanding that a small face is a young face, and this phenomenon reduces rejuvenative effects expected in facelift.

Facial Contradiction
  1. 46.3. a Preoperative and b postoperative conditions. Changing of a facial contour and facial surface by facelift operation in frontal views. c Preoperative condition and d postoperative condition. Changing of a facial contour and facial surface by facelift operation in profile view. In both views, drooping and wrinkles are eliminated but an enlarged facial surface can be recognized
  2. 46.3. a Preoperative and b postoperative conditions. Changing of a facial contour and facial surface by facelift operation in frontal views. c Preoperative condition and d postoperative condition. Changing of a facial contour and facial surface by facelift operation in profile view. In both views, drooping and wrinkles are eliminated but an enlarged facial surface can be recognized

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