A new progression is clutching the plastic surgery domain by storm and it is based on current techniques and concepts of how we estimate beauty and facial regeneration. Dr. Renato Calabria of Vertical Facelift calls it the “deflation theory”.

In the face, the growing process starts deterioration of the skin and concealed layers while the effect of gravity causes the fibers of the face to sag in a vertical direction creating redundant skin and “jowls”.

The final effect is a straight out depletion of the bulk of the face (the deflation effect) and a corresponding shift of volume from certain areas of the face to other, reducing the desirable areas such as the nasolabial fold, the jaw line, the space below the eyes and the neck.

Established cosmetic procedures attempts to right the situation by pulling in an abnormal, flanking direction, producing the so-called “wind blown look”. Also everyday facelifts create a flattening effect on the face because of pulling the skin tight.

Therefore facial reinvigoration has been troubled for decades by two major aberrations: askew direction of the pull vector, (lateral vs vertical) and bidimensional, skin-only, (flattening) approach.

When you view how Botticelli painted Simonetta Vespucci in his Primavera’s, you can appreciate the “volume theory” of a young, beautiful face: basically, aging equals volume loss and the principal goal of facial surgery should be to reconstitute the lost bulk.

Vertical facelift was created in the same way Botticelli actualized his paintings: thinking in a third-dimensional style by restoring volume and, therefore, youthful shape and refinement.

Procedural planning is very important: in order to create the appropriate road map for the procedure pictures of the patient from their 20’s and 30’s are combined and analyzed with current pictures of the patient.

The advent of new, state of the art, endoscopic technology which allowed us to minimize scars with minimally invasive Los Angeles, Beverly Hills, Newport Beach and Palm Springs California face lift procedures.

Using scopes with small cameras secured, introduced via slight openings, amplified pictures are projected in our operating room screens. This supports access of important areas with particularly constructed utensils used to alter and create the desired aesthetics.

Using similar technology, the vertical facelift is performed. Two tiny, concealed incisions in the hairlines and inside the mouth are made. Sutures are cautiously placed in a created space to suspend and adjust the facial tissues vertically, giving a younger look.

This method alone renders less swelling and bruising, along with expelling visible scars. It reduces recovery to under a week. It’s great for individuals whom want to revise an existing facelift with anomalous wind blown look.

Due to the absence of scars, this procedure is popular among younger patients as it is less invasive. For older patients the vertical facelift is integrated with an endoscopic neck lift to rid the excessive skin on the neck.

Restoring volume in cheeks and nasolabial fold, via fat mecrografting, is achieved with an endoscopic brow lift. The finished product is a soft, natural, youthful look, with restored volume.

Dr. Calabria would like to acknowledge the other minds whose thinking has triggered him the most: Bill Little, M.D., Steve Hoefflin, M.D., Oscar Ramirez M.D., Sam Hamra, M.D., and Sherrell Aston, M.D.

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