Is a composite facelift worth the extra risk over a SMAS facelift?

Thank you for your question.  Both SMAS and composite facelifts can produce wonderful results and turn back the clock, making your face look years younger.  However, I would caution you against choosing the type of facelift based on your own research.Each facelift method was designed with a specific face in mind. For some, SMAS facelift would do wonders.  Others, might need the added benefits of a composite facelift.  Unfortunately, there is no easy way of figuring out which type of facelift would be the best for you, unless you consult a facelift expert. Do a thorough research, look at many before-and-after photos and choose a best facelift specialist you can find.  Once you found the right doctor, explain to them what result you wanted to achieve and let them choose the best way to accomplish it.Good luck!Dr. Konstantin

There are numerous facelift techniques and when performed correctly on the right candidates they seem to be relatively equivalent, though the comparison has so many variables that it is really hard to objectively compare. Even on identical twin studies, factors such as skin quality, sun exposure and smoking directly affect the result long term. When comparing facelift techniques, the majority are safe when performed by an experienced plastic surgeon. Most plastic surgeons will rely on one or two techniques primarily and refine their techniques based on their comfort level. Caution should be given to the plastic surgeon who is constantly changing techniques. That directly leads into what technique is more natural, and when the aging face is repositioned correctly and harmoniously which addresses the neck, jaw line, vertical midface lift, correction of the lower lid and excess upper eyelid skin and brow position, the face will be set up for a natural result no matter what technique is used. With the manipulation of the SMAS with repositioning rather than pulling, the facelift will last. I prefer a High SMAS technique which involves a deeper SMAS release, but enables a vertical vector of repositioning that lasts. I actually see the facial nerves and know what plane I am in, which helps to limit the risk of nerve injury. When performed correctly this does deliver a natural and more importantly predictable facial rejuvenation.  

There are a number of techniques for facelift surgery. The SMAS technique is quite common and usually predictable in result. However, techniques are often dependent on the surgeons performing them. One technique that may be better in one patient may not be indicated in another. Always discuss with your surgeon his or her rationale for your type of procedure. If it is one of the higher risk procedures, you have to discuss what the added benefits or advantages are for you.