Facelift technique: Skin only pull vs Muscle pull

Facelift technique that relies on skin pulling rather than tightening underlying SMAS had been commonly used a few decades ago, but now is practically abandoned.  You would be hard pressed to find a surgeon who still uses this method of facial rejuvenation.  However, there might be a situation when skin repositioning rather than tightening is indicated.  Skin only lift would be appropriate in this case.Best wishes!Dr. Konstantin

There are many different ways to get great results in a facelift procedure.  Depending on your examination, a skin only technique may be sufficient, or perhaps you would benefit from a more extensive procedure.  If you are unsure, you can always seek out a second opinion (a real second opinion = in person assessment.)

Dear Netalia,It would be best to get the answer out of your surgeonIf you have seen before and after pics of patients that have similar anatomy, then this may be indicatedFor a full facelift, we usually tighten the skin and muscle to get the most natural resultA second opinion may help you get piece of mindBest,Nima Shemirani

I believe that most plastic surgeons perform some variation of a SMAS facelift. This gives more longevity to the procedure.  Skin only facelifts can be performed for minimal corrections and this shortfall of skin only facelifts should be discussed with patient prior to any surgical intervention.Earl Stephenson Jr, MD DDS FACS

The modern facelift typically involves two levels of facial "tightening".  The SMAS layer, which is a layer of connective tissue covering the facial muscles is first tightened.  The skin in then tightened as well.  By tightening the SMAS and skin together, a more lasting and natural result is achieved.  Good Luck