Your Face Doesn’t Just Fall One Day

Aging starts beneath the surface.

Before wrinkles appear, your face is already changing.

Learn how an experienced facelift surgeon evaluates facial aging beneath the surface. In this guide, Dr. Gould shares the framework he uses to understand aging and develop personalized treatment plans.

Your privacy matters to us. By downloading this guide, you agree to receive occasional updates from Dr. Gould Plastic Surgery. You may unsubscribe at any time.

The 5 Layers of Facial Aging

Understanding the structural anatomy changes that occur over time.

Inside the Guide

  • Bone Loss
  • Fat Loss & Redistribution
  • Muscle Loss
  • Structural Change
  • Skin Aging
  • Dr. Gould Rejuvenation Framework
You can’t just lift the face. You have to address the volume below and the quality of the skin.
— Dr. Daniel J. Gould
Diagram of the five layers of facial aging: bone, fat, muscle, structure, and skin.