This is a complex topic, perhaps amongst the most complex in the field of cosmetic surgery.
As we recnelty wrote on this topic in a comprehensive international plastic surgery texbook
Mendelson BC and Farhadieh RD: Facelift, Plastic Surgery Fundamentals: Approach and Technique: 992-1003, Wiley and Blackwell, London, United Kingdom, 2015
"A person’s face is their most important tool in communicating with the world and in projecting their image of ‘self’. For most people their sense of identity is inextricably connected to the face, more so than any other part of the body. The face can be thought of as an individual’s unique complex three-dimensional structure, with combinations of varied foundations of solid bone, supporting soft tissue volumes, held together by visible and invisible ligamentous extensions, upon which his or her canvas of life is spread. Environment, time and gravity all take their toll, and this canvas in time bears the blemishes of the process from inside and out, leading to the development of wrinkles, a tired look and changes in the shape of the face, and a loose neck and jowls."
With this in mind its important that your plastic surgeon has specific post fellowship training in facial aesthetic surgery in my opinion for the best and most consistent results. Do your research into their training their contributions to the field of facial aesthetic surgery. Seek multiple opinions, make sure that you are happy not only about their training but your relationship with your surgeon which is the cornerstone of sucessful and happy experience.
For more information on the topic please refer to my website.
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