face lift (also known as a rhytidectomy) - is designed to restore a youthful
appearance. There are many different types of face lifts available,
some correcting or improving only specific areas of the face or neck region.
Face lifts can restore the youthful volumes and curves the face had in
earlier years before gravity starting pulling things down. As we age,
the elements of the sun and gravity forces the face to lose both bony and
soft tissue volume which contributes to a skeletal or hallowing effect,
sagging and of course wrinkles.
There are many options that are available for a rhytidectomy or a face lift
and it is important to consider the
specific areas that you want to target for improvement, how long you want to
spend recovering from treatment, and what your expectations are for your
post face lift appearance.
These mini lifts are best for patients with
early signs of aging who are usually in their 30's or 40's. It treats the
early laxity in the buccal labial fold and jowl area. These lifts can
be performed under local anesthesia.
This procedure is
referred to any face lift technique that has a limited incision with a fast
recovery time. This technique, a small incision is made underneath the
chin, excess fatty deposits are suctioned from the neck are and the inside
of the skin is treated with a CO2 laser in order to cause the skin to
contract. The muscle in the neck can be tightened through the same
This procedure is
performed with local anesthesia.
candidate for this procedure is a patient whose main concern is fullness and
sagging of the neck.
The Aptos Lift or
Feather Lift can lift sagging underlying tissues (usually the cheek and jaw
line) by threading 4 to 12 of these barbed, permanent sutures with a very
long needle through the skin into deeper soft tissue structures. The
actual name - Feather Lift, comes from the appearance of the suture.
The suture once
it is in place- it is pulled forcing the barbs to anchor themselves into the
soft tissue and lifting this tissue. The very end of exposed suture is
snipped, leaving the majority of the suture behind buried into the tissue.
A full face
Feather Lift requires approximately 18 threads:
This face lift is
known as "skin only" and is the first generation of lifts in which the skin
and some underlying fat is freed up - tightened and the excess tissue is
removed with the skin stitched back. This procedure was popular in the
early 1970's however; it did have some controversy with the skin
stretching if put under tension.
The problems with
this method of face lift was that although the original skin only face lift
relies on the straight forward method of lifting skin off of the framework
of the lower face and pulling it tightly to the hairline - this is done
without any repositioning or reinforcing the underlying muscles or tissues.
subcutaneous or "skin-only" face lift used to be the most common face lift
technique until about 10 years ago, it is not commonly used anymore due to
the potential for a "windswept" or pulled look.
(Minimal Access Cranial Suspension) face lift is often
preferred face lift simply because it is less invasive and leaves a
much shorter scar. With the MACS face lift procedure, sagging
tissues in the neck, cheeks, chin, or near the nose can be lifted,
stretched, and held up with strong suspension sutures in the deeper
MACS-Lift has been developed in Europe over the last 10 years.
The procedure is minimal access because in contrast to traditional
face-lifts, there is no incision behind the ear. The deep
tissues of the face are returned to their original position with
permanent stitches secured to the deep fascia of the temple region
A small S-shaped
incision is made in front of the patient's ear. The surgeon works
through this incision with tightening the underlying structures of the lower
face - smooth the skin - and trim off the excess tissue. This lift is
for the lower third of the face including the jaw line and neck area - and
can be performed under local anesthetic and oral sedation or by twilight
sedation. This procedure is ideal for the patient aged 35 - 50 years.
This procedure is often done with the Platysma Lift or neck lift through a
small incision under the chin for a more dramatic rejuvenation of the neck.
The SMAS Face Lift is
also known as Superficial (or Sub-) Muscular
Aponeurotic System. This area of the face
is responsible for all facial movements. This is the
underlying layer of muscle and connective and fatty
tissue which are tightened along with the skin.
This type of face lift requires a longer incision
than the "S Lift" - with it beginning at the temple
area and extending down to loop around the ear.
The SMAS procedure is
a deep facelift that can reduce the appearance of
sagging jowls, cheeks and neck skin.
The incision is hidden in the hairline and the
natural creases of the face.
An extended SMAS Face
Lift includes the area in front of the cheek to
correct nasal furrows or the nasolabial folds.
Neck muscles are repaired through an incision under
the chin. This procedure is done often with
the Platysma Lift or neck lift. SMAS face lift
improves the appearance of an aging neck greatly.
Plane face lift is performed in a much
deeper plane than in the standard face lift
procedure. Because of where this is
performed, there is a higher risk of facial
weakness after the procedure from facial
nerve injury. The procedures
with an incision in the scalp for the brow
lift. Incisions are also made in the
lower eyelid and inside the mouth.
Plane procedure seems to be better suited
for younger patients merely because it does
not involve the neck. The Deep Plane
is similar to the SMAS lift where it
addresses the nasolabial folds however; the
benefits to the neck and jaw line are the
same as with a standard face lift.
Swelling takes some time to go down after
this face lift and the results might not be
noticeable for three to six months after
composite face lift addresses muscle and
tissue elevation and repositioning beneath
the SMAS layer of tissue like the deep plane
lift with the addition of incorporating
blepharoplasty and a brow lift (forehead
lift) into the overall procedure. This
face lift technique is different than the
other face lifts in as much as that it
combines additional cosmetic surgeries for
total facial rejuvenation.
composite face lift is achieved by including
a number of small incisions (endoscopically)
or one incision (made about 5 cm. behind the
hairline) of the forehead. Additional
incision is made in the lower eyelid area
along the lash line. Contouring of the
cheek fat pad and the layer of fat under the
eyes is easily accessible through the lower
face lift" addresses sub-orbital
area as well as the mid-facial area
of the facial area and is similar to
the Deep Plane Lift - except the
muscles, tissues and skin are all
elevated as one unit off the bones
of the face.
lift is more invasive that any of
the other common face lift
the lift desired is to target mild
sagging in the patient - then the
extensive dissection of the mid to
deep layers of the skin is not
required - and can be performed
endoscopically. This is done
through a number of small incisions
placed at the hairline in the scalp
or temporal region and along the
sides of the face with an endoscopic
camera to help guide the surgeon.
the patient has excess lax tissue -
then the subperiosteal lift is
performed with alternative face lift
incisions and tools.