The earliest signs of aging can occur in persons even in their mid 20’s and 30’s. One of the strongest characteristics of youth is fullness of the cheeks, indicating an abundance of healthy midfacial soft tissues and subcutaneous fat beneath the skin. Even if you do not have lines or wrinkles, loss of the soft tissues underlying the midfacial skin area can cause dropping or sagging skin, depressed or hollowed cheeks, and eventually form folds and wrinkles around the mouth. A young-looking face is one that is full and smoothly contoured. In this situation where subcutaneous fat and soft tissues are depleted, a traditional Beverly Hills facelift may not be so helpful, but restructuring the midface by midfacial or submalar augmentation can effectively correct these problems.

Beverly Hills facial implants, particularly the submalar implant, act to reposition relaxed or sagging skin upward and outward to fill the midfacial hollows and depressions and soften the folds and wrinkles. In submalar augmentation, the bone structure is not changed, but merely the implant is used to provide a scaffolding to support the collapsed midfacial soft tissues. Submalar augmentation is thus able to simulate midfacial soft tissue replacement and provides a means of restoring the youthful appearance of the face.

Some people in their mid 30's may find they look more tired, haggard, or older then what is age appropriate. This is often due to premature loss of the facial fat, which causes a flattened or hollowed appearance of the midface. In this situation, submalar or midfacial implants provide and ideal remedy to capture that youthful vitality which was lost.

For those in their mid 40’s or beyond, the ideal aesthetic surgical solution to the aging process is a combination of submalar or midfacial implants with Beverly Hills face lift surgery. Often, traditional facelift surgery only addresses tightening the skin, and does not factor in the aesthetic effect of the underlying muscles. Pulling the skin too tightly in an attempt to smooth facial lines and wrinkles can result in an unnatural “overdone” look. The submalar implant provides the necessary foundation in order to more effectively drape the skin smoothly, while adding a more youthful dimension to the face.

In 1988, Beverly Hills facial plastic surgeon Dr. William Binder introduced the submalar augmentation surgical procedure including the submalar implant. Since then, he has become a published author on this subject in many prominent medical journals and has presented at national and international plastic surgical meetings. Dr. Binder’s concepts have been incorporated into most teaching curriculums throughout the country. For more information visit www.doctorbinder.com.

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