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Updated: Jan 19, 2026

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Facelift: History and Anatomy.

Ali H Charafeddine1, Richard Drake2, Jennifer McBride2

  • 1Center for Plastic & Reconstructive Surgery, P.C., 5333 McAuley Drive, Suite R5001, Ypsilanti, MI 48197, USA.

Clinics in Plastic Surgery
|September 14, 2019
PubMed
Summary

This review traces the facelift operation

Keywords:
FaceliftFacial nerveRetaining ligamentsSMAS

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Area of Science:

  • Plastic Surgery
  • Anatomy
  • Surgical History

Background:

  • Evolution of facelift techniques from simple skin excision to the superficial musculoaponeurotic system (SMAS) approach.
  • Importance of understanding facial anatomy for effective surgical outcomes.

Observation:

  • Detailed review of the historical progression of rhytidectomy.
  • Exploration of critical anatomical structures including facial layers, retaining ligaments, and facial spaces.
  • Analysis of the complex anatomical course of facial nerve branches and neck anatomy.

Findings:

  • The facelift operation has evolved significantly, incorporating deeper tissue manipulation (SMAS) for improved results.
  • Comprehensive anatomical descriptions are crucial for safe and effective facelift surgery.
  • Cadaver dissections provide essential insights into surgical landmarks.

Implications:

  • Enhanced understanding of facial anatomy and surgical history can refine current facelift techniques.
  • Provides a foundational resource for surgeons learning or performing facelift procedures.
  • Highlights the importance of anatomical knowledge in achieving aesthetic and functional facial rejuvenation.