Double board-certified plastic surgeon and otolaryngologist Dr. Fernando Burstein has spent a lifetime performing cosmetic and reconstructive facial plastic surgery procedures ranging from cleft lip and palate repair to aesthetic rhinoplasty and even ear surgery on men and women of all ages. In our ongoing blog feature, Ask Dr. Burstein, we will have the opportunity to hear him answer some of the most frequently asked questions he receives about facial plastic surgery and anti-aging facial rejuvenation procedures.
QUESTION: Help! I am only in my mid-thirties and I am already starting to look old! Within just the last couple of years I have developed tiny crow’s feet at the corners of my eyes and deep frown lines between my brows. I have always tried to eat healthy and exercise frequently, but lately that seems to be working against me, since my face appears to have lost volume and the excess skin has started to sag and droop, making me look haggard and worn. Is there anything that I can do to help get my youthful look back?
ANSWER: Although each and every one of us eventually has to contend with the various signs of facial aging, we also need to remember that no two faces are ever exactly alike and that every individual starts to exhibit those signs at different points in their lives. The symptoms that you are describing are not at all uncommon and can usually be addressed with simple, non-surgical facial rejuvenation treatments. It has always been my facial aging philosophy that these symptoms are usually best addressed in gradual stages, and that optimal outcomes are achieved when patients begin treatment plans earlier in the aging process and undergo more comprehensive facial plastic surgery procedures only as they become necessary later in life.
Your concerns basically stem from two issues: dynamic facial lines that form as a result of constant facial movement and static facial lines that result from the loss of facial volume. The first, which are most commonly seen as the crow’s feet and frown lines around the eyes and brow area, are often best addressed with Botox® injections, which temporarily relax the tiny muscles that cause these expression lines to form. As we get older, it is also common for the facial skin to droop as it loses the fat that gives it its youthful plump fullness. It is possible to restore moisture and volume to the facial tissues with injectable facial fillers, like Juvéderm®, which contain hyaluronic acid, a substance that occurs naturally in youthful skin or even with injections of purified fat taken from elsewhere in the patient’s own body.
Because every patient has their own individual areas of concern, every face requires a customized approach, so if you are interested in finding out exactly what specific facial plastic surgery procedures would be best for you please contact me, Dr. Fernando Burstein so that we can schedule a full consultation. Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.