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It is important for the cosmetic surgeon to evaluate the lower face before surgery and to understand that both bone and soft tissue can play a role in the appearance of the lower face in older individuals. A small lower face is highly attractive and conveys the impression of youth, and any soft-tissue procedure that can create the illusion of a diminutive lower face will improve the cosmetic result of the face lift procedure.
Pessa et al. (Tue,) studied this question.