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Facelift Operation: This is used to correct sagging of the aging face. An incision is made in front of and just below the external ear. The skin of the face is undermined and lifted off the muscle layer. It is then pulled backwards and upwards, excess skin trimmed. The underlying musculoaponeurotic layer is called SMAS. This layer is also tightened by excising the excess portion. Facelift, being a major operation, would leave the face swollen and bruised for a number of weeks. To reduce this, the patient is asked to wear a compression bandage on the face postoperatively. It is after the bruise marks have disappeared that the patient can notice the real difference. This surgery can make one look at least ten to fifteen years younger.

Thread Facelift A special type of thread is used to pull back the wrinkled skin. The thread is introduced under the skin with the help of a needle, and the surgeon applies the right amount of traction to lift up the sagging tissues of the face. This procedure is best suited for mild wrinkles. But for moderate and deep wrinkles facelift operation gives better and longer lasting result.

Filler Injection: This is also a method for facial rejuvenation. Here, Filler gel is injected in the depressions/wrinkles. Commonest filler used is Hyaluronic Acid (HA). Skin wrinkles can vanish instantly by filler injection. The drawback of this procedure is that the gel gradually gets absorbed with time and needs to be repeated every six months or so. Now a days fat injection (Lipoinjection) has proved to provide much better result. Here fat from the abdomen is harvested by a syringe and after processing, it is injected into the affected area. In addition to filler effect it also provides rejuvination to the overlying skin.

Microdermabrasion: This is another non-surgical procedure used for skin rejuvenation. Microderm is used to remove the finer wrinkles. Here, sharp Aluminium Oxide crystals are sprayed at high velocity. These assist in excising the Stratum Cornum, topmost layer of the skin. This eventually removes the fine wrinkles. The procedure is accompanied by a suction, to take away the grime and the powder used for microdermabrasion. As the crystals do not penetrate the inner layers of the skin, there is no pain. However, this is not very effective for heavy wrinkles, and these have to be treated with either botox or facelift.

Laser: There has been an impressive surge in popularity in recent times. CO2 fractional laser is commonly used for facial skin rejuvenation. A special type of light ray is used to destroy the collagens in the deeper skin. Within a few days, new collagens start forming, and this process is called collagen remodeling. As a result of this remodeling, the skin becomes increasingly taut and creaseless. It is for this reason that this is also known as laser rejuvenation. It is to be noted that the procedure requires several sessions for best results.