Aesthetic medicine

Facelifts: when to have one to slow down the ageing process

4' min read

Translated by AI
Versione italiana

4' min read

Translated by AI
Versione italiana

For years, aesthetic medicine has promised to erase wrinkles, redefine facial contours and restore a more youthful appearance to the face through a series of increasingly less invasive treatments. Fillers, botulinum toxin, thread lifts, radiofrequency and energy-based technologies have gradually gained ground, fuelling the idea that the signs of ageing could be corrected without resorting to surgery. Yet, whilst the market for medical-aesthetic treatments continues to grow, a different perspective is emerging: does it really make sense to constantly chase after the signs of ageing when there is the possibility of addressing the structural cause of the problem? ‘No. Around the age of forty, or at the first signs of sagging, the problem is no longer just a skin issue, but primarily concerns the sagging of deep structures, such as the SMAS and the platysma muscle,” explains Dr Paolo Santanchè, a plastic surgeon practising in Milan and Turin. ‘Non-invasive technologies are unable to act directly on these structures.’

The facelift that targets the deep structures

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With the minimally invasive TriVet Deep Plane Ultrasonic Face Lift technique, the procedure targets precisely where it is needed to resolve the problem: the face does not sag in a single direction, and TriVet acts on the three main vectors of sagging – vertical, horizontal and oblique – to achieve a more natural-looking result, even compared to other so-called ‘deep’ techniques,’ continues Santanchè. ‘Unlike traditional facelifts, which act on the skin, this technique works on the “deep plane” and involves releasing adhesions immediately beneath the SMAS (superficial musculoaponeurotic system) and the platysma. The procedure targets the deep structures, releasing adhesions and repositioning the tissues to their original location. The face is not pulled tight, but repositioned to more faithfully replicate the natural dynamics of ageing.” This approach yields natural results that remain stable over time. It is not about changing one’s face, but about rediscovering a younger version of oneself. Follow-ups ten or fifteen years later show that patients continue to maintain a higher quality of facial appearance compared to their pre-operative condition.

Anti-ageing surgery

“If we want to achieve remarkable results, the key is not to rejuvenate the face once it has already begun to show signs of ageing, but to act sooner, by slowing down the ageing process itself,” explains Dr Paolo Santanchè, a plastic surgeon practising in Milan and Turin. “The ideal concept is not to rejuvenate, but to avoid ageing. If treatment is carried out whilst the face is still relatively young, the supporting structure of the tissues can be restored, allowing the face to continue ageing slowly and naturally.” This is the philosophy of ‘non-ageing’, an approach that overturns the traditional paradigm of facial rejuvenation. The aim is not to transform the face or artificially turn back the clock, but to preserve, for as long as possible, the features that make it recognisable and harmonious.

At what age?

Another key aspect to consider concerns the timing of the procedure. “Traditionally, a facelift was recommended when the signs of ageing were already evident,” continues the expert. “Today, however, the approach is different: having the procedure between the ages of 38 and 45 would not only improve the appearance of the face, but also incredibly slow down the subsequent process of tissue sagging. In other words, it is not a question of restoring what has been lost, but of preserving it. And if you wish to continue maintaining the fresh appearance of your face, you can even have a second facelift after 12 to 15 years.”

Natural, long-lasting results

The main advantage of this technique is the natural-looking result. By working on the deep tissues without applying tension to the skin, the classic ‘pulled’ effect is avoided and the scars are virtually invisible. Depending on individual needs, the facelift can be combined in the same session with blepharoplasty, correction of a receding chin or treatment for sagging of the neck, to achieve a harmonious result across the entire face. Recovery is also rapid: thanks to the use of an ultrasonic scalpel and fibrin glue, no drains are required, there is no bruising and only minimal swelling. The dressing is kept in place for the first night only and, in most cases, the patient is socially presentable within two weeks. The first week requires rest and quiet to allow the scar tissue to heal properly, whilst the second week allows for a return to lighter activities. No post-operative creams or treatments are required; the result is guaranteed by the surgery itself.

Aesthetic medicine is not always that effective

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“Many non-surgical procedures are used as alternatives to a facelift,” continues Santanchè, “such as dermal fillers, botulinum toxin and other methods. But they are not valid alternatives! Hyaluronic acid and botulinum toxin are excellent treatments when used in a complementary role, particularly for refining certain facial features, but they are unable to correct structural sagging of the tissues. In my experience, certain technologies such as radiofrequency, lasers or thread lifts can produce limited results or, in the worst cases, complicate any subsequent surgical procedures. The real difference is that a facelift should not be seen as a last resort after years of treatments, but as a strategic choice within a comprehensive approach to managing the ageing process.” In an age where the concept of longevity is extending to the field of aesthetics, the challenge no longer seems to be that of looking younger at all costs. The new frontier is keeping one’s face recognisable, harmonious and consistent as the years go by.

Cost and value

A facelift carried out correctly is a complex surgical procedure that requires several hours in the operating theatre, a highly specialised team and a carefully planned clinical pathway. For this reason, it cannot be assessed solely on the basis of cost. ‘Its value lies in the quality of the execution, the safety of the procedure and, above all, the longevity of the results, which can remain stable for over ten years,’ concludes Santanchè. “From this perspective, it represents a long-term investment, often more beneficial than the constant pursuit of temporary treatments that require repeated sessions without actually addressing the causes of ageing.”

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