Facelift surgery, or a rhytidectomy, is designed to restore a more youthful appearance
by removing major wrinkles and sagging skin. It involves tightening of the facial and
neck muscles as well as the removal of any excess skin.
The skin begins to wrinkle and sag as a result of age, sun exposure and genetics. Children
and young adults have smooth, round faces due to evenly distributed fatty tissues in facial
contours. Over time, the skin sags and folds in the chin, jawline and neck become prominent.
Not only does a facelift improve facial appearance but also has a dramatic effect on the neck,
enhancing its contour and profile.
During the initial consultation, I may ask you to look in a mirror and point out exactly
what you would like to see improved.
Sometimes, patients may focus their attention on excess skin in the upper eyelids and not
realize that sagging of their eyebrows contributes to this skin redundancy.
You should be very frank in discussing anything about your appearance that bothers you, as
well as what you hope to achieve with surgery. This will help your surgeon to understand your
expectations and determine whether they can realistically be achieved.
The SMAS and MACS facelifts are the most commonly performed tech- niques used today, although
a number of other techniques have also been developed and have their fans.
Apart from that there are other lifts: Subperiosteal, Midface, SOOF, neck (platysmaplasty)
lifts are have their place.
The subperiosteal facelift provides a vertical lift to the soft tissues of the face. It allows
soft tissue remodeling and repositioning of the soft tissues at the level of their bony origins.
Its popularity for rejuvenation of the upper two thirds of the face has increased.
It is probably safe to say that there is no obvious "best technique" on which surgeons agree.
According to statistics from the American Society for Aesthetic Plastic Surgery (ASAPS),
over 138,000 Americans had facelift surgery in 2007 to help reduce the appearance of loose
skin and wrinkles around the cheeks and neck area.
When this technique is combined with standard techniques, an excellent and long-lasting
rejuvenation is achieved in across all age groups.