Treating the aging face: “high-definition—high-tech” comprehensive facial rejuvenation

Facial rejuvenation goes beyond pulling, lifting, and volume enhancement. Comprehensive facial rejuvenation should include (a) volume enhancement, (b) beautification, (c) rejuvenation of the facial expression, (d) repositioning of the sagging tissues, (e) conservative tightening and rejuvenation of the skin envelope, and (f) subtractive maneuvers, particularly in the neck. Understanding the components of the aging face and current methods of treatment are paramount for engaging in more advanced techniques. Equally important is understanding the esthetic effects of aging and of every surgical technique. The integrated concepts of volume enhancement, beautification, rejuvenation of facial expression, repositioning of sagging tissues, traditional tightening of skin envelope, and subtractive maneuvers of the neck provide the outmost rejuvenation with natural and predictable results. The specific combination of skeletal enhancement with soft tissue repositioning or subtraction comprises a newer concept called “high-definition” facial rejuvenation and beautification. The use of newer technologies—lasers, endoscopy, and stem cells—is labeled “high-tech” facial rejuvenation. These techniques also restore or enhance the beauty of the face. Rejuvenation of the facial expression is the latest paradigm shift in my personal quest for the ultimate results in facial rejuvenation. These advanced concepts in facial rejuvenation and beautification are presented here.