written about the excellent results that plastic surgeons
can get by rejuvenating your drooping and wrinkled
face. You can look ten or fifteen years younger -- if you
let us use every artistic trick we know. Gaunting is
where our fatty padding thins out and our faces develop
more valleys as time goes by. For most faces it shows up
late in life not until our sixties or seventies.
"My face used to have baby fat, but now it has no
padding at all. It's all angles!", said Mary,
70. "What can you do about it"?
Rejuvenation: Smoothing the Hills and Valleys
Well, as plastic surgeons,
we can do quite a lot to improve gaunting. We can't
correct it quite as well as we can for the younger types
of aging drooping and wrinkling but even if
you have a lot of gaunting, we can still have you look
terrific for your age.
Actually, some of your
gaunting gets taken care of when we correct your droops
and wrinkles. We can also perform some finesse
procedures, designed specially to lower your hills and
fill in the valleys.
We can lower the hills by
smoothing down the jutting bony eyebrows or reducing the
now-too-big-and-droopy nose. We can often use your own
extra tissue to fill in hollow temples, fill in hollow
cheeks and make thin lips fuller.
We can also fill in the
deep corners alongside the nose, and we have been getting
good results filling in the hollows under the eyes.
Sometimes we can partially fill in the hollow above
deepset eyes to make them look younger and brighter.
there you have it
three types of facial aging
drooping, wrinkling, and
smoothing and filling-in for gaunting.
Candles on Your Birthday Cake
In a previous column, we
said "rejuvenating the aging face is like creating a
beautiful birthday cake." The three layers of the
cake are: the face lift, the brow lift and eyelid
procedures. The frosting is resurfacing the wrinkled skin
to smooth it.
To top off your cake, the candles are the tricks of finesse.
- The corners of the
mouth turn down with age, creating an unhappy or
bitter look. A corner lift can make the
mouth look pleasant again.
- The upper lip gets
long, concealing the upper teeth. We can shorten
it with a lip lift.
- The outer corners of
the eyebrows droop, adding to the "drooping
christmas tree look" of aging. We can lift
them up with a virtually invisible scar. We call
this the temple lift.
- The chin narrows with
age. We can widen it with small implants.
- The lips turn in and
get skinny. We have several tricks to make them
- As the skin begins to
age, it gets a little rough and the pigmentation
gets blotchy. We can improve it with a freshening
- Later in life our
skin gets raised moles, cysts, rough spots, red
spots and brown spots. We often heat-wipe these
away. "Hey, all my barnacles are gone."
said one of our patients.
- The nose droops and
the tip widens. There are several young-nose techniques we can use to shorten it and narrow the tip without having to have a complete nose job.
From Old to Young
She was animated and
glowing. Beautiful hair. Lovely make-up. We were in the
office looking at her "before" photos. Now the
tired look was gone and she looked ten years younger. She
took my hand and solemnly shook it. She chuckled
and said, "I am so glad to have met you
when I was older."
Cosmetic surgery may be
for anyone who wants to look as good as they can. "I
don't feel older, just more grounded and wiser. But
these droops and wrinkles tell me
and the world
that I'm over the hill. I don't mind
getting older. I just don't want to look it."
Cosmetic surgery can get rid of the mask of age and
create a harmony between our inner and outer selves. Then
we can say, "I look like me again." And stride
newly out into the world. Younger.
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Harvey W. Austin, MD
Berlin MD 21811
Click to... Contact Harvey Austin