Exploring Facelift Techniques For Different Faces

Mathew Epps MD, MS, DABS

Effects of aging in the face and neck include sagging skin, volume loss, deepened folds around the mouth and nose, jowls on the jawline, and excess skin and fat in the neck. Techniques in Facelift Surgery or Rhytidectomy, restore a youthful appearance from the effects aging. Two common techniques for Facelift surgery include SMAS Plication and Deep SMAS techniques. These methods can be tailored to the individual and combined with non-surgical intervention for optimal results.

SMAS Plication and Deep SMAS techniques lift and tighten the underlying tissues by manipulating the SMAS, or the superficial musculoaponeurotic system (SMAS). SMAS plication targets the SMAS by folding it upon itself in a oblique upward and lateral direction, while Deep SMAS techniques can go deeper addressing the underlying layers for a more comprehensive lift, albeit with a slightly higher risk of post-operative sequalae.

Aesthetic Plastic Surgeons consider facial structure and shape of each candidate. SMAS Plication is an ideal technique for individuals with narrow faces where a subtle, more full face brings a youthful look. However for those with wide faces, manipulating the Deep SMAS with SMASectomy is beneficial and prevents over widening of the face. Further, the excess SMAS tissue, rich in collagen may be used to augment or fill creases in the glabella (the 11’s), lips, or marionette lines.

To complement the facelift, other techniques should be incorporated. Medical grade skin care is essential to maintain healthy skin by boosting collagen and elastin production, accelerating skin renewal and correcting signs of aging such as pigmentation and fine lines. Laser Treatments such as skin resurfacing, IPL or Intense Pulsed Light therapy, offer a more aggressive and effective method for skin rejuvenation. Additionally, conservative fat grafting or use of dermal fillers can be used to restore lost volume, giving your face a natural fullness.

In a world where appearance matters, facelifts offer an opportunity to regain confidence and achieve a more youthful appearance. Whether it is by SMAS plication or Deep SMAS techniques, tailored solutions are available to suit your unique facial structure.

Scroll to Top