Face Lift - The Three Most Common Face Lift Methods
Subcutaneous Face Lift
The skin is undermined to an appropriate level determined during the physical exam. The skin is then advanced laterally and slightly upward to put it back where it was during youth. This effectively tightens the skin and smoothes out the facial contour. Care is taken to put all the skin tension above and behind the ear so that there is minimal tension in front of the ear itself. This avoids an operated look.
Subcutaneous Face Lift with Fat Suspension
This is a Subcutaneous Face Lift but in addition, the descended fat is elevated back into position with sutures.
SMAS Face Lift
SMAS is an acronym for Superficial Musculo-Aponeurotic System. It is a fibrous/muscular layer under the skin. Above it lies the cheek fat. Below it sits the facial muscles that animate the face. A SMAS facelift will elevate the SMAS and thus, concomitantly, elevate the facial fat and muscles.
It has been shown that all three types of facelifts can achieve excellent results. Which is best for you depends on what needs to be corrected and what your plastic surgeon is most comfortable with. Joseph T Cruise, MD always incorporates fat suspension into his face lifts.
Like the cheek, your plastic surgeon will evaluate your jawline by pinching the soft tissue on top of it and elevating it to see what is the best treatment. Jowls are a combination of fat and SMAS that have descended with age. During a face lift, this tissue is re-suspended back into the cheek area where it belongs.