Lifting procedures must distinguish between skin sagging and loss of facial volume.

The reason a face looks older cannot be explained solely by a decrease in skin elasticity.

The reduction and change in location of subcutaneous fat, as well as skeletal structure, can also affect facial impression.

If skin sagging is the primary cause, a lifting procedure can be considered, but if there is significant volume loss, a different approach may be necessary.

Before choosing a procedure, you must specifically evaluate the cause of the facial changes.