Patients’ main concerns pre-op are deeper lines, loss of facial contours and loss of youthfulness. Whilst facial surgery can tighten the skin and reduce lines, it cannot completely eradicate deeper lines or address skin texture. This is where I come in. I see many patients who have years of sun damage and/or diffuse redness and capillaries. These need to be addressed to get the best benefit from your surgery and give you the third criteria - a more youthful complexion.