What is involved with facelift surgery?
As with all cosmetic plastic surgery, there is no procedure that can be considered “one-size-fits-all.” Therefore, in your consultation, we will discuss the issues that concern you the most in relation to the underlying anatomical reason, and then discuss the facelift procedure in its broader sense that will best treat your personal concerns. Traditionally, the full facelift procedure treats the crow’s feet region and the lateral brow extending downward to the cheek region in the mid-face, to the deepened lines around the mouth, as well as the jowling along the jawline, and finally, restoring a more acute and refined angle to the neck region. The incision begins within the hairline in the temporal region and extends downward following natural creases in front of the ear before it turns behind the ear, finally ending concealed within the occipital hair. There is also often a small incision underneath the chin for better access to the neck region. Through these incisions, we are able to elevate the skin of the face. Next, we address the critically important SMAS layer and platysma. This thin muscular layer is then elevated partially and secured tightly with sutures to reshape the foundation of the face. This restores the natural fullness and height of the cheek region, thereby restoring the youthful V-shaped contour of the face. In addition, addressing this layer is critically important for refining the jawline and removing the appearance of jowling, as well as tightening the neckline and converting it from a more lax C-shaped contour to a more acute right angle appearance. Once the foundation has been addressed, we are able to re-drape the skin naturally over this restored facial shape. This is the key component in achieving an optimal result while also maintaining a very natural result.