The old understanding of facial aging was that the skin and muscles of face become stretched and lax so the treatment of choice was to tighten them up. The ideal way to tighten the skin and muscles was to cut out the excess and pull the remainder tighter, in other words, to do a facelift.
We have a much better understanding of facial aging now. We know that the support structures of the face, the bone, muscle and deep fat layers, are shrinking as we age. If you pull the skin tighter over a shrinking framework, you get a smaller and more gaunt-looking face. I always get a picture in my mind of Helen Gurley Brown, the iconic editor of Cosmopolitan magazine, whose face got smaller as she aged.
This article from the Style blog of The Plain Dealer does a really good job of explaining how restoring volume to face does a much better job of making look younger but still look like yourself.
“You don’t want to change your looks,” says Dr. Anthony Griffin, director of the Beverly Hills Cosmetic Surgery Institute. “And actresses and celebrities really don’t want to do that, though some inadvertently have.
“Face-lifts make the face tighter, and when you pull on the skin, it gets flatter. You don’t look like yourself anymore. Some actresses we’ve seen pictures of have had disastrous results.” …
“Face-lifts change the whole ratio and proportions of the facial features, which is why some actresses are hardly recognizable,” Griffin says, who predicts that in 10 or 15 years, face-lifts will be passe and rarely done.
Using dermal fillers, like Teosyal and Juvederm, and volumizers, like Sculptra, creates a very natural look. My clients tell me they look in the mirror and remember when they used to look like this.
Here is an example of how Sculptra builds up volume around the mouth:

These photos show how restoring volume in the midface (the cheeks below the eyes and above the base of the nose) really restores a younger appearance to the face:


You can look like a more youthful version of yourself without resorting to the knife. Each treatment has advantages and disadvantages but they are both a lot less risky than having surgery.
Neither Teosyal nor Sculptra is permanent but a facelift isn’t permanent either. You generally need to have another facelift about every 10 years.
I’m really excited about the natural results I can achieve with Teosyal and Sculptra, and the longevity of these products. The injection techniques that I use can last for several years.
Dr. Rose Jeans
Advanced Rejuvenation Medical Spa