Restore a natural, vibrant appearance by addressing fine lines, wrinkles, volume loss, and sagging soft tissues. Dr. David T. Morwood, our board-certified plastic surgeon, uses the Triangle of Facial Rejuvenation to develop a custom-designed plan for your unique face, improving skin texture, restoring volume, and elevating descended tissues.
Before & After Facial Rejuvenation
*Actual Patient Disclaimer: there is no guarantee of specific results and the results can vary.
In Dr. Morwood's Words:
Our triangle of facial rejuvenation rests upon the foundation of the cranial facial skeleton—the chin, the bones of the face, the nose, etc.
David T. Morwood, MD, FACS
The Truth About Plastic Surgery: An Educational Guide for the Consumer
This Procedure Treats:
- Multiple signs of facial aging addressed simultaneously
- Uneven skin tone, texture, and surface irregularities
- Loss of volume and hollowing in the cheeks and temples
- Fine lines, wrinkles, and deep facial creases
- Skin laxity across the face, neck, and eye area
- Diminished radiance and overall skin quality
The Triangle of
Facial Rejuvenation
The Triangle of Facial Rejuvenation is a science-based framework Dr. Morwood uses to evaluate how your face changes with age by examining each anatomic layer, from the skin to deeper soft tissues and the underlying foundation. Developed over more than 15,000 operations in 35 years of private practice, this approach reflects his personal method of working with you to develop a custom-designed plan that restores volume, enhances skin texture, elevates sagging soft tissues, and, when needed, addresses the foundation of the face. Guided by science and surgical artistry, the goal is to achieve longer-lasting, natural results that emphasize your innate beauty. This method groups anti-aging therapies into three angles:
- Improving texture, including fine lines, wrinkles, pigment changes, and overall skin health
- Restoring lost volume through fillers, fat grafting, or surgical elevation of descended tissues
- Surgically repositioning sagging skin and soft tissues to a more youthful position
Angle 1: Skin Texture
Improve the health and appearance of your skin by addressing fine lines, wrinkles, pigmentation changes, and loss of healthy glow or sheen. Dr. Morwood evaluates the epidermis and dermis, where visible signs of aging develop, and incorporates treatments that enhance skin quality as part of a custom-designed approach using the Triangle of Facial Rejuvenation.
Effective treatments to improve skin texture and overall skin health may include:
- Medical-grade skin care
- Medically supervised facials
- Mini peels
- Stronger chemical peels such as TCA
- Laser treatments
- Dermabrasion
Angle 2: Volume
Overview
As you mature, you lose fat in the face and hands while gaining fat in the trunk, creating a deflated look often described as changing from a “grape to a raisin.” Dr. Morwood evaluates these volumetric changes as part of a custom-designed approach based on the Triangle of Facial Rejuvenation, recognizing that volume loss leads to sagging and descent of the soft tissues. Restoring volume is essential to achieving natural, balanced results. There are three major ways to restore volume in the face.
Injecting Fillers
Fillers are injectable substances delivered from prefilled sterile syringes and administered in the office with local anesthetic while you are awake. They can be used to augment the cheekbones, fill tear troughs, perform conservative chin advancement, and minimize lines and wrinkles. Fillers are typically temporary and may become costly when larger volumes are needed.
Fat Grafting
to the Face
Fat grafting involves performing conservative liposuction from areas such as the flanks or lower abdomen, processing the harvested fat, and reinjecting it into the face where volume is needed. This technique uses living cells, similar to planting seeds into the soil, which can take root, regain blood supply, and grow. It offers a more natural, longer-lasting method of restoration.
Surgically Lifting the Descended Volume
Surgical elevation of descended volume involves repositioning deeper soft tissues of the face, including fat compartments, fascia, and sometimes muscle. This is the most invasive method and may be performed through small incisions, such as in a mini lift, or as a comprehensive procedure, like a facelift. It restores volume by elevating tissue to a more youthful position.
Videos
Facial Rejuvenation Seminar (Pt.1)
Facial Rejuvenation Seminar (Pt.2)
Angle 3: Sagging Soft Tissues
Correct the effects of gravity on the deeper structures of your face by addressing sagging skin and soft-tissue descent. As connective tissue loses strength, your muscle tone diminishes, and support structures weaken, the face begins to drop and lose its shape. Dr. Morwood evaluates these changes at every anatomic layer and incorporates surgical correction when appropriate. By elevating and repositioning deeper tissues, this approach restores more natural results.
Procedures that address sagging soft tissues may include:
- Facelift
- Neck lift
- Blepharoplasty (eyelid tucks)
- Brow and forehead lifts
Facial Rejuvenation FAQs
What Causes My Face to Look Older Over Time?
As you mature, changes occur at every anatomic layer of your face. The skin becomes weathered by UV rays and environmental exposure, leading to fine lines, wrinkles, and changes in pigmentation. You soon lose fat in the face and hands while gaining fat in the trunk, creating a deflated appearance. Connective tissue such as fascia loses elasticity, muscle tone diminishes, and gravity causes soft tissues to descend. Even the craniofacial skeleton can lose volume.
Do I Need All Three Angles of the Triangle Addressed?
Not necessarily. Not everyone requires treatment in every angle of the triangle. Some may primarily benefit from improving skin texture, while others may need volume restoration. Dr. Morwood develops a custom-designed approach based on your specific signs of aging, ensuring that the right treatments are matched to your needs at the right time.
Can Skin Treatments Replace a Facelift or Surgical Procedure?
No. Treatments that improve skin texture, such as peels, lasers, or medical-grade skincare, cannot lift, reposition, or remove excess skin. While they can enhance the overall health and appearance of the epidermis and dermis, they do not address deeper structural changes. Substituting one angle of the triangle for another can lead to incomplete rejuvenation.
What Does It Mean to Achieve a Natural Look?
Most patients want to look like the best version of themselves rather than appear altered. Achieving a natural look means respecting your unique facial structure and addressing each component of aging appropriately. When the principles of the Triangle of Facial Rejuvenation are followed, the results tend to appear balanced, harmonious, and consistent with your natural features, avoiding an overly pulled or flattened appearance.
Have More Questions?
Learn More About Facial Rejuvenation in The Truth About Plastic Surgery: An Educational Guide for the Consumer
Explore facial rejuvenation in greater depth through The Truth About Plastic Surgery: An Educational Guide for the Consumer by Dr. David T. Morwood. In his words, you will learn how the Triangle of Facial Rejuvenation guides a custom-designed approach to address skin texture, volume loss, and sagging soft tissues, while helping you understand your options, choices, and alternatives with clarity.
Client Testimonials
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Look Like Your Best Self With Facial Rejuvenation in Monterey
Dr. David Morwood is a board-certified plastic surgeon in Monterey with more than 35 years of experience and 15,000+ operations performed. During your consultation, you will sit in a relaxed environment, review your concerns using a mirror, and explore a custom approach using tools such as Vectra 3D imaging. This process helps you understand your options and participate in decision-making. Schedule your private consultation for facial rejuvenation today.
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