Do lower / concept face lifts last?

There was really no change in the way we do face and neck lifts based on SMAS concept in the past 20 years or longer.  A number of new procedures coming out with different names however, do not include SMAS concept which is a gold standard and provides best durability. Lower face/neck lift  involves tightening and rearranging anterior neck muscles, cleaning and reshaping fat deposits in the neck, along jawline (jowls) and lower and mid face lifting. This creates the longest lasting but it doesn't grantee lifelong result (average lift in our practice lasts 8-12 years). Neck is, unfortunately, the first where signs of aging reappear after surgery. Using remedies like radio frequency, ultrasound, thermal energy in addition to surgery may improve durability. A consultation with a board certified plastic surgeon with long experience and good reputation in facial rejuvenation and discussion about your goals and expectations is recommended. Good luck.

Key to a good neck lift is addressing the SMAS or platysma muscle. The muscle needs to be elevated and fixated with permanent stitches. Also positioning the neck properly during surgery allows for best possible results. Unfortunately some people swell after surgery and require additional procedures later. 90% of my cases do not require additional touch ups within two years. See a board certified ASAPS plastic surgeon ion consultation. Good luck....