Episode 35: The Anatomy of Facial Ageing — What Falls, What Deflates, What Descends, and How Surgery Puts It Back

She holds a photograph of herself at 35 and asks what happened. The answer is six simultaneous processes in six anatomical layers — and surgery addresses only three of them.Skeletal resorption, fat compartment deflation and descent, the six retaining ligaments and exactly what each one does, what fails when it weakens, where it is, and which surgical technique releases it. The zygomatic ligament that creates the nasolabial fold. The masseteric ligament that creates the jowl. The orbitomalar ligament that creates the tear trough. And the pre-jowl sulcus that tells you the mandibular ligament has given up. Episode 35 — the anatomy of facial ageing, from the photograph at 35 to the surgical plan at 58.