Our Summary

This research paper talks about a specific method of facelift surgery known as the extended deep plane techniques. However, this method is considered to be quite difficult because it requires the surgeon to manipulate a specific part of the face (the zygomatic retaining ligaments). This makes the technique tricky and it relies heavily on the surgeon’s training and experience. In this article, the author offers a different approach to facelift surgery, which is called the extended high-superficial musculoaponeurotic system (SMAS) method. The challenges that might be faced while learning this new method are also discussed.

FAQs

  1. What are extended deep plane techniques in facelift surgery?
  2. What is the adapted extended high-superficial musculoaponeurotic system (SMAS) approach in facelift surgery?
  3. What are the potential obstacles in mastering the adapted extended high-SMAS approach?

Doctor’s Tip

One helpful tip a doctor might tell a patient about facelift surgery is to follow all post-operative care instructions carefully, including keeping the incision sites clean and avoiding strenuous activities that could put strain on the healing tissues. Additionally, it is important to attend all follow-up appointments to ensure proper healing and optimal results.

Suitable For

Facelift surgery is typically recommended for patients who are experiencing signs of aging in the face and neck, such as sagging skin, jowls, deep wrinkles, and loss of definition in the jawline. Ideal candidates for facelift surgery are typically in good health, have realistic expectations for the outcome of the surgery, and are looking to improve their overall appearance and boost their self-confidence.

Patients who are typically recommended for facelift surgery may include:

  • Individuals in their 40s to 60s who are experiencing noticeable signs of aging in the face and neck
  • Patients who have loose or sagging skin on the face and neck
  • Those who have lost definition in the jawline and are looking to restore a more youthful appearance
  • Individuals who have deep wrinkles or creases in the face that cannot be corrected with non-surgical treatments
  • Patients who have excess fat deposits in the face and neck that contribute to an aged appearance

It is important for patients considering facelift surgery to consult with a board-certified plastic surgeon to determine if they are good candidates for the procedure and to discuss their goals and expectations for the surgery. The surgeon will assess the patient’s overall health, medical history, and facial anatomy to determine the best approach for achieving their desired results.

Timeline

Before facelift:

  1. Consultation: The patient meets with the plastic surgeon to discuss their goals, medical history, and any concerns they may have. The surgeon will assess the patient’s facial structure and skin elasticity to determine if they are a good candidate for a facelift.

  2. Pre-operative preparation: The patient will be given instructions on how to prepare for the surgery, which may include avoiding certain medications, quitting smoking, and arranging for someone to drive them home after the procedure.

  3. Surgery day: The patient will arrive at the surgical facility and undergo the facelift procedure, which typically takes several hours. The surgeon will make incisions along the hairline and around the ears to access the underlying facial muscles and tissues.

After facelift:

  1. Recovery period: The patient will experience swelling, bruising, and discomfort in the days following the surgery. They will be given pain medication and instructions on how to care for their incisions to promote healing.

  2. Follow-up appointments: The patient will have several follow-up appointments with the surgeon to monitor their progress and ensure proper healing. The surgeon may remove any sutures and provide additional instructions for post-operative care.

  3. Results: Over the following weeks and months, the patient will gradually see the final results of their facelift as swelling subsides and the skin settles into its new position. The patient may also choose to undergo additional non-invasive treatments, such as laser therapy or injectables, to enhance their results.

Overall, the facelift process involves careful planning, skilled surgery, and diligent post-operative care to achieve optimal results and patient satisfaction.

What to Ask Your Doctor

  1. What are the risks and complications associated with a facelift procedure?
  2. What type of facelift technique do you recommend for my specific concerns?
  3. How long is the recovery period after a facelift?
  4. Will there be scarring after the procedure and how can it be minimized?
  5. Are there any non-surgical alternatives to a facelift that I should consider?
  6. How many facelift procedures have you performed and what is your success rate?
  7. Can you show me before and after photos of previous facelift patients?
  8. What type of anesthesia will be used during the procedure?
  9. How long will the results of the facelift last?
  10. What post-operative care instructions should I follow to ensure optimal results?

Reference

Authors: Wever CC. Journal: Facial Plast Surg. 2024 Dec;40(6):731-740. doi: 10.1055/s-0044-1785540. Epub 2024 May 3. PMID: 38701836