Facelift surgery (rhytidectomy) is performed to create a more youthful appearance, and often involves removing excess skin and tightening the underlying tissues. This rejuvenation procedure smooths wrinkles and tightens sagging skin. Depending on the regions of concern, a facelift, midface lift, and/or neck lift can be performed. The incisions can be well hidden at the scalp and near the ear.
Aging of the Face
During the aging process, skin laxity increases and the fat compartments of the face sag. The changes associated with aging results in deepened nasolabial folds, marionette lines, and jowling. Facelift surgery removes excess skin and secures the tissues of the face in a more youthful position.
Types of Face and Neck Lift Surgery
As the name implies, Skin-Only Facelift involves surgery that is limited to the skin. Excess skin is removed, but the deeper tissues are not treated. This is rarely recommended in current times because the results do not last long and can be associated with an unnatural and “tight” appearance.
A SMAS Facelift not only removes excess skin, but also tightens the SMAS layer. SMAS stands for Superficial Muscular Aponeurotic System, and this layer of tissue is located between the skin and the underlying muscles of the face. A SMAS facelift tightens the SMAS layer, which helps pull up the sagging tissues of the face. Compared to only removing excess skin, tightening the SMAS layer results in improved and longer lasting results. With this method, a more natural appearance is attained because the overlying skin does not need to be stretched as much. There are numerous variations of a SMAS facelift, however all well-performed facelift procedures typically involve some method of tightening the SMAS layer.
An Extended Deep Plane Facelift involves more extensive dissection deep to the SMAS layer. This additional release enables improved re-positioning with very little tension. The result is an excellent lift that appears very natural. This is one of Dr. Foulad’s favorite techniques, which requires a high level of expertise.
SMAS Facelift & Neck Lift
This lovely woman desired to treat her facial wrinkles, prominent jowls, and excess neck skin. She had undergone neck liposuction 2 years prior by another surgeon but she continued to desire further improvement.
I performed a SMAS face and neck lift in order to tighten and lift the underlying tissues of the face and neck, as well as remove excess skin. The results appear very natural due to the imperceptible incisions and avoidance of excess skin tension.
Extended Deep Plane Facelift & Neck Lift
This lovely patient had a facelift and neck lift performed several years prior by another surgeon, but she desired further improvement.
I performed an extended deep plane facelift and neck lift with platysmaplasty in order to achieve her goals. The melolabial folds and marionette folds are significantly softened and the contour of the jawline is improved. In addition, the redundant soft tissues under the neck are properly treated through the use of platysma plication.