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The human face expresses our individual personality and also reflects our charisma - rather like a personal calling card. The face also reflects the kind of life we lead and provides undeniable evidence of the aging process.

The first signs of aging start appearing in the late twenties to early thirties. Initially fine lines form around the nose, mouth, eyes and forehead. Constantly repeated facial expressions gradually produce the first expression lines: laugh lines, brow lines and crows feet. Over the years, the skin loses moisture and elasticity. This leads to a weakening of the muscle and connective tissue and a loss of contour, as fatty tissue around the cheekbones declines. The loose skin then forms wrinkles and gravity then plays a part by ensuring the folds fall in a downward direction. When this slackening of connective tissue and drooping of excess skin occurs, the contour of the face is automatically altered. Deep ridges may appear near the nose and mouth, on the forehead or around the cheeks and eyes. In extreme cases, sagging cheeks, a double chin or wrinkles on the neck may be particularly disturbing, as they often make a person seem, unflatteringly and prematurely, older than they really are.

Face lifts and neck lifts are therefore designed to restore the natural contours of the face by lifting the loose tissue back into place. Procedures of this kind are able to smooth out such off-putting features and also have a rejuvenating effect on the face. With today's surgical techniques, the emphasis is on achieving the most natural results possible. The grotesque, understandably ridiculed and completely unnatural looking "mask-style makeovers" are thankfully a thing of the past.

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