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New Breakthrough Facelift: The Future of Looking Younger Has Arrived · Anti-Aging & Plastic Surgery with Dr. Dan Gould

• 0:00
  SPEAKER_00: Two people can have the exact same operation by the same surgeon on the same day, and only one of them walks out looking right.
• 0:05
  SPEAKER_00: For a long time, the fix was supposed to be the technique.
• 0:08
  SPEAKER_00: First, it was pulling the skin tight.
• 0:10
  SPEAKER_00: Then it was the deep plane facelift, which has been treated as the gold standard ever since.
• 0:13
  SPEAKER_00: I did deep plane for years, and I've come to believe it's now the starting point rather than the best we can do.
• 0:18
  SPEAKER_00: So I developed a new approach to the facelift, and I call it Victera.
• 0:21
  SPEAKER_00: It's built on a measurement most facelifts never take, and it's why the result looks more like you instead of looking like you had surgery.
• 0:27
  SPEAKER_00: Hi, I'm Dr.
• 0:28
  SPEAKER_00: Dan Gould.
• 0:28
  SPEAKER_00: I'm a board certified plastic surgeon in Beverly Hills with a PhD in bioengineering, which gives me a different way of looking at how the face changes over time.
• 0:36
  SPEAKER_00: I've spent years measuring what actually happens to a face during a lift, and I've published hundreds of articles on this.
• 0:41
  SPEAKER_00: By the end of this, you'll know what Vectera actually is, why it should be a different plan for a woman than for a man, and the question that tells you in about 10 seconds whether the person across the desk has planned your face at all.
• 0:51
  SPEAKER_00: The old facelift worked on skin.
• 0:53
  SPEAKER_00: The surgeon pulled it up and back, trimmed the extra, and closed, but skin was never what dropped.
• 0:58
  SPEAKER_00: Underneath it, there's a layer of tissue held up by small, tough ligaments.
• 1:01
  SPEAKER_00: And as those let go, that deeper tissue slides down.
• 1:04
  SPEAKER_00: Pull the skin over it, and the skin carries the tension.
• 1:06
  SPEAKER_00: And tension on skin is what shows.
• 1:08
  SPEAKER_00: That's where the pulled look came from.
• 1:10
  SPEAKER_00: Deep plane was a genuine advance.
• 1:12
  SPEAKER_00: Instead of pulling on skin, the surgeon goes underneath that deeper layer and releases the ligaments holding it down.
• 1:16
  SPEAKER_00: So the tissue can move back as one piece.
• 1:18
  SPEAKER_00: That's why deep plane results look so much more natural, and why it became the gold standard.
• 1:23
  SPEAKER_00: But getting into the deep plane is the entry level point.
• 1:25
  SPEAKER_00: The real operation happens after that, inside the plane, and that's what Victera is built for.
• 1:30
  SPEAKER_00: When a face ages, it doesn't just deflate and it doesn't just fall straight down.
• 1:34
  SPEAKER_00: It travels along a path.
• 1:35
  SPEAKER_00: Volume leaves certain compartments, ligaments loosen, and the tissue slides in a specific direction that you can actually measure on a photograph.
• 1:41
  SPEAKER_00: That path is what I mean by a vector, and it's the line your own face has been traveling for the last 15 years.
• 1:46
  SPEAKER_00: What's new about Victera is mapping the specific path that your face took and then reversing it precisely.
• 1:52
  SPEAKER_00: If your tissue moved along a particular line to get where it is now, then putting it back means moving it back along that same line rather than simply upward or backward.
• 1:59
  SPEAKER_00: I call that devectoring.
• 2:01
  SPEAKER_00: Everybody does a deep lane facelift now.
• 2:03
  SPEAKER_00: The plane is where you're working.
• 2:04
  SPEAKER_00: The vector is what you're doing once you're in there.
• 2:07
  SPEAKER_00: Now the part that surprises people.
• 2:09
  SPEAKER_00: A woman's face and a man's face don't age along the same line because they don't start in the same place.
• 2:14
  SPEAKER_00: Women tend to carry more volume in the cheek.
• 2:16
  SPEAKER_00: As that volume goes, the cheek descends at roughly a 60 to 70 degree angle, which is a diagonal rather than a straight drop.
• 2:22
  SPEAKER_00: So when I lift a woman's face, the vector has to be up and back along that same diagonal.
• 2:26
  SPEAKER_00: And I usually need to put volume back at the same time because volume loss was part of what started it.
• 2:31
  SPEAKER_00: Men age differently because they tend to have stronger cheekbones and carry less facial volume to begin with.
• 2:35
  SPEAKER_00: So there's less deflation and more straight descent.
• 2:38
  SPEAKER_00: The vector for a man is close to 90 degrees, almost vertically up.
• 2:41
  SPEAKER_00: And in a man, I'm usually not restoring volume that much because adding volume to a male face is what makes a man look like he's had something done.
• 2:48
  SPEAKER_00: What I'm doing instead is rebuilding the jawline.
• 2:50
  SPEAKER_00: And my own benchmark for a man is that the beard should line up with the hairline.
• 2:53
  SPEAKER_00: Same operation on paper, but two completely different plans.
• 2:56
  SPEAKER_00: And the neck is the one place where they're the same.
• 2:59
  SPEAKER_00: And the neck in both, the vector runs almost straight up, 90 degrees, because everybody wants the same thing out of a neck, which is an edge along the jaw.
• 3:06
  SPEAKER_00: If you want to know what the plan would actually be for your face, that's what a consultation is for.
• 3:10
  SPEAKER_00: My practice is in Beverly Hills, and there's a link in the description to reach out to us.
• 3:13
  SPEAKER_00: Back to it.
• 3:14
  SPEAKER_00: What does it actually cost you if the direction is off?
• 3:17
  SPEAKER_00: A face that's been lifted too far back gets that swept look people are afraid of, where the corner of the mouth and the ears seem to be having a different conversation than the rest of the face.
• 3:25
  SPEAKER_00: A face that's been lifted straight up when it needed to go up and back gets fuller in the wrong place, and it can leave the fold beside the mouth exactly where it was.
• 3:32
  SPEAKER_00: And a face that's been pulled tight in no particular direction just looks too tight.
• 3:35
  SPEAKER_00: That's a category of result that makes people say they can always tell someone's had surgery.
• 3:39
  SPEAKER_00: None of that is about how much was done.
• 3:41
  SPEAKER_00: It's about which direction the skin and tissue was pulled, and less isn't automatically more natural.
• 3:46
  SPEAKER_00: I'd rather do the right amount in the right place in the right direction than do a timid version of the wrong operation.
• 3:51
  SPEAKER_00: There's a reason direction is what makes a result look natural.
• 3:54
  SPEAKER_00: And it's got nothing to do with surgery.
• 3:56
  SPEAKER_00: It's how other people's brains store your face.
• 3:59
  SPEAKER_00: There's a structure in the brain called the hippocampus, and part of what it does is hold the visual memory of the people around you.
• 4:04
  SPEAKER_00: Your friends are carrying a version of your face from years ago without knowing it.
• 4:07
  SPEAKER_00: So when somebody sees you after a good resolve, what's happening is a comparison.
• 4:11
  SPEAKER_00: If the tissue has gone back roughly where it used to be, and there are no signs that say surgery, no tightness, no pulling at the corners, then what they're looking at matches what they've got stored.
• 4:19
  SPEAKER_00: There's no mismatch, there's nothing to notice.
• 4:21
  SPEAKER_00: They just think you look well.
• 4:23
  SPEAKER_00: Move things in the wrong direction and it doesn't match.
• 4:26
  SPEAKER_00: It isn't that you look bad, it's that something reads is off and their brain flags it even if they can't say what it is.
• 4:31
  SPEAKER_00: That's the mechanism behind why you can always tell after someone's had a surgical procedure.
• 4:35
  SPEAKER_00: And the test I like is this one.
• 4:36
  SPEAKER_00: Six weeks out, a friend will know something's different and they won't be able to name it.
• 4:40
  SPEAKER_00: Then you show them a photograph of yourself from before or just before the procedure, and they don't recognize the person in it.
• 4:45
  SPEAKER_00: That's a powerful result and it's the goal.
• 4:47
  SPEAKER_00: Here's how I know any of this is real rather than a nice theory.
• 4:50
  SPEAKER_00: After I operate, I go back to the photographs.
• 4:52
  SPEAKER_00: I mark the small permanent things on a face, freckles mostly, and I track where each one sits before surgery and where it sits afterward.
• 4:58
  SPEAKER_00: I use AI to help me follow and analyze them.
• 5:00
  SPEAKER_00: What that gives me is an actual map of how far each part of the face moved and in which direction.
• 5:04
  SPEAKER_00: Then I compare that map against what I intended and against how good the result looks a year later.
• 5:09
  SPEAKER_00: That's how I know the 60 to 70 degrees in women and the 90 degrees in men, they're not opinions I formed in a consultation.
• 5:15
  SPEAKER_00: They're measurements of thousands of my own patients.
• 5:17
  SPEAKER_00: That's what I mean when I say the future of facelift is already here, a lift planned from how your face actually aged and measured afterward against the result.
• 5:25
  SPEAKER_00: So if you're sitting down with a surgeon about your face, here's the question I would ask.
• 5:29
  SPEAKER_00: Ask them which direction they're going to move your tissue and why that direction for your face.
• 5:34
  SPEAKER_00: You're not testing whether they know the answer.
• 5:36
  SPEAKER_00: You're finding out whether they've thought about your face as a specific face or whether you're getting the same operation they do on everybody.
• 5:41
  SPEAKER_00: And if the answer you get is about technique names instead of direction, that tells you something too.
• 5:46
  SPEAKER_00: Now, the one part of this I barely touched is the neck, and the neck is where most direction matters because the neck is what makes the jawline.
• 5:52
  SPEAKER_00: It's also the part most surgeons leave alone.
• 5:54
  SPEAKER_00: I made a whole video on what's actually making a neck heavy, layer by layer, and what each procedure fixes, and that's the one I would watch next.
• 6:01
  SPEAKER_00: A facelift used to be a single operation done more or less aggressively.
• 6:05
  SPEAKER_00: With Vectera, it's a direction, and yours is specific to your face.
• 6:08
  SPEAKER_00: Go ask what yours is and hit subscribe on your way out.