In the world of aesthetic plastic surgery, the pursuit of facial harmony is the ultimate goal. It’s not about changing who you are, but rather refining and rejuvenating your features to reflect your inner vitality. As a double board-certified plastic surgeon with a focus on facial rejuvenation, I’ve had the privilege of helping patients from all over the world achieve this harmony. And one of the most powerful combinations I perform, especially for my younger patients, is the union of a rhinoplasty with an endoscopic facelift.

Many of my patients, particularly those from the USA, UK, Canada, and Australia, are surprised to learn that these procedures can be done together. The common misconception is that a facelift is only for much older individuals. However, the modern endoscopic techniques I utilize, such as a temporal and neck lift, are designed for a demographic that is starting to see the first signs of aging but doesn't yet require a traditional facelift with extensive incisions. When combined with the finesse of a rhinoplasty, the results can be truly transformative.

Here is an example of one of my youngest patients, who had a rhinoplasty with endoscopic necklift with hidden incisions.

Redefining the Facelift: The Power of the Endoscopic Approach

The term "facelift" often conjures images of significant downtime and visible scars. But the evolution of plastic surgery has led to less invasive, yet highly effective, techniques. The endoscopic facelift is a prime example of this progress. This procedure is performed through small, hidden incisions, typically within the hair of temple and behind the ears.

For many of my patients seeking facial rejuvenation, a full, traditional facelift isn't necessary. Instead, we can address specific areas of concern with a more targeted approach. My preferred combination in these cases is a temporal lift combined with a neck lift and rhinoplasty. This trifecta allows for a powerful yet natural-looking rejuvenation with the significant advantage of hidden scars.

• The Temporal Lift: This procedure specifically targets the upper third of the face. Through a small incision hidden within the hair of your temple, I can lift the outer brow, soften crow's feet, and create a more refreshed and youthful appearance around the eyes. The result is a subtle yet impactful lift that opens up the eyes and reverses the downward pull of aging.

• The Neck Lift: A well-defined jawline and a smooth neck are hallmarks of a youthful profile. As we age, skin laxity and fat accumulation can obscure this definition. A neck lift, with incisions discreetly placed behind the ears, allows me to tighten the underlying muscles and remove excess skin and fat, restoring a sharper, more elegant neckline.

The beauty of combining these two procedures is that they address the upper and lower frames of the face simultaneously, creating a balanced and harmonious rejuvenation. And because the incisions are so well concealed, you can wear your hair up without a second thought.

Here is another example of a more complex surgery, this patient of mine had some serious skin laxity and excess, so I performed a full face&neck lift with a rhinoplasty.

The Rhinoplasty Component: More Than Just a Nose Job

A rhinoplasty, or "nose job," is one of the most common plastic surgery procedures, and for good reason. The nose is the central feature of the face, and even a subtle change can have a profound impact on your overall appearance. When combined with a facelift, a rhinoplasty can elevate the results to a whole new level.

For my patients undergoing a facelift, the rejuvenation of their face can sometimes draw more attention to a nose they were already unhappy with. By addressing both at the same time, we can ensure that all your facial features are in harmony. Whether it's refining the nasal tip, straightening the bridge, or reducing the overall size, a rhinoplasty can create a more balanced and proportionate profile.

For many of my patients, I perform a closed rhinoplasty, where all incisions are made inside the nostrils. This means no visible scarring on the outside of the nose, further contributing to the "hidden scar" approach of this combination surgery.

The Secret Weapon: The Impact of a Chin Implant

Here is an example; how chin implant supports the neck rejuvenation:

Now, let's talk about the element that can take this powerful combination and make it truly exceptional: the chin implant. You might be surprised to learn how influential the chin is in the overall balance of your face. A slightly recessed chin can make the nose appear larger and can detract from the definition of the jawline.

For my patients who have a weaker chin profile, adding a chin augmentation with an implant to the temporal lift, neck lift, and rhinoplasty is a game-changer. Here's why:

• Enhanced Facial Harmony: A well-proportioned chin balances the other features of the face, particularly the nose. By bringing the chin forward, we can create a more harmonious profile and a stronger, more defined jawline.

• Improved Neck Contour: A chin implant can significantly enhance the results of a neck lift. By providing better structural support to the lower face, the implant helps to create a sharper cervicomental angle – the angle between the chin and the neck. This results in a more youthful and defined neckline.

• A Powerful Rejuvenation Tool: The addition of a chin implant doesn't just improve your profile; it also provides a subtle yet significant rejuvenating effect to the entire lower face.

The chin implant is placed through a small, discreet incision, either inside the mouth or under the chin, leaving a virtually invisible scar. The results are permanent and can dramatically improve the overall aesthetic outcome of your facial rejuvenation journey.

Is This Combination Right for You?

This combination of a temporal lift, neck lift, rhinoplasty, and potentially a chin implant is not a one-size-fits-all solution. It's an approach that I find particularly effective for a younger demographic of patients who are looking for significant, yet natural-looking, rejuvenation. These are typically individuals who are bothered by the early signs of aging, such as a loss of definition in the jawline, a tired appearance around the eyes, and a nose that they feel is out of balance with the rest of their face.

The ideal candidate for this surgery is in good overall health and has realistic expectations about the results. During our consultation, we will have an in-depth discussion about your goals and I will conduct a thorough examination of your facial anatomy to determine if this is the right approach for you. My philosophy is to be a guide and an expert for my patients. I believe in a "cool" and professional approach where you feel informed and confident in your decisions, not pressured.

Your Journey to Facial Harmony

Embarking on a facial rejuvenation journey is a significant decision, and it's one that should be made with a surgeon you trust. My international training, including a fellowship with the world-renowned facelift surgeon Dr. Raul Gonzalez in Brazil, and my commitment to ongoing education ensure that I am at the forefront of the latest techniques in facial plastic surgery. As a double board-certified plastic surgeon and a member of the International Society of Aesthetic Plastic Surgery (ISAPS), my priority is always the safety and satisfaction of my patients.

If you are considering facial rejuvenation and are intrigued by the powerful, yet subtle, results that can be achieved by combining a rhinoplasty with an endoscopic facelift, I invite you to schedule a consultation. Together, we can explore your goals and create a personalized plan to help you achieve the natural, harmonious results you desire.