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Facelift Techniques: An Overview
Kerem Sami Kaya1, Ozcan Cakmak1
1Private Practice at FACEISTANBUL, Istanbul, Turkey.
Facial Plastic Surgery : FPS
|June 16, 2022
Summary
Facelift techniques vary in dissection depth. Extended facelifts release key ligaments for comprehensive midface and lower face rejuvenation, unlike traditional SMAS lifts.
Area of Science:
- Plastic Surgery
- Facial Rejuvenation
- Anatomy
Background:
- Facelift techniques are categorized by dissection depth and extent.
- Superficial musculoaponeurotic system (SMAS) imbrication and plication are common "SMAS lifts" or "classical facelifts".
- SMAS lifts effectively treat lower face and neck aging but not midface aging or nasolabial folds due to retaining ligaments.
Purpose of the Study:
- To discuss various facelift techniques in detail.
- To highlight the importance of surgical anatomy in facelift procedures.
- To explain how extended facelift techniques achieve comprehensive facial rejuvenation.
Main Methods:
- Classification of facelift techniques based on dissection.
- Detailed discussion of SMAS imbrication and plication techniques.
- Explanation of extended facelift techniques, including extended SMAS, high SMAS, deep plane, and composite plane facelifts.
Main Results:
- Extended facelift techniques, by releasing retaining ligaments, achieve rejuvenation of the midface, cheek, and lower face.
- Variations in extended dissections include extended SMAS, high SMAS, deep plane, and composite plane techniques.
- Deep plane and composite plane facelifts offer excellent blood supply to the overlying skin due to their single-unit flap design.
Conclusions:
- Extended facelift techniques provide balanced rejuvenation of the midface, cheek, and lower face without separate procedures.
- Understanding surgical anatomy is crucial for selecting and executing appropriate facelift techniques.
- Different extended facelift variations offer tailored approaches to facial aging.
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