Gisele came to Dr. Marcelo concerned about sagging in her neck, a loss of jawline definition, and a facial expression she felt looked tired. She also wanted to restore her facial contour and soften the appearance of her eyes, while preserving her individual features and avoiding an artificial look.
Since her main concerns involved different areas of the face, the indication was comprehensive treatment, allowing each structure to be repositioned according to its specific needs.
The goal was not to transform her appearance, but to restore balance between the face, neck, and eyes, while preserving her individual features.
Since different areas of the face were treated, specific access points were used for each one.
For the upper face and temporal suspension, incisions were placed within the hairline.
For the lower face and neck (Deep Neck), access was made starting at the earlobe, running discreetly behind the ear. A small incision beneath the chin complemented the treatment.
This approach allows access to the deeper planes of the face and neck while keeping scars discreet.
Not every patient needs to treat the entire face. In many cases, rejuvenation can be approached selectively, prioritizing only the areas of greatest need.
In Gisele's case, the signs of aging were spread across different regions. Treating only one area would have left the plan incomplete and would have compromised the harmony of the facial proportions.
For this reason, an integrated treatment was indicated to meaningfully address the structural sagging of the face and neck. Temporal suspension complemented the upper third, helping to gently lift the tail of the eyebrow.
The technical goal aimed at an overall improvement of the structures, keeping in mind that the surgery aims at tissue optimization rather than the total or definitive elimination of the effects of time, respecting biological variation and preserving the patient's natural features.
The photographs shown on this page were taken approximately two years after surgery.
By this point, the tissues had fully healed and settled, illustrating a stable tissue response consistent with the surgical plan.
The goal of treatment was not to alter the patient's appearance, but to reposition structures affected by aging, preserving her identity and delivering a natural rejuvenation.
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