05/23/2026
How do you know how long your gorgeous facelift result will last? 🤔
I often talk with patients about how facial architecture plays a crucial role in achieving natural facelift results and in the longevity of those results. Oftentimes surgeons show results at a single point in time — before tissues have relaxed and swelling has resolved — when the aesthetic result has peaked before quietly declining into suboptimal oblivion, thus begging the question “does this result represent how the face will remain over years?”. And without the rare occasion when you see the same face a year or more after the initial result, one can never know the answer. This is exactly the sort of missing insight that is misleading. So how can you infer whether a gorgeously natural result will stand the test of time and age like a fine wine? 🍷 The answer lies in structural skeletal anatomy, and surgical technique.
🏠 Think of a house built on a structurally sound concrete foundation — you know the framework will support the roof, walls, floors, and furniture for decades. But a house built on a weak foundation? It might look good shortly after being built (ready for the photo op!) but it doesn’t last. The same applies to our faces: the skeletal foundation, building materials, and technique each play a vital role. So often surgeons ignore the lack of support in the bony framework: early photos belie the instability that manifests later. The structure becomes even more important when tissues have thinned and weakened over time. Of course, thin tissues are not under surgeon control, but facelift technique is — complete dissection to the nasolabial folds and ligament release are key, as is reducing enlarged tissue volumes in the neck to fit a small mandible. So be your own sleuth and ask the right questions:
- do you believe my facial bone structure will hold the facelift result? If not then how do we address it? (Fat grafting is not the answer!)
- Do you completely release the retaining ligaments and dissect to the nasolabial folds? If not then why not? (Note: SMAS plication can work well, though is a different technique).
And seeing results over year postop is 🔑 �