The destiny of a deteriorating face

• Tuesday September 19, 2006 | Posted in: Plastic Surgery Procedures

  Technorati Tags: cosmetic surgery, plastic surgeon, facial surgeons, anti-aging techniques

  You know who looks surprisingly amazing these days? Those society matrons and femme celebrities who are past the golden age yet looking ravishing as ever.  Blessed genes or bottles of vitamins, we surmise, and then we close in on one great possibility: the works of the reliable plastic surgery.  Can’t blame us, we’ve heard enough of nips and tucks, injections and implants and their ilk.        

  But look again – take a much meticulous look at the face.  Here is where wrinkles appear in all the right and wrong places.   As the cheeks start to wilt after each passing birthday, they drag other facial features along for the weary ride.  Where fresh, plump skin once existed now comes unsightly jowls.  It’s a tired out countenance as eyebrows start to sag as do the lower lids.  The once graceful lines and contours of the jaw and chin are wiped away as the neck skin and muscle loosen.  

  All the rage about cosmetic surgery is, to a large degree, true.  Plastic surgery procedures, especially the reconstructive types are sure making lives better.  However, a little known and alarming fact is that no amount of skin tightening can make one look forever 20-something.  The facial skeleton of a growing old woman basically disintegrates as time relentlessly marches on.  

  Recent studies by plastic surgeons Dr. David Kahn at Stanford and Dr. Robert Shaw of the University of Rochester Medical Center disclosed that while skin wrinkles and sags, the facial bones shrinks and changes shape.  Even, it noted that this arises significantly earlier for women than men.

  Of course, it is common sense that facelifts, skin tightening techniques – both laser and evasive types, fat injections, collagen shots and Botox® Injections do not take into account changes to the bones.  They can only go as far as ‘skin deep’.     

  Sometimes, after a rigorous facelift, it just doesn’t work well – something’s amiss, we notice.  Precisely because how can one explain the effect of a ‘tightening of the skin over a bony scaffolding’.  And if a vain person has the resources and refuses to stop, what we see is a look that increasingly appears freakish every after plastic surgery procedure done on the face. Such is the sad destiny of a deteriorating face being tackled by the studies of Drs. Kahn and Shaw.  

  We nod at the thought that not one legendary plastic surgeon can turn back the clock.  The studies offer an alternative in: "To compensate for the loss of bony volume, and lifting and reducing the aged and less elastic soft tissue" what is suggested is to concentrate on restoring volume.  The term used is ‘freshening up’.  

  If this one makes sense, are we seeing new approaches to facial plastic surgery this time?  

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