Cosmetic surgery has become a popular means of facial rejuvenation, and various methods are available to reverse the anti-aging process. Some of the non-surgical procedures performed at my clinic include autologous fat transfer and hyaluronic acid injections which are injected into atrophied soft tissue and wrinkle lines, and Botox injections to treat hyperdynamic rhytides and photoaging. Other popular methods available to my patients are laser skin resurfacing, iontophoresis, chemical peels, and microdermabrasion.

Despite the wide range of non-surgical anti-aging treatments available today, surgery is still the most effective method for addressing sagging skin and a drooping square shaped face. Rhytidectomy (commonly known as the "face lift") is generally done in the cheek and neck areas. Many variations of this procedure are used in today's clinics. These include the low invasive feather lift, skin flap rhytidectomy, skin and/or SMAS lifting with excision or placation, and fixation of the retaining ligament (just to name a few.)

A distinguishing characteristic of the facelift is that the area of treatment is undermined. When the face is undermined to the masseteric ligament on it's lateral side, it is known as a "standard" facelift. When it is done past the masseteric ligament and more medial, it is known as an "extended" facelift.

In my clinic, the method of anti-aging treatment I perform and the area that is treated, is decided after considering the patient's preferences, assessing the patient's anatomy and condition, and looking into the patient's surgical history.

At this congress, I will present the operative procedures performed at my clinic and present photographs of some of my patients and the procedures they underwent. I will discuss some important points that must be considered, and the conclusions I have reached.