Type of Facelift

Robert T. Buchanan, MD answers: Book:The Facelift Letdown- Why are surgeons not doing Composite Face Lift?

I have read several posts indicating that clients are getting to wrapped up in the type of procedure. But it appears to me from this book there should be only 1 procedure. How can one identify the work of a plastic surgeon without knowing how he/she does a facelift? Looking at before/after pics does not tell me what the patient looks like, 3-5 years or longer, later.


Robert T. Buchanan, MD
16 days ago

The Composite Facelift to which you refer is just one of a number of SMAS facelifts. It was developed by Dr. Sam Hamra and is one of the best SMAS lifts there is. It is also one of the hardest for most surgeons to get safe, reliable results. It also has a prolonged recovery in my experience. We have adopted the MACS lift which we have modified. This techniqiue does not elevate below the SMAS and has a much more vertical lift. By doing this, we have been able to get superior results with significantly faster recovery and results that last longer than previously. It also allows us to correct many problems created by the SMAS techniques. In the end, it is not the technique (many techniques can get good results in the right hands), it is the surgeon and his or her artistry and how that person applies the technique to you as an individual for your particular problem.
 

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