Facelift: Q&AAsk a Question
9 Doctor Answers | Asked by BrookeinCO in Colorado
Hi Brooke, This is a great question. Not all facelifts are equivalent. Many minimally invasive facelifts, which are marketed as quick, in-office procedures done under local anesthesia, do not involve significant manipulation of the deeper tissues of the face. This layer, which is called the SMAS (superficial musculoaponeurotic system), makes up the bulk of the fat and muscle of the face. Procedures which do not involve some manipulation of this layer tend not to have long-lasting...
When explaining the term Facelift to patients, I generally describe the procedure as a mid face, jowl, and neck elevation. In my hands, the "vector of pull" of the jowl and mid face will be vertical, thereby raising and providing more volume to the mid face. The "vector of pull" in the neck is generally posterior (back). I find that there is a great deal of synergy to mid facial enhancement when lower eyelid Blepharoplasty is performed at the same time....
The cheek pads are usually repositioned with a traditional face/neck lift so as to resuspend them back up into their normal anatomical position. This is the normal course for a comprehensive face/neck lift.
Hi! Fullness of the upper midface MEANS a youthful look. So in one way or another, a good facelift will lift the cheek pads to create this fullness. But there are several different techniques to do this.
Hi Brooke, Are the "cheek pads always respositioned" ? No, They are not. A Facelift is a very generic term with little specific meaning. It describes facial procedures intended to reverse facial descent. But, because face lifts can be done at several anatomical levels, each with specific ways of lifting and tightening, there are many Facelift techniques with multiple ways to undermine and lift the sagging face. Not all of them accomplish reversal of all facial aging. Some...
"Facelift" is a very generic term. There are many ways to do this surgery. Most of us will use different techniques , so the procedure is individualized to meet the needs of each patient. Repositioning the cheek fat is done when indicated.
Dear Brooke Cheek pad repostioning means very different thing to different surgeons. You can be sure that when there are a lot of really different ways of doing something, no one approach is best. There are many maneuvers that are done in an effort to reposition the cheek fat pad. Some are ok and some are, to be kind, unnatural. I think that there is general agreement that over time the cheek or malar fat pad falls. What to do about this is an other matter. I am of the school that most of...
The procedure that is most effective for addressing the cheek pad is a Mid-face Lift, as that procedure directly moves the cheek mass. Certain versions of Face Lift procedures also move the cheek mass, but not as effectively as a Mid-face lift. Finally, a true isolated Neck Lift will have no effect on the cheek mass. Whichever surgeons you visit, discuss your desired changes by pointing to regions of your face and emulate the movements that you wish to achieve - let them...
The only lower facelift that will elevate your cheeks (mid-face lift) is called the deep plane facelift. This is a technical name for a facelift technique (as opposed to a marketing term). In addition ot improving your neck and your jowl / jaw-line, the deep plane facelift will elevate your cheek pads as well. If cheek elevation is all you are looking for, then a mid-face lift may be a better option.