How Come a Face Lift is Muscle Repositioning Oposed to Just Pulling the Skin Back?

Thank you for the very good question. The old facelift was pulling the skin back which left patients with the "facelift look." The jowls and cheeks were not repositioned. You've seen these people and I'm sure you thought to yourself, "that woman definitely had a facelift."

Plastic surgeons strive to make people appear more attractive and the best compliment would be that someone looks more attractive without looking like they had surgery.  It is also important to understand aging in which gravity and genetics play roles in the stretching of the ligaments that hold up the skin of the face. To improve the appearance, manipulation of the underlying muscles and ligaments of the face is necessary.

   Several studies have shown longevity with either type of facelift.  However, the SMAS repositioning probably prevents some rather unnatural results.  Kenneth Hughes, MD Los Angeles, CA

The skin only face lift has been attempted centuries ago with minimal improvement and minimal duration.  Facial aging is much more complicated than just removing skin and the best and most natural results are obtained when all tissue layers are addressed together and when the lost facial volume is restored such as in the link below