PSP facelift results as dramatic as SMAS facelift?

I am seeing a surgeon tomorrow, who suggests going ahead with a PSP Facelift. I'd like to know first, will PSP facelift results look as dramatic as SMAS facelift?

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10 answers to “PSP facelift results as dramatic as...”

A: Focus on the surgeon, not on the technique

Brent Moelleken, MD

Many of the deeper facelift techniques elevate or tighten the deep layer, or SMAS.  Depending on which layers exactly are involved, and where exactly the surgeon changes planes, the Composite Facelift, the Deep Plane facelift , Standard SMAS, facelift, SMAS-ectomy facelift, SMAS plication facelift,... more

A: Facelift techniques

Steven Wallach, MD

I can't answer for "dramatic,"  but a SMAS facelift if done correctly will probably look better than a platysma and SMAS plication. This is because a SMAS facelift  elevates the tissues and detaches certain ligamentous attachments that allow the soft tissue around the mouth and cheek to be... more

A: PSP Facelift is useful in some circumstances

Robert M. Freund, MD

The names can be confusing. There are mini-, mid-, smas- deep plane- facelifts and now platysma smas plication facelifts. What they all have in common is the desire to address the sagging structures of the aging face. From the outside inward, there is excess and sagging skin. This skin is most obvious in the... more

A: The results are often similar but not as long lasting!

Manish H. Shah, MD

A PSP (platysma SMAS plication) lift initially is usually as powerful as a true SMAS operation without the same level of risk to the facial nerve and lymphatic drainage vessels. It is the procedure of choice in my practice because the recovery is significantly faster. The procedure lifts the skin off the... more

A: Worry About the Sausage-Maker, Not About How the Sausage is Made

Athleo Louis Cambre, MD

For the sake of simplicity, patients should focus much less on technical jargon, and much more on what they can see with their own eyes.  A catchy name for a procedure creates a marketing buzz or tries to draw a distinction between one surgeon who offers it, and the next who perhaps doesn't.  A... more

A: A SMAS by any other name...

Kenneth R. Francis, MD

Dear Susie, Have trust in your surgeon, especially if he/she is a board certified plastic surgeon.  Your surgeon will be able to define which procedure, in his hands, for your situation, will provide the most dramatic results.  It is as surgeon dependent as it is patient dependent.  Also,... more

A: Don't get lost in the trees!

Toby G. Mayer, MD

I receive questions like this often from patients trying not to make a mistake. Forget about what technique the doctor says he uses, since you'll be asleep and won't know what he does anyway! My son can show you pictures and diagrams of facelifts or noses---he knows nothing about these, but is very good with a... more

A: Understand your goals and find a surgeon you trust

Armando Soto, MD

Hi- I agree with my colleagues below- you should try not to get caught up in the nuances of the various techniques available- the most important factors in the achievement of your goals are a very clear understanding of what those goals are on your part, a clear communication of those goals to your surgeon,... more

A: Each procedure has its pros and cons. Your Surgeon will help you decide what is best for you.

Amir M. Karam, MD

The number one thing you need to do is find a facial plastic surgeon or plastic surgeon who is dedicated to facial rejuvenation and performs many facelift operations on a regular bases.   The facelift is primarily an operation designed to restore the youthful contours of the lower face and neck.  How... more

A: surgeon performing the lift is much more important than the style of lift

William Portuese, MD

Patients should not get carried away with the different styles of facelifts that even in the very trained eye have very subtle differences. What is most important is to find a facial surgeon the patient can trust. It is important that the patient looks at 15 to 20 before-and-after results from a surgeon to... more

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