Facial features in Asian are different from Caucasians. The forehead is flatter, the eye socket is much more shallow, and the cheek bones are more prominent. In addition, the eyelid fold is smaller or absent and the skin is much thicker in Asians. This leads to differences in the aging process. The upper eyelid area ages much earlier due to the eyebrows falling which leads to the crowding of the upper eyelid area and onset of forehead wrinkles. While the midface ages gracefully, due to its characteristically high cheekbones, Asian patients benefit from a brow lift at an early age.

Eventually, the aging process finally does catch up to the face, and the mid and lower face areas begin to sag at the nasolabial fold and in the jowl area. By performing a facelift, the effects of gravity on the face are reversed, pulling those structures back into place. The muscle layer under the skin is tightened and the skin is redraped. The neck is also tightened. All this is done through incisions that are well hidden around the ear. Liposuction of the face and neck can be done simultaneously to improve facial and neck contour.

Thermage

The Thermage® procedure is a revolutionary non-surgical technique that tightens aging skin with no incisions. Thermage employs a patented capacitive radiofrequency (CRF) technology called ThermaCool™, which has been clinically proven to tighten and gently lift skin to smooth out wrinkles and renew facial contours. The incision-free procedure is fast, easy and requires no downtime from regular activities. Unlike lasers, the procedure can be performed on patients of all skin types. The ThermaCool device has been cleared by the FDA for the non-invasive treatment of facial wrinkles and rhytids.

The ThermaCool device uses a special treatment tip called ThermaTip™ that delivers a controlled amount of CRF energy. With each touch of the skin, the ThermaTip evenly heats a large amount of collagen in the deeper layers of the skin and its underlying tissue while simultaneously protecting the outer layer of the skin with cooling. Immediately following the Thermage procedure, skin should feel lighter, smoother and more youthful with additional tightening over time.

Fat Injection

This procedure has received a great deal of attention in the recent media. The patient's own fat is harvested and injected along the wrinkle lines and grooves of the face. It is also used to replenish lost fat from an aging face. It is a relatively simple procedure that results in a more youthful face.