Aging has been widely described as the effect of gravity but is more the degradation of biological functions in the living organism.

But what if aging was based on the idea that someone was simply not satisfied with their face and features? With this in mind, why choose to postpone a procedure with the fear that you might be ruining their appearance? After all, the result of cosmetic medicine and surgery is to make someone happier. They could pass years of uncertain questioning, when maybe the right decision would be to have work done when they desire it, even if this is at a younger age.

The aim is to identify at which conditions a doctor can fulfill a patient request. We will see that not turning to cosmetic medicine, with it’s loads of disposable injections and sophisticated machinery, as many already do at a young age, may leave an opening for surgical procedures if adequate to it’s needs. The new trend of performing surgeries at an earlier age follows the idea that there is less fear of going under anesthesia as well as a shorter recovery time, which is more suitable for an active, young patient. A Survery of the Situation France, among other countries, shows patients with a very peculiar attitude towards natural results. One could ask, “What are natural results?”, when what we see is such strange looking faces on the streets, and in magazines and pictures.

Overdone results can occur from injections and other medical treatments but also from cosmetic surgery performed by surgeons who use over embellishing techniques. In France, this has lead to total fear of surgery and its results among many patients that could have otherwise benefited from a younger appearance. The fear of anesthesia, scars, recovery time, and pain leaves these patients looking for so called “easier improvements” within cosmetic medicine to get the results they are expecting. But cosmetic medicine cannot accomplish everything and there comes a time to consider the benefits of having surgery. Options for a Youngster The appeal of cosmetic medicine is given by its easiness, comfort, and simplicity. But it’s wide use is not the hot topic, let’s talk surgery.

One Fear: The unnatural post surgical look The unnatural look most often means that the patient will not be able to recognize themselves. This is also true for their close family and friends and can result in the dreaded question, “What have you done?” So what does this mean for the new concept of the “youngster facelift” and its promises? I say, “You will absolutely be able to recognize yourself, you will be recognized by your family and friends, nobody will question what you have done, and better yet, no one will know that you have done something at all to your face.” This is the true base for success and what we call the “natural look”. The recovery time should be reduced to its minimum.

The shortest recovery is one day and is accomplished with the “Direct-line facelift” or “Hollilift” described in the previous issue of Body Language Magazine. The follow up is remarkably shortened with minimal pain, swelling or bruising. Patients are encouraged to go to a restaurant or sit out on la terrasse as soon as possible with a little light make up, hair styling, and sunglasses. This can even happen the morning after the surgery. The psychological effect is extremely important not only for the physical appearance but also the mental attitude the patient has towards their new life. If the program is precisely followed and events occur as described and expected, there shouldn’t be a problem with operating on a younger patient.

This can also apply to patients that are depressed and may be rejected by their plastic surgeons because they are believed to be a bad candidate. But if the result is a new look, new mental attitude, short recovery time, and a recognizable appearance, then all candidates can be considered. If making your patient happy, or happier, by doing what is needed, provided the result is natural and simple to obtain, then this is the new must do. These surgeries are looked at as complicated procedures but are in fact simpler than we think. Rejuvenation has never made anyone sad, but natural rejuvenation is hard to come by and in some cases impossible

Aging can bring sadness, so there is no sense in postponing when there is a need and the contract is respected so the patient leaves happier.

Table 1. Tunnelization & Undermining for beginners

Design SMAS and undermine with cautery. If you are new to this technique, be progressive and follow the steps in the table.

How to get there. The “Direct-line Facelift” The skin and a piece of fabric are very similar in that they both consist of fibers. Fibers have a specific direction. If there is separation of these fibers during cutting, then this can lead to injury of the tissue. For example, if you cut across a fiber, then this will lead to swelling, bleeding, bruising, and pain. These errors in technique will cause long and painful follow-up, and sometimes can lead to postoperative depression “lifting blues” similar to what we call the “baby blues”. The patient is longing for the fresh result just as someone longs for a baby, and when they finally get what they want, they can become depressed and cry for up to six months after.

This is not what we want to see after a ‘’youngster facelift’’ so faster results are expected to keep the patient as secure as possible. The Hollilift is described as: a fast recovery, extensively adapted facelift, preceded by a mental conditioning and renewal of nutrition and physical activity including exercise. The short recovery time is a necessity that gives the opportunity for anyone to obtain happiness in a shorter downtime. This makes the facelift simple, effective and accessible to the greatest number of patients, even those who are very active. To eradicate any fear, mental preparation with images and demonstrations, can bring peace of mind.

This zen attitude will allow the patient to have a lower blood pressure, quietness, and a feeling that their needs are being understood. The Hollilift is on its way to great success allowing the generalization of the ‘’youngster facelift’’ to take a good piece out of cosmetic medicine, whose success often comes from the fear of surgery, and finally is limited in it’s actions and results.

By Dr. Patrick Baraf, Doctor at the Campus Champs Élysées


Train with Dr. Baraf at the Campus Champs Élysées  


Posted by Ranim Chaban

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