Facelifts: No One Size Fits All


A facelift may be a common facial surgery procedure, but there is nothing common about a facelift when you are the one seeking treatment. A facelift is not a one-size-fits-all proposition. Instead, this procedure must be carefully tailored to the specific needs and level of correction desired by each patient to produce natural, beautiful results. Dr

The Purpose of a Facelift

A facelift is designed primarily to turn back the signs of ageing on your face. This procedure will address your deep facial creases in the mid and lower face, your jowls and neck laxity, as well as loose skin that creates hollowing around the cheekbones. Facelifts are particularly good for tightening up the lower face for a more defined facial profile.

Since a facelift offers a variety of benefits, it is important to work with a facial surgeon that will take the time to identify your precise concerns and desired outcome. Dr Gerarchi will talk to you about your reasons for wanting a facelift and carefully examine your degree of skin and facial laxity and other ageing signs to help you select the best procedure for your needs.

Levels of Correction

The right facelift for you will depend on your specific concerns and the amount of correction you need:

Short Scar Lift

Sometimes known as a mini lift, this procedure may be right for you if you are still somewhat early in the ageing process, particularly if you have minimal neck ageing changes and would like to rid yourself of early jowling. Be wary of what surgeons are offering when they suggest a mini-lift. Some will only be performing a slight tightening of the skin. Drgerarchi performs a long lasting SMAS lift on all of his patients. In selected patients this can be performed through a shorter scar – hence the name ‘Short Scar Facelift. The SMAS (superficial muscular aponeurotic system) is the ligament and muscle layer of the face that holds up the skin and tissues of the face. With age, like other ligaments in the body, it weakens, allowing the face to sag. Tightening the SMAS elevates the skin and facial tissues back into a more youthful position, and gives the most natural, long-lasting results in any facelift procedure. You will see firmer skin and greater definition in the lower face and jaw area, which can significantly turn back the clock and boost your confidence level.


If your ageing concerns primarily focus on the cheekbones and creases around the nose and mouth, Dr Gerarchi may recommend a mid-facelift for you. The procedure is often referred to as a cheek lift because that is the central area to benefit. Those facial lines extending from the nose to the mouth, known as nasolabial folds, will also be reduced during this procedure. The same deep layer SMAS elevation, along with other techniques, is used to surgically lift up the cheek area.

Full-SMAS or Deep Plane Facelift

If you have moderate ageing symptoms, or your neck ageing forms a significant part of your concerns, you may be a good candidate for a traditional or SMAS facelift. This procedure goes deep to the SMAS allowing for greater long term and more extensive elevation of the structures supporting you face and neck tissues. This procedure is usually performed under general anaesthesia and requires an overnight stay in the hospital. The recovery time is also a bit longer, so it will likely be at least two weeks before you are ready to return to your regular activities. However, the results of your facelift will be impressive and very long lasting

If you are thinking about a facelift, you need a facial plastic surgeon that will provide you with personalised care and bespoke solutions to ensure you achieve the best possible outcome.

Article by
Sydney Facial Plastic Surgeon