How is Facelift Surgery Affected by Body Weight?
11 August 2020 onur
A sound mind in a sound body. That’s what they say.
Beautiful bodies are also often crowned by beautiful faces.
That was a fast introduction.
There are many exceptions to the generalization above during childhood and early youth.
However, even the number of exceptions gradually decreases during the aging process.
For children and girls, the expression “a beautiful face like moon” is often used.
You rarely hear such praise come middle age.
– But professor, they say ‘five grams of fat hide a thousand flaws’.
– It is true, indeed. Excess fat tissue on the face may camouflage soft tissue sagging and superficial wrinkles. However, this camouflaging effect does not change the fact that a plump face over the age of 40 is rarely considered beautiful.
Earlier, I mentioned the concept of middle-aged beauty in my blog posts.
The common features of middle-aged (35-55) beauties are that their faces are thin, elegant, angled and expressive.
After the introduction, let’s review how body weight and body fat mass affect the aging process as well as facial rejuvenation techniques.
First of all, fluctuations in body weight are one of the key risk factors for premature aging.
If a patient appears to be 10 years older than their chronological age in terms of facial sagging, the first thing we ask during examination is whether they have a history of excessive weight gain or loss.
When you gain weight, the facial skin, the SMAS layer, the platysma and the orbicularis oculi muscles expand, and the ligaments that hold the facial soft tissues in place get tight. When you lose weight, these tissues do not fully recover and sag a little.
At age 10s and 20s, when skin and soft tissue flexibility is very high, the face may recover to some extent. However, after the age of 30, sagging is inevitable.
So how much weight change makes the face droop prematurely?
Of course, it depends on one person or the other, but we can say that for a person of average height, gaining or losing 20 kilograms permanently changes the face. Unfortunately, weight gain of more than 30 kg, even once during pregnancy, will permanently affect the face.
Moreover, the more frequent the weight gain and loss cycle is, the more pronounced the facial sagging will be. The face of a woman who got pregnant 4 times and gained or lost 20-25 kg each time will droop more than that of a woman who has gained or lost 20 kg once in her life.
To get an “ideal” result in facelift surgery, a person’s body weight should be within the ideal range.
The ideal range for body weight is determined by calculating the body mass index.
To calculate the body mass index, we divide the body weight by the square of height.
You can Google and access to automatic calculation tools.
If your body mass index is between 20-24, you are a good candidate for facelift surgery in terms of body weight.
If your body mass index is between 25-30, you have to settle for a suboptimal result.
If your body mass index is over 30, you cannot get a good result in facelift surgery.
If your body mass index is over 35, you should not undergo any surgery that is not medically necessary anyway.
Excess weight has a clearly negative impact on surgical outcome.
On overweight faces, skin cannot be excised sufficiently, skin tension will be high and scar quality will be low.
Plump faces lose their new, surgically-induced position earlier.
The permanence of the result is reduced.
In some cases, the face may return to its preoperative form within a couple of months.
Before facelift surgery, we inform our patients that weight gain and loss may impair the surgical outcome. If you gain or lose 20 kilos after a facelift, the time, effort and money you spend on surgery will be wasted. Unfortunately, a facelift surgery that is resistant to weight changes has not been invented yet. Therefore, you should revisit your eating and exercise habits before surgery.
We absolutely inform patients who apply for facelift surgery but are above their ideal weight that they should get to their ideal weight before surgery and maintain this ideal weight after surgery.
– Professor, I lost 10 kg. If I lose another 10 kg after surgery, will my face deteriorate?
– Yes, unfortunately it will.
We would like you to have facelift surgery only once in ideal conditions and achieve the best results.
Feel free to contact us for detailed information about the effects of excess body fat and eating habits in the facial rejuvenation process.
Take good care…
… of yourself and your beauty.