Dr. Little’s Philosophies
Further Reading about Facelift Surgery
For those wishing a further look into the broader issues surrounding facial rejuvenation and other forms of cosmetic surgery, Dr. Little recommends Straight Talk about Cosmetic Surgery by Arthur W. Perry, M.D., F.A.C.S. Yale University Press; 2007. [Disclosure: Dr. Little receives high praise as one of only a few facelift surgeons cited in this no-nonsense book about an often distorted and over-hyped field of medicine.]
For others, who might find themselves torn about their motivations for facelift (are they just being vain or is there something more to their concerns about outward aging?), Dr. Little recommends Part I (the opening third) of In Your Face: The hidden history of plastic surgery and why looks matter, by Bryan Mendelson, M.D. Hardie Grant Books: Melbourne / London; 2013. An Australian, Dr. Mendelson is the world’s unrivaled expert on facial anatomy as it relates to aging and one of the few true intellectuals in the field of facial rejuvenation. While his technical approach to facelift (Part III) differs from that of Dr. Little, his insights into the evolution of human appearance remain fascinating and illuminating. [Disclosure: Dr. Little is among a handful of practicing facelift surgeons cited.]
Some have wondered about the presence of Leonardo da Vinci throughout the website. More than a consummate master, Leonardo remains unmatched in the history of Western art for his ability to render three-dimensional living reality on a two-dimensional surface. He was greatly aided in this by his probing scientific studies and insights into the biologic and physical worlds…especially into anatomy (at a time when such study was forbidden) and optics (the study of light). He particularly understood the complexities of the human face, and fully appreciated what was normal, healthy, beautiful, and young; but he was also intrigued with the effects of aging and the changes it brought to human appearance (sometimes to the point of grotesquery). For the interested reader, Dr. Little recommends Leonardo da Vinci: The Marvelous Works of Nature and Man, by Martin Kemp. Oxford University Press, UK, 2006. This inexpensive, richly illustrated classic presents a masterly account of the genius of Leonardo and his vision of the world.
Artistic Princples of Facial Aging
In the mid 1990s Dr. Little produced a major lecture entitled “Artistic Principles of Facial Aging,” (subtitled: “Lessons for Plastic Surgeons from the Renaissance”) in which he enumerated one hundred principles and sub-principles (many previously unarticulated) concerning facial aging and its reversal. Conclusions were based on an analysis of Renaissance portraiture, with examples drawn from more than forty masters from the period. But whenever he needed to illustrate a particularly complicated point, he found himself returning again and again to Leonardo to make his case: in fact, Leonardo’s works are cited in greater numbers throughout the lecture than those of all the others combined. Dr. Little has delivered the lecture on numerous occasions both at home and abroad, and continues to do so (when time allows); the lessons remain timeless.
Illustration: Frontispiece of Leonardo da Vinci’s, “Treatise on Painting,” Du Fresne edition, 1651