any facial rejuvenation plan should be carefully formulated based on your particular anatomy and your unique desires. The approach is always step-wise, with treatments assuming “rungs of a ladder” ranging from non and minimally invasive techniques through the spectrum of moderate and more down-time methods. The best facial rejuvenation techniques that are the safest and most effective for your particular goals will be selected from the lowest “rungs” appropriate.

In youth, our faces are fuller in the cheekbone region, and narrower at the chin and jaw, much like a “heart” shape. As we age, the upper face narrows with volume loss, and the lower face spreads, with jowls and jaw becoming more prominent, with the face assuming a more “trapezoidal” shape. The best facial rejuvenation approaches do not seek to “pull” this aging relationship back to baseline, rather, it is the gentle repositioning of the descending, wider elements (jowls and lower cheek) to more youthful positions, and repositioning and replacing lost volume to the upper cheek region to reestablish a more beautiful and natural contour.

Restoration of volume alone may be appropriate in select cases, as fillers (Juvederm, Restylane, Voluma, Sculptra, and others) or fat (autologous fat transfer from your own body) can reestablish youthful fullness, and may achieve your goals with less downtime. However, when jowls become more prominent and slack, and the skin and soft tissues beneath the chin and of the upper neck become lax, a facelift may be appropriate. These more architectural changes associated with descent of skin and soft tissues during facial aging can’t always be “camouflaged” nonsurgically. When necessary, facelift surgery is frequently performed in conjunction with other facial rejuvenation procedures, and most commonly with the restoration of volume (fat grafting). This allows for more minimally invasive facelift approaches where appropriate, and promotes more natural, balanced and beautiful results.

FOX EYES, CAT EYES AND TEMPORAL LIFT SURGERY

How Is a Temporal Lift Performed?

Dr. Demir will begin by giving you local anesthesia injections in both temples, just past the hairline where the incisions will be made. He will then make two very small, hidden incisions. One on each side just beyond the hairline. This will ensure that the scar is not visible. Dr. Demir then repositions the underlying tissues upward. This removes wrinkles and fine lines from the inside out. It also smooths and lifts the lateral, or outer, portions of the face. The excess skin is then trimmed, and the incision is closed with small sutures. the temporal lift to achieve a lateral flare and fox eyes look

This procedure can have a variety of effects, including:

• Reducing wrinkles and folds in the brow, forehead, and corners of the eyes • Smoothing the forehead • Raising outer 1/3 brow • Lifting sagging cheeks • Removing or reducing hooding over upper eyelids • Smoothing “crow’s feet” around the eyes • Giving “sleepy” eyes a wider and more open appearance

A temporal lift, on the other hand, lifts only the sides of face and forehead. It does not affect the middle of the forehead or the area between the brows in any way.

CAT EYES AND FOX EYES SURGERIES

this procedure allows tilting the lateral corners of the eyes to achieve natural almond shaped eyes. The corner of the eyelids (technical term lateral canthus) sits higher and slants a little upwards Formally known as canthoplasty, cat eye lift is a complex and delicate procedure that requires a plastic surgeon with extreme precision, knowledge, and experience to ensure results that appear natural and subtle, yet striking cat eye lift, Dr. Demir will carefully and precisely tighten and lift the outer corner (lateral canthus) of each eye to achieve symmetry and a more youthful, appealing cat-eye shape. Canthoplasty is typically performed while the patient is under local anesthesia and lasts about 1 hours, depending on whether or not any additional procedures are being performed simultaneously.