Facelift Q&A
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PSP Face Lift Classification?
asked 3 years ago by susie49 in Britian
Latest answer by Joseph Mele, MD
Question viewed 967 times
Tags: technique
Can a PSP face lift be classified as a mini face lift, or something in between a mini and a maxi lift? What would be the difference in the results as compared to other facelifts? Is it as long-lasting?
8 answers to PSP Face Lift Classification?
+2
PSP Lift
The PSP (Platysma-SMAS Plication) technique can be part of a regular facelift (not really "mini").
Ask your surgeon what will work best for you.
+2
Longevity of PSP facelift results
This is a technique that is on a spectrum from mini to maxi. There is no definitive textbook which delineates this classification system and many terms are thrown about.
The PSP or Platysma SMAS PLication technique describes one way of handling the deep tissues that can be accomplished in a mini or maxi which generally refers to the incision used to manage the skin redundancy.
There are no valuable studies which establish longevity guidelines to the various techniques.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Which Facelift is the Best?
There are too many brand name face lifts. Most can be described as:
1) Mini facelifts: skin excision with minimal undermining and deep tissue work.
2) Skin only facelifts: no deep plane work
3) Deep plane lifts incorporating repairs to the SMAS and platysma (the most versatile)
4) (Sub)Periosteal lifts that move everything above the bone.
In general the deeper the lift, the longer the recovery, and most people do not need periosteal lifts.
As a consumer of plastic...
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Joseph Mele, MD
Walnut Creek Plastic Surgeon
Walnut Creek Plastic Surgeon
+1
PSP for mini and traditional facelifts
According to our literature there are over 200 published techniques and modifications that have been published describing various ways of performing facelift procedures. The PSP just describes a method that involves tightening of the platysma and SMAS. This can be done in both mini facelifts and traditional facelift techniques. Many surgeons use a wide variety of techniques and names for facial rejuvenation.
Unfortunately, I do not know that we can determine what constitues a...
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Boris Volshteyn, MD, MS
Reno Plastic Surgeon
Reno Plastic Surgeon
+1
PSP facelift
Manipulating the platysma and /or SMAS is used to change the shape of the face and also adds to the longer lasting of the lift. Other terms for facelift usually refer to the skin incision and the amount of dissection. A SMAS procedure should always be done in my opinion for maximum , safe effect and better long term results.
All the best,
Tal Raine MD
Talmage J. Raine, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
PSP facelift
A platysma SMAS plication is just one variation of facelift that is out there. Often it is performed through a limited skin incision to just lift soft tissue around the jowls and the lower cheek.
+1
Facelift classifications
There is no standardized technique for facelifting and experienced surgeons do it slightly differently each day for different patient needs and anatomical variations. It is tempting to think that a "named" facelift like PSP somehow makes it exact but it does not. It is still up to each surgeon to interpret each procedure and each patient and do the procedure for maximum benefit. Make sure you go to an experienced surgeon and look at MANY of their pictures to see if the results...
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+1
PSP Facelift
The name PSP describes the depth of the dissection (platysma smas plication). The extent of the dissection determines whether a mini or maxi facelift is performed. These terms mean different thing to different surgeons. At your consultations ask exactly what will be done during your surgery. A conscientious surgeon will welcome your questions.

