Facial Rejuvenation
Facial Rejuvenation
Facial Rejuvenation It is definitely possible with the right techniques and choices. It should be applied by a specialist doctor by determining the most suitable options for the patient. Prof. Dr. Ahmet Karacalar answered your frequently asked questions on this subject. Please do not hesitate to ask questions about the topics you want to know.
Which methods in facial rejuvenation take the age back the most? Is it possible to look more than 10 years younger?
Radical rejuvenations like becoming 10 years younger cannot be done with simple procedures. Such claims are unrealistic. Total facelift procedures can achieve this in suitably selected faces.
What are the permanent facial rejuvenation procedures?
No procedure is permanent. However, the very long-lasting ones stand out. Especially lifting procedures fall into this category.
What are the new methods in facial rejuvenation?
Some types of cellular rejuvenation can be considered new. Apart from that, new approaches to some known methods are emerging.
How is mid-face rejuvenation done?
The simplest methods in mid-face rejuvenation are umbrella suspension and injections. In cases where the problem is more severe, endoscopic mid-face lift is preferred.
Can nose rejuvenation aesthetics be performed in mid-face rejuvenation?
The nose droops and changes shape over time. Therefore, especially nose tip lifting aesthetics can be added to mid-face rejuvenation. Nose tip aesthetics generally also help lip aesthetics, which deteriorate to the same degree.
How is lip aesthetics done in facial rejuvenation?
Especially tooth loss and jawbone loss due to osteoporosis disrupt lip aesthetics. The reduction of lip volume over time, mouth corner lines, upper lip lines, and additionally cheek sagging give an aged appearance to the mouth area. Primarily addressing dental issues, cell injection, lip suspension, and cheek suspension are important in the aesthetics of this region.
How is facial oval aesthetics performed?
In moderate issues, procedures like SMAS lift that pull the sagging subcutaneous muscle-fascia layer should be preferred. In more advanced sagging, face-neck lift will be necessary.
How is chin aesthetics performed?
If the problem affecting chin aesthetics is excess fat tissue, laser lipolysis is effective. If there is skin sagging along with fat tissue, removing the fat will not be sufficient. In this case, submental skin removal or ear-back lift is preferred.
Can décolleté be done along with face-neck rejuvenation?
There is a unit principle in aesthetic surgery. Therefore, adding décolleté along with face-neck is a correct approach.
What is premature aging? What facial rejuvenation procedures are done in such cases?
Premature aging refers to early aging. Among all environmental factors, sunlight is known as the most important cause of premature aging. Unfortunately, by the first 20 years of life, 80% of the radiation required for premature aging is received. The first signs of premature aging are wrinkles, discoloration, capillaries, loss of volume and color in the lips, enlargement of pores, and coarsening of the skin.
The skin that first thickens and coarsens then becomes thin and parchment-like. The appearance of scaly lesions called keratosis and some types of skin cancer are later appearing problems. Those with many moles larger than 2 mm or irregular moles larger than 5 mm should be cautious. Excessive sunlight not only causes early aging but also suppresses the immune system, leading to malignant lesions.
In premature aging, peeling procedures that affect the connective tissue located between the upper and middle skin, known as the grenz zone, are preferred. Therefore, superficial peelings like fruit acid are ineffective in premature aging due to sunlight. Long-term use of creams containing retinoids has been reported to have some degree of damage-reversing effects.
Premature aging does not only occur on the face. The neck, décolleté, inner arms, and inner legs are other easily affected areas. Since there are few hair follicles and glands in these areas, there are also few repair cells around them. Therefore, peeling procedures are rarely used.
Facial skeleton aging and its treatment?
Especially in women, with the decrease of estrogen and osteoporosis, the skeletal system begins to erode and change shape. This change is one of the main reasons for an aged face. Facial lines do not give an aged face appearance; they are more a sign of wear.
In facial rejuvenation procedures, it is also necessary to rejuvenate the facial skeleton.
Finger Test
“The rapidly spreading social media beauty test stating ”You place the tip of your index finger on the tip of your nose and the base on the tip of your chin, if your lips touch your finger, you are beautiful“ does not align with scientific facts. This is an incorrect and incomplete interpretation of the measurement known as the ”E line," which we use in plastic surgery to determine the position of the lip and examine the relationship between the nose tip, lip, and chin tip. The upper lip should be on average 4 mm and the lower lip 2 mm behind the line connecting the nose tip to the chin tip. Moreover, even this measurement determines only a small part of facial beauty, not the whole.
There are many measurements that determine beauty. One of the most important is the rule of thirds. It should be considered when rejuvenating or altering the face.
Mona Lisa smile aesthetics
The Mona Lisa smile is the aesthetic style of the desired smile. For this smile, it is preferred that the corners of the mouth are slightly raised. As the smile continues, the corners of the mouth move towards the cheeks. As age increases, this smile pattern deteriorates. A beautiful Mona Lisa smile warms the soul and nothing can replace it.
In treatment, procedures like umbrella suspension or endolift, which lift the corners of the mouth and correct cheek sagging, are preferred. If there are structural issues that disrupt the smile (such as a gummy smile), additional procedures targeting the smile muscles are needed.
Expressions and Design
At the core of expression design is knowing the person's face, the location and strength of the expression muscles, as well as knowing the person's structure and style. I fully understand those who insistently emphasize that they do not want to have a dull face and aim to use most of their expressions. The interesting group is those who are willing to lose most of their expressions to get rid of lines. I think this group perceives life like a poker game.
A good poker player should not show the emotional result created by the cards in their hand through their expressions. Such face models are called poker faces. These faces are expressionless and therefore emotionless. They are like masks and have a professional purpose.
The question will arise: Is an expressionless face acceptable for slower aging? Indeed, expressions are the meaning of the face. They are the power of words and give our expressions a separate depth. They are even good tools for silent speech or communication without resorting to words. They are connected to a part of the brain called the limbic system, which is related to emotions. They belong to the old structures of the brain in the developmental stages. Therefore, expressioncommunication precedes verbal communication. There are 80 muscles in the face, and with them, it is possible to create 7,000 different facial expressions. However, we, living in the age of verbal communication, use only a few hundred of them.
Although expressions are so important, their excessive and poor use leads to rapid and worse aging. Like waves hitting rocks, they erode and wear out the skin. Some, especially those at the corner of the eyes, do not disrupt the expression much as happiness wrinkles; however, those between the eyebrows or at the corners of the mouth constantly give harsh, angry, or sad meanings, actually starting to harm communication. Expressions, which are the power of expression, also disrupt communication by giving wrong emotional messages. Sometimes they develop so much that they create bulges, damaging the geography of the face. Moreover, without making the person expressionless, in a more straightforward definition, poker-faced...
One day, a gentleman came for a consultation to soften the meaning of his face. He said that his stern expression left a negative impact on his clients and he wanted to get rid of it. Indeed, his anger and seriousness muscles were so strong that they were in a contracted state. It gave a frightening, repulsive, and dark atmosphere. After expression design, feelings of sympathy and brightness filled his face.
Cupid's bow and arrow are hidden in the face
While love at first sight is thought of as a passionate type of love, it is likened to a kind of madness by those involved. Some liken the symptoms to a love sickness. Plato, when describing the love sickness experienced by people who find their lost halves, emphasizes that these deeply connected lost halves cannot endure even a moment without seeing each other. On a mythological level, the arrows shot from Eros or Cupid's bow cause love sickness.
We often hear these words. “ Recently, I noticed that my lip contour has disappeared. I'm trying to do it with a pencil, but it doesn't give the effect I want. I want my lips to be as attractive as before.” While the line that defines the lip contour is a transition point; the fullness, the curve that makes the lip attractive and desirable are unique details. In aesthetic surgery, it is most commonly known as Cupid's bow. It doesn't just deserve this name because it resembles a bow; it also draws a parallel with sexy lips while emphasizing feminine power.
While the line that defines the lip contour is a transition point; the fullness, the curve that makes the lip attractive and desirable are unique details of the face. In summary, it is Cupid's bow. It doesn't just deserve this name because it resembles a bow; it forms the first condition of sexy lips while emphasizing feminine power. The fact that such a small detail creates such a significant difference is among the fascinating secrets of the face. Instead of measures against wrinkles, it is actually necessary to emphasize the importance of preserving the Cupid's bow around the lips. The loss or fading of the Cupid's bow not only reduces attractiveness but also becomes a feature of the aging lip and mouth structure. Since the eye and mouth area are the first structures we judge in the person in front of us, the loss of the bow greatly damages the overall aesthetic value of the face.
In fact, there is another hidden weapon of Cupid on the face. Eyelashes are Cupid's arrows. It should be reminded that the frame around the lips forming Cupid's bow and arrow, and the eyelashes together can turn into a deadly weapon.
Requests related to aesthetic surgery can sometimes delve into details. Although these requests reflect the individual's taste or personal characteristics, they also provide good clues about cultural and period features.
The number of people wanting to get rid of the transverse ring-shaped lines on the neck is increasing. The rings they want to eliminate were details belonging to a beauty concept of a certain period. In fact, the head shapes designed to resemble a melon in profile of ancient queens were like natural necklaces on the neck.
These rings on the neck are known as “Venus rings” or “Venus necklace.” The development story of these rings is also interesting in terms of showing the change between aesthetic values and the requirements of the age.
Aphrodite has been one of the most popular goddess themes among ancient sculptors. Interpretations of Aphrodite soften over time from the harsh lines of the classical era, and we begin to see the rings on the neck as the lines become more emotional. These transverse lines began to be called Aphrodite or Venus rings and became one of the details that strengthened more feminine interpretations.
Unfortunately, the beauty lines of the past contradict today's aesthetic perspective.
Earlobe sagging and size (Buddha ear)
Our discontent with our appearance has cultural ties. A form considered beautiful or meaningful in another culture may not be acceptable by universal standards. The kind of meaning it holds could be accepted within the cultural structure of India and China.
One of the common features of Buddha statues is the long earlobes with a widened earring hole in the middle. Buddha's earlobes have deep symbolic meanings. They carry memories of past life. On one hand, they connect with the days when heavy expensive earrings were worn, and on the other hand, they remind of the necessity to turn away from worldly pleasures on the path to enlightenment.
According to the story, Buddha was once the son of the king of Shakya. He lived in palaces in elegant clothes and went from entertainment to entertainment. One day, he sees a bent old man on the road, then a weary sick man, and then a dead man about to be cremated, and he faces the bitter side of life for the first time. Then, among all these, he encounters a dervish with serenity and peace on his face. This man, whose face reflects the wisdom of life, has a stance above all the pains of the world. Deeply affected by this, the Prince decides to choose the dervish life. There must be something beyond the pains and even death in life. He gets rid of his elegant clothes, cuts his hair, and removes the heavy earrings from his ears. He wants to erase all traces of past life. However, his sagging earlobes with widened holes will remain as a reminder of his past life.
Especially after aging and heavy earrings, enlarged and sagging earlobes disrupt the balance and proportions of the face. In fact, the treatment is easy; the excess tissue is removed, and the earlobe is reshaped.
Aesthetic purpose mole treatment
Small details related to our face make a difference, they are like the crowned form of beauty, giving uniqueness with their rarity and turning into distinctive features. Just as everything rare is valuable, it increases the value of a person's beauty. They are like a design work on the body. When we remember Marilyn Monroe, Elizabeth Taylor, Cindy Crawford, or Eva Mendes, their moles primarily shape in our minds. Penelope Cruz's chest mole is an example of body emphasis.
However, the location, size, and prominence of moles are so important; moles have a narrow aesthetic limit. In areas between the lip and cheek and outside the eyelid area, they fall out of the beauty mark category. Being prominent is unacceptable in any area and evokes repulsive feelings. Having hair on them, with a more disastrous deviation, brings to mind the witch stereotype ingrained in our minds.
The most suitable method for mole removal is surgical, and moreover, a pathological examination can be performed on the removed mole.
Especially for moles over 0.5 cm, asymmetrical, with irregular edges, different color mixtures, or prone to bleeding, aesthetic value is not sought, and removal with pathological examination is recommended. Such moles may be pre-cancerous moles called dysplastic or malignant melanoma.
Aesthetics and Peter Pan Syndrome
“I feel very young. Can you reduce my face and body to the age I feel?”
One of the frequently said phrases in aesthetic surgery.
Since the aim in aesthetic surgery is absolute harmony, the disharmony between body and soul is a harmony disorder. This disharmony may give rise to an aesthetic demand. How realistic is this situation?
It is possible to go back quite a bit with slow and steady steps. There are now many modern aesthetic procedures.
We all carry a child within us. We suppress it, release it in a controlled way, and sometimes it completely dominates us. Sometimes regressions, as a defense mechanism called regression to escape conflict and distress, are also accepted positively. As seen in the creative processes, like the example of the Mozart character in the film Amadeus, it becomes regression in the service of the ego. Adults who do not grow up always remind me of Peter Pan stories. Peter Pan, who refuses to grow up, lives in a place called “Neverland” where children do not age. He flies in through open windows and takes children to Neverland. This part of the story also provides comforting insights for children who have difficulty sleeping alone in real life. I want to remind you that in psychology, situations where the child within us is excessively at the forefront and drifting into a fantasy world instead of facing realities are called “Peter Pan Syndrome.” Meanwhile, Peter Pan's words “Fairies exist only if you believe in them“ hold deep meanings for life.
Aesthetic Surgery and Symmetry...
When we determine a folding line and fold a structure, if the two parts overlap, it is called symmetrical. If the line passing right through the middle of the face is the folding line, we talk about the symmetry between the two halves. Like the symmetry between the two halves of an open book.
Symmetry is one of the important elements of beauty. Symmetrical is more desirable. Underlying the desire is being a suitable mate for reproductive purposes. Truly symmetrical faces and bodies are a sign that everything went well during development in the womb. In other words, symmetry is a test, an indicator of being healthy. This biological drive makes symmetry one of the elements of beauty. If you are symmetrical, you are healthy, if you are healthy, you are a suitable mate for the continuation of the lineage. Extending the sentence, you are desirable, and since you are desired, you are beautiful.
Symmetry offers balance, perfection, discipline, and order.
Still, everything is not that simple.
As a dynamic organism, humans have slight asymmetries. Each side of the face, and especially the lower section, is controlled by the opposite brain hemisphere. In other words, asymmetry is actually functional and there is no absolute symmetry. The human body and face are not in perfect symmetry. Such symmetry would be very boring.
Asymmetry signifies movement, life, play, freedom, release, arbitrariness, and randomness.
Some people have an excessively symmetrical perspective in self-examination. This behavior, which is particularly evident in double organ aesthetic procedures (eyelid, breast, ear, eyebrow), can make a person unhappy. In single organ aesthetic procedures (such as nose, lip, abdomen), people examine the symmetry between the two halves. In fact, early asymmetry is normal, and healing in each tissue does not proceed equally, and over time, the two sides or halves catch up with each other. Late-stage very close-range asymmetry is also normal. The human body and face are not in perfect symmetry. Such symmetry would be very boring. As a dynamic organism, humans have slight asymmetries. I call this macrosymmetric and microasymmetric. Symmetric at communication distance, asymmetric upon very close examination. If you exceed the communication distance and examine yourself very closely in the mirror, you will constantly find flaws in your body. This style of examination is not suitable for practical life. Differences of 3-4 mm in the aesthetics of large structures and 0.5-1 mm in the aesthetics of small structures are not noticed, and the result of the procedure is considered perfect.“
Halo effect, nose and aesthetics
Attractiveness is an important feature...
A concept above beauty and more powerful.
We can liken attractiveness to a halo around the moon.
The moon's halo is a natural phenomenon that occurs with millions of tiny ice crystals acting as lenses.
The halo makes the moon quite attractive.
Perhaps the most creative way to depict attractiveness in a picture is the halo.
Let's recall the halo interpretations placed around female figures in religious-themed art known as iconography.
It also places the virtuous label on the depicted woman. In an instant, outer beauty is crowned with inner beauty. Attractiveness emerges.
These interpretations also carry content parallel to real life.
An invisible but felt halo forms around attractive people.
The topic known as the halo effect in the social sciences literature is partially connected to what is described here.
The halo effect is quite important in the first impression.
The first impression is very important in social communication.
The judgment made about a person with the halo effect is also valid in other areas. Like if they are beautiful, they must also be kind-hearted, or if they are hardworking, they must be honest.
The opposite is also true. Like the reverse halo effect. A physical feature can make you unappealing. Being unappealing is a worse trait than being ugly.
The nose is very important, especially with its central position on the face. Unfortunately, an ugly nose has more of a reverse halo effect compared to another ugly limb. One of the most significant conditionings is the portrayal of ugly and big-nosed witches in fairy tales. With the reverse halo effect, the sequence of ugly and then therefore bad prejudice follows.
When are the real results of aesthetic operations obtained?
The real result of aesthetic operations is not immediately visible. Just as the back of a fogged glass is not clearly visible, the signs of healing also obscure the result of the aesthetic operation. Therefore, the maturation of the procedure should be awaited without getting stuck on the early results. In the early period, the result constantly changes like Hamlet's changing clouds. While usually two-thirds of the result starts to appear after three months, it often takes a year.
In Shakespeare's play Hamlet, there is a dialogue between the King's sycophant advisor Polonius (the father of Hamlet's lover Ophelia) and Hamlet.
Hamlet- Do you see that cloud, almost like a camel, isn't it?
Polonius- Indeed, just like a camel.
Hamlet- I think it looks like a weasel.
Polonius- Yes, its back is like a weasel's back.
Hamlet- Or, is it like a whale?
Polonius- It looks very much like a whale.
In these conversations, we can evaluate Polonius's style as sycophantic. However, this conversation contains a reality. Everything changes in life. Clouds, which are one of the most dynamic and variable structures on earth, constantly change shape and position. The cloud that Hamlet likens to a camel can later transform into a weasel and then a whale.
Blinders, body image, and aesthetics
It is known that horses see objects larger than they are. This perception issue explains their timid nature. Moreover, their ability to see even behind them increases their anxiety. Constantly approaching giant objects from behind...
Blinders are the best solution to this perception issue. The way horses see is quite useful when understanding or explaining a topic related to aesthetics. Body perception...
Body perception is such an important issue that the situation of those who do not like themselves despite being beautiful is hidden here.
Also, those obsessed with size zero...
Those who think they are beautiful even though they are not...
Those concerned with issues visible only with a magnifying glass...
Even the explanation of those who are still unhappy after a well-done aesthetic operation is included in this topic.
Especially the adolescence period is a very sensitive period in terms of body perception. Adolescents have tendencies to perceive their bodies and the environment differently, similar to how horses perceive the environment and objects exaggeratedly and differently. During this period, issues related to body perception appear as body image disorders.
In my opinion, the distortion of body perception is the mental reaction of a body that is mocked. Indeed, there are similar stories about teasing related to the body during childhood and especially adolescence in such individuals.
In fact, the issue of body perception is somewhat a problem of modern times.
While the period between menarche (the time of menstruation) and marriage was seven years in the 1890s, this period seems to have doubled today. The prolonged duration of this period has increased the focus on the body.
Individuals in adolescence have some common perspectives related to the body. Expectation of social approval from the environment...
The effort to look good to the outside observer...
Sensitivity to obsessions related to appearance…
Dissatisfaction with the body…
This sensitive period can last until the forties. These obsessions sometimes cause such psychological problems that even the individual's social and school life is affected.
Distinctive Feature and the concept of beauty
I often hear such definitions. Like, eyes are very beautiful, nose is very beautiful, or smile is very beautiful. Examples can be multiplied. Sometimes this definition can be made for a seventy-year-old person as well. Like, still has very beautiful eyes. This is such an approach that it can make a beautiful definition for an ugly person. There are interesting reflections of emphasizing the beauty of a part according to the definition of beauty as a whole. In fact, it's a fair approach. After all, everyone deserves a definition that includes the word beautiful.
I call this distinctive feature beauty. The term distinctive feature, known in commercial law, is a feature that distinguishes a product from other products. This Ottoman phrase can be translated as a distinguishing mark. This commercial law term has generalized and over time has turned into a phrase used for humans as well. In fact, everyone has a distinctive feature.
From this perspective, there is no ugly woman. This approach also brings a different interpretation to the cliché “there is no ugly woman, only unkempt woman.”.
This topic is also important from another perspective. Revealing the distinctive features of those who want to look more beautiful can be a way of developing an image or attracting more attention.
“Beauty is not in the elements but in the harmonious proportion of the parts. There is harmony between the fingers and the hand, the hand and the arm, even between the arm and the breast.” Although this definition of beauty is unchanging, we cannot deny the distinctive feature beauty.
Beauty is power
Beauty is truly power. Positive discrimination against the beautiful is known. Moreover, it is scientifically proven.
There are many different definitions of beauty. My favorite definition is what is written in the Canon.. Beauty slowly arises from many numbers. It is the harmonious proportion of one finger to another, all fingers to the rest of the hand, each part to the other.
Although some define beauty as something that fundamentally pleases our emotions, in fact, we cannot call everything that pleases our senses beauty.
The ideal of beauty is closely related to the perception of sight. We talk about a beauty not seen in the approach of a beautiful symphony or a beautiful book, but there is an idea of beauty.
When reduced to everyday language, we witness a much more general use of beauty. When we say beautiful person, we mean good, and when we say beautiful idea, we actually mean valuable.
Still, there are disadvantages to beauty. For someone who has received constant praise and attention during their beautiful days, the years when beauty fades can turn into a tragedy.
In Malena's story, the women of the town feel jealousy in the face of her beauty and take a stance against her out of fear that she might seduce their husbands. Unable to find any work, Malena eventually becomes a prostitute.
A similar jealousy is present in the story of Psyche. Moreover, it is a goddess who is jealous of her beauty. Venus feels jealousy in the face of Psyche's beauty, becomes angry, and punishes her.
Psyche is so beautiful that no man dares to approach her. While her king father seeks a solution to his lonely and unhappy daughter's situation, the frightening side of beauty is emphasized.
Our appearance is very important for a healthy personality and social communication. Within this concept, beauty is so powerful that artists try to capture it in their works, poets praise it, and scientists pursue its secret.
There are few people interested in ugliness or the scope of ugliness. In fact, there is much to learn from ugliness. Even to better understand beauty, it is necessary to study ugliness.
Above all, it is a necessary feature to emphasize beauty.
It has features similar to beauty. It is somewhat relative and can vary according to person, culture, or race.
It seems like a misfortune. Sometimes it can be turned into luck. The saying “May God give the luck of the ugly” is not said in vain. The main important point is that ugliness has the potential to become beautiful within itself. Ugliness can transform into beauty. Ugliness also has another kind of power. It can activate some hidden potentials in the body. The body begins to develop in another direction to balance a missing aspect. Famous characters like Jean-Paul Sartre or Socrates owe much to ugliness.
Sometimes ugliness becomes invisible, loses its importance. Like how the inner beauty of the Hunchback of Notre Dame makes his ugliness forgotten after a while.
If desired, a beauty can be found in every ugliness.
Sometimes the inner ugliness is so dominant that it can erase the outer beauty.
Sometimes the perception of ugliness can be wrong. As in body dysmorphic disorder, a person may think they or a part of their body is ugly. Even though it is not so, it is not possible to convince them otherwise.
As in Andersen's famous ugly duckling tale, even being in the wrong place despite not being ugly is a reason to be considered ugly.
It is said that Andersen, the author of the story, was once ugly. A boy with a big nose and big feet who was mercilessly mocked by children.
Ugliness can transform into beauty as in the tale.
Aesthetically, plastic surgery is quite sufficient for this transformation.
According to Halil Cibran's story, God creates the goddesses of beauty and ugliness during the creation of the world and sends them to earth. By the end of this long journey, they are a bit soiled. They take off their clothes and enter a lake. The goddess of ugliness seizes the opportunity and goes ashore to wear the goddess of beauty's clothes. Since then, ugliness has ruled the world under the guise of beauty.
Under-eye light filler
Eight-point injection in fillers
Hair gathering effect on temples with Endolift