The Face After Menopause: Restoring Structure with a Combined Approach

The face undergoes profound changes over time, and after menopause, the primary concern is often not just the quality of the skin, but a significant loss of underlying structure. The aging process alters the face in a truly three-dimensional way. The youthful face, which typically has a defined, triangular shape, begins to invert as tissues descend, gradually becoming more square and heavy in the lower thirds. Concurrently, the periorbital area ages, and the eyes often lose their youthful brightness.


When addressing these structural changes, treating only the skin surface is insufficient. The ideal approach in modern facial plastic surgery is a comprehensive, combined approach. The goal is to lift and reposition the deep tissues in a minimally invasive manner, restoring the face’s original volumes while strictly preserving the patient’s natural features and unique identity.

The technique indicated for this is endoscopic lifting, particularly the MIVEL technique. Depending on the patient’s specific needs and anatomy, we can perform a MIVEL 1, MIVEL 2, or MIVEL 3. This precise endoscopic approach can be combined with a mini mandibular lift or a neck lift to comprehensively redefine the lower face and jawline with less invasive access than traditional methods.

However, structural rejuvenation is only part of the solution. These minimally invasive surgical techniques can be synergistically combined with cutting-edge regenerative therapy. By using the patient’s own cells, we can actively regenerate tissues and improve skin quality from within, for a natural, glowing result.

The key to successful facial rejuvenation is not relying on one single surgical technique, but rather designing the right combination of procedures tailored to the individual. At the foundation of this customized strategy is always an accurate, in-depth clinical diagnosis.

Learn more about our minimally invasive approaches:

To begin your customized rejuvenation journey, contact us today.

About the author

Prof. Alessandro Gennai, MD, specialist in General Surgery (University of Modena, degree and specialization cum laude), graduated cum laude from the International School of Aesthetic Medicine of the Fatebenefratelli Foundation in Rome. Creator of the MIVEL® (Minimal Incisions Vertical Endoscopic Lift), SEFFILLER® and SEFFIHAIR® techniques, author of "Endochirurgia estetica del volto" (Aesthetic Endoscopic Surgery of the Face). Registered with the Medical Council of Modena, no. 4230, member of AICPE. Practices in Milan, Bologna and Modena.
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