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Facial symptoms of aging occur due to the displacement of certain anatomic structures in time. This displacement has two main reasons. One of them is the microstructural weakening of the facial soft tissue framework. The second reason is the cumulative effect of gravity on these weakened tissues. This change involves all aesthetic units of the face (periocular area, forehead, nose, neck, cheeks and mouth). Also, natural lines of the face (e.g. nasolabial folds) tend to deepen as a result of this downward displacement of tissues. When the skin irregularities, which occur due to increasing age, are added to the problems mentioned above, “elderly” look of the face becomes more evident.

In the current plastic surgical practice, changes in the aging face are handled professionally with a problem-specific approach. The modern face-lifting techniques do not aim to simply “tighten” the face. Instead, relocating the anatomical structures to where they should be, is the mainstay of this procedure.The musculo-aponeurotic system, which is an important part of the facial soft tissue framework, is surgically corrected. This procedure is generally carried out through a special incision which starts immediately anterior to the ear structures and ends up in the post-auricular area, where it can easily be hidden by the auricular margins. This incision allows a comfortable surgical exposure for the cheeks and submental area.

Following the operation, temporary bruising and swelling of the operated areas are quiet noticeable in the first 3-4 days, but they fade away by the 7th-8th postoperative days.However, it can take a few months for the edema to completely resolve.

Face-lift operation is generally not performed alone. Complementary aesthetic interventions such as eyelid surgery, laser resurfacing, liposuction, botox applications can be added to the plan according to the needs of the patient. Here the crucial point is, of course, avoiding an artificial look.

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