Facelift - current concept of complex facial rejuvenation.

Aging is a complex process. The first signs of aging become apparent in the third decade of life. Originally transient changes become more apparent and permanent with the time. Aging affects all structures of the face. Aging changes can be divided into three categories: gravitational changes, volume changes and skin changes. Current concept of facial rejuvenation is based upon complex solution. Such as solution must respect patient personal preferences. Most pronounced changes should be addressed first, and invasive surgical procedures should be combined with mini-invasive (lipografting) and non-invasive ones to achieve more natural and longer lasting results. Common types of procedures, their modifications, complications, advantages and disadvantages are described. Typical postoperative result is presented. Keywords: aging, facelift, lipografting, facial rejuvenation.