SMAS Facelift Surgery focuses on tightening the layer of skin into a better position to make you look younger. Specifically, it works by lifting and tightening the neck, cheeks and jowls.
Rhytidectomy sounds scary right? It’s actually a common procedure. Face lifts are performed every day around the world by skilled, qualified and well-trained surgeons using truly advanced techniques.
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Understanding Facelift Surgery
Plastic and reconstructive surgeons are always on the forefront of ideas, innovations, and observations to find ways to improve aesthetic techniques. And to continually yield better results. It is difficult and unnecessary to determine if one technique is better than another since results may be interpreted differently based on objectivity or subjectivity. Furthermore, the results of a technique may vary significantly when performed by different surgeons based on either experience or preference.
Deep Plane Facelift
Hamra first presented the deep plane facelift technique in 1988 and 1989 which was then published in 1990. The deep plane rhytidectomy was designed to rejuvenate the nasolabial fold caused by ptosis of the malar fat pad. At the time, Hamra had been modifying Skoogs techniques with platysmal dissections in the neck. And designed the deep plane to include the cheek fat in the face-lift flap that resulted in a robust musculocutaneous flap with excellent perfusion.
When Does Ageing Strike?
Not all faces begin to show signs of age at the same rate. Heredity, environmental and lifestyle factors have a large effect on our facial appearance, as we grow older. However, starting at around age forty, most faces begin to undergo a change. Features begin to sag as the muscles become weaker and the skin less elastic. Wrinkles and lines begin to form, becoming more apparent on the forehead, near the eyes and around the mouth and neck. The jaw line can disappear into an excess of fat, and droopy skin. The most effective way to reverse these obvious signs of aging is with Rhytidectomy.
Why Facelift Surgery – More Common Than You Think!
The procedure is designed to treat the face as a whole. It is essential to know those who go for this type of surgery. In the current world, it is is openly discussed and it is affordable to many people. It is safe and efficient in doing away with the old looks from people’s faces. The age of many patients will range between forty-five and seventy years. Facelift helps these people to have better looks than other people who have not had a facelift. In addition, it can help mature people to enjoy life because it gives them a new young look.
How Does It Work?
During the process, the skin and underlying musculature are tightened. Excess skin and fat are removed. A facelift involves making incisions around the jaw, hairline, or ears to pull back and tighten the facial skin. The whole face is, in essence, lifted, smoothed, and made more youthful-looking. In certain situations, an additional procedure, such as rhinoplasty can be performed at the same time as the facelift Before beginning, a surgeon has to study various aspects of a face and discuss with the client on the required type of facelift.
This will help to identify the convenient type of technique or procedure which will help to bring a fresh young look to the client. In addition, it will also help to select the right facelift procedure which will help to correct each individual area of the face. In this connection, it is important to understand what is a facelift in order to know how it can help to bring a new young look to the aging people. Rest assured, the article real help you in understanding facelift. There are several types of facelifts available.
What Kinds of Face lifts Are Available?
The most common type of face lift is one that uplifts the muscles and sagging throughout the face, but there are other styles of cosmetic facelifts which correct specific areas of the face and neck. Some of this information may appear to overlap, but providing this basic list with the hope that it allows you to become more fully informed as to what type of cosmetic face lift you want prior to your consult with a board certified plastic surgeon.
Traditional facelifts correct sagging skin and, depending on the need, deeper structures of the face. Facial skin is tightened, lifted and excised. Sometimes, your cosmetic surgeon may consider re-suspending the fat and muscle during your cosmetic face lift surgery.
SMAS facelifts are now the most common type of cosmetic facial surgery available. SMAS stands for Superficial Muscular Aponeurotic System; in layman’s terms, the SMAS is essentially your face’s network of muscles and tissue. With over 98 muscles in the face, SMAS is what allows you to smile, frown and show a range of expressions and movement. The SMAS facelift procedures lift facial muscles in a diagonal “up and out” manner. Mid-Face Lifts are also known as mini lifts or mini facelifts.
Mini face lifts are performed under general anaesthesia and concentrate on the middle part of your face, around your cheekbones. Generally cheaper than a regular full cosmetic facelift, mini lifts have a shorter operation and recovery time. Essentially this type of lift assists in correcting the hang of the nasolabial folds. There is also a type of mini lift with suture suspension, “where sutures are anchored into the underlying muscle” and the ends are anchored with non-dissolving thread reaching to the top of the head. We must note, however, this type of lift is considered unethical.
Deep Plane Facelifts
Deep Plane Facelifts are relatively new to the cosmetic family. The cosmetic doctor will operate more deeply on this procedure than in other cosmetic procedures. Deep plane face lifts have a little more work performed in the nasolabial area to improve cheekbone definition. This cosmetic facelift is very similar to the SMAS facelift, yet is more invasive and distributes tension between every layer of your facial tissues and structure, including facial bones. Patient satisfaction is extremely high with the deep plane, facelift. There are no nerve injuries. Nearly all patients are comfortable to be out in public after two weeks. Overall, the deep plane rhytidectomy is safe.
The Goal of Rhytidectomy
It is the goal of rhytidectomy to allow the patient to look like a younger version of themselves for a longer period of time. In the deep plane facelift is elevated and repositioned in continuity with the SMAS of the lower face. The result is a composite flap that which now is mobilized and can be repositioned to restore youthful contour to the face. Critics of the deep plane facelift technique state that the deep plane technique is associated with a prolonged recovery, greater incidence of nerve injury, and no greater aesthetic or long-term benefit. The experience with the deep plane facelift does not support this claim.
The Limitations of an SMAS Procedure
Subcutaneous or SMAS facelifts are not without perceived limitations such as skin necrosis at the incision sites, skin irregularities due to the thin nature of the flap, and less vascularity. In addition, there may be a higher potential for hematoma formations with superficial facelifts. The sequelae of these complications are well known The S-lift improves the lower area of the face by making incisions in front of the patient’s ears to pull laterally. Those who receive a successful S-lift will experience a smoother jaw line, neck and jowls, but will not see any change in the upper two-thirds of their face.
Neck lifts, or platysma lifts are usually performed at the same time as a facelift, if the patient desires to have this operation. A neck lift smoothes and tightens the excess skin and fat of the patient’s neck, providing a younger appearance to the neck in conjunction with a tightened face post-facelift. Patients who don’t need facelifts, but feel they have “turkey neck” syndrome, can also elect to have this cosmetic surgery performed independent of a cosmetic facelift.
Joan Rivers & Facial Implants
Facial implants are available for plastic surgery patients who wish to add a little oomph to their appearance. According to Joan Rivers, author of Men Are Stupid and They Like Big Boobs, “Done right, [facial implants] can improve the proportion and balance of your face. And what a difference they can make! A slightly stronger chin or higher cheekbone can turn a pretty woman into a classic beauty.”
The Temporal Lift
The Temporal lift, forehead lift or brow lift minimizes wrinkles the patient possesses in the top third of the face and head, from the eyebrows to hairline. A brow lift procedure usually requires an ear-to-ear incision at the top of the hair. Due to this, the brow lift procedure is only suitable for those who have a full head of hair to cover the incision marks. Otherwise, an endoscopic approach might be best for those with thinning or bald hair.
Non Surgical Procedures
Non-surgical facelifts are another category of cosmetic facelift, designed for those of us who are not interested in going under the knife for cosmetic facial surgery. Non surgical facelifts include procedures such as the feather lift, thread lift, 60-minute facelift and lunch time facelift. These can be relatively less expensive than surgical facelift options, but the results are also short-lived and come with their own unique complications. Besides patient misconceptions about what a facelift really is, patients are also unaware that there are different types of facelift procedures today.
Matching The Solution To The Problem – What to choose?
As part of a basic concept of ‘matching the solution to the problem’, the procedure should match the degree of anatomic facial aging, age of the patient, what recovery a patient wants to go through, and how much they want to pay for what type of result. All of these considerations go into the decision as to what type of facelift should be done. You also have to keep in mind that in the contemporary society, facelift operations go by a lot of different names that are primarily marketing in origin. Essentially, facelifts may be divided into two types, limited and full facelifts.
And The Most Popular Type Is…
The most popular and marketed facelift today is the “limited facelift”. It goes by a lot of different names such as short scar facelift, lifestyle lift, MAC lift, quick lift and numerous others, but in the end they are all really the same operation from a patient’s perspective. A limited or ‘mini-facelift’ is a scaled-down modification of a full facelift where the incision (scar) is restricted to in front of the ear only and the amount of skin raised up and ultimately trimmed off is confined to in front of the ear and down into the jowl area only. In many cases, liposuction of the neck is done with the limited facelift. This produces a nice change in the jowl and upper neck area that needs only a very short recovery. (less than a week) It can often be performed under twilight aesthesis as an outpatient procedure.
Who Is It Best For?
It is best used in two types of patients, younger patients who have early signs of aging with only small amount of neck and jowl issues and the older patient (who really needs a full facelift for the best result) who does not want to go through a full facelift or, for medical reasons cannot go through a full facelift…and is willing to accept as a trade-off a result that is less than that of a full facelift. In other words, someone who is willing to accept some modest facial improvement with limited downtime, costs, and risks of complications.
Other Related Procedures Only Add!
When done with other procedures, such as blepharoplasty and chemical or laser skin peels, the results from a limited facelift are even better. A full facelift still remains as the gold standard to which any lower facial procedure must be judged, whether that be a limited facelift, threadlift, or a non-surgical ‘liquid’ facelift.
But For Best Results
The best results in the patient with more advanced facial aging will always come from a full facelift. A full facelift is where the incisions (scars) run in front of and behind the ears for a more extensive lifting of the neck area. Once cannot expect a limited facelift to produce the same result as a full facelift. Full facelifts, while sounding more ominous and extensive, do not require a significantly prolonged recovery. They add a few days to the social recovery aspect (up to 10 days to look socially good) but do not require weeks of recovery as many patients think.
Choosing A Surgeon
The best surgeon is one who is experienced and board certified in all aspects of cosmetic surgery. He will be able to show you before and after photos of surgeries he’s personally performed and help you understand what to expect, and the real benefits and risks of the procedure.