Our Summary

This research paper is about a technique used in facelift surgery called lateral superficial musculoaponeurotic system-ectomy (SMASectomy). This method involves removing a part of the superficial musculoaponeurotic system (SMAS), a layer of tissue that covers, surrounds, and attaches to the deeper tissues and structures of the face and neck.

The authors claim that this technique is safe, versatile, and can be easily reproduced. They also suggest that it can produce a strong lifting effect, similar to other methods but without the additional risks of nerve injury. This technique can also be adjusted according to different facial features.

In simple words, this is a powerful method for facelift surgery that has proved to be effective over time. It can give similar results as traditional methods, but with less risk. And it can be adjusted to fit various facial characteristics.

FAQs

  1. What is a lateral superficial musculoaponeurotic system-ectomy (SMASectomy) in facelift surgery?
  2. How does the lateral SMASectomy technique compare to a traditional SMAS flap in terms of aesthetic results and risks?
  3. How adaptable is the lateral SMASectomy method to different facial characteristics?

Doctor’s Tip

A doctor might tell a patient undergoing a facelift surgery to follow post-operative care instructions carefully, including keeping the incision sites clean and dry, avoiding strenuous activities, and attending follow-up appointments for monitoring healing progress. It is also important to protect the skin from sun exposure and to use gentle skincare products recommended by the doctor to promote optimal healing and long-lasting results.

Suitable For

Patients who are typically recommended for a facelift procedure are those who are looking to address signs of aging such as sagging skin, wrinkles, and loss of facial volume. Good candidates for a facelift are generally in good health, have realistic expectations, and have skin elasticity that is still relatively good.

Some common reasons for seeking a facelift include:

  • Sagging skin in the midface, jowls, and neck
  • Deep creases and wrinkles in the lower face
  • Loss of facial volume and definition
  • Loose skin and excess fat in the neck area

While a facelift can provide dramatic results, it is important to consult with a board-certified plastic surgeon to determine if you are a suitable candidate for the procedure. The surgeon will assess your facial anatomy, skin quality, and overall health to determine if a facelift is the right option for you.

Timeline

Before a facelift:

  1. Initial consultation with a plastic surgeon to discuss goals and expectations.
  2. Pre-operative evaluation and preparation, which may include medical tests and discontinuation of certain medications.
  3. Surgical planning, including the specific techniques to be used and the extent of the procedure.
  4. Consent and financial arrangements.

After a facelift:

  1. Recovery period, which typically involves swelling, bruising, and discomfort.
  2. Follow-up appointments with the surgeon to monitor healing and address any concerns.
  3. Gradual return to normal activities, avoiding strenuous exercise and sun exposure.
  4. Final results become visible as swelling subsides and the skin settles into its new position.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a facelift procedure?

  2. How long is the recovery period after a facelift, and what can I expect during the healing process?

  3. Will I need to follow any specific post-operative care instructions or attend follow-up appointments?

  4. How long can I expect the results of a facelift to last, and are there any maintenance procedures that may be needed in the future?

  5. What type of anesthesia will be used during the facelift procedure, and what are the potential side effects or risks associated with it?

  6. Can you provide me with before and after photos of previous facelift patients you have treated?

  7. What is your experience and expertise in performing facelift surgeries, and what specific techniques do you use?

  8. Are there any alternative treatments or non-surgical options that may be more suitable for my specific concerns or goals?

  9. How much will the facelift procedure cost, and does it include all associated fees for the surgery, anesthesia, and follow-up care?

  10. Are there any lifestyle changes or precautions I should take before or after the facelift surgery to maximize the results and minimize potential risks?

Reference

Authors: Chaudhry O, Levine S. Journal: Clin Plast Surg. 2019 Oct;46(4):523-532. doi: 10.1016/j.cps.2019.06.003. Epub 2019 Jul 30. PMID: 31514805