I've seen pictures of people 20 years out and they still look great. You don't get a lateral sweep years later either. And why don't doctors make an effort to post pictures 8-10 years post facelift? Thank you to all you doctors who take time to answer questions.
Answer: Benefits of a Deep Plane Facelift Thank you for the great question. Dissection below the SMAS increases the technical challenge of the procedure and the duration of the surgery, so many providers (and patients) are hesitant to take it on. In my practice, I use a deep-plane (a.k.a. composite) facelift technique in a great majority of cases. The advantages, in my opinion, are clear: 1) no lateral sweep or wind-blown appearance; 2) lifting the facial fat pads with the flap for cheek correction; 3) significantly lower hematoma rate. There continues to be some debate among specialists, but I feel that these points are true in the technique that I use. I do agree with some of the other answers here, however, that choosing the right provider is at least as important as the right technique. Best of luck in your search!
Helpful 2 people found this helpful
Answer: Benefits of a Deep Plane Facelift Thank you for the great question. Dissection below the SMAS increases the technical challenge of the procedure and the duration of the surgery, so many providers (and patients) are hesitant to take it on. In my practice, I use a deep-plane (a.k.a. composite) facelift technique in a great majority of cases. The advantages, in my opinion, are clear: 1) no lateral sweep or wind-blown appearance; 2) lifting the facial fat pads with the flap for cheek correction; 3) significantly lower hematoma rate. There continues to be some debate among specialists, but I feel that these points are true in the technique that I use. I do agree with some of the other answers here, however, that choosing the right provider is at least as important as the right technique. Best of luck in your search!
Helpful 2 people found this helpful
Answer: Why do most doctors not do the composite lift? = because it depends on their training #facelift There are many types of facelift techniques (skin only, SMAS, deep plane, composite, etc). The type of facelift that a surgeon performs usually is the one he or she learned during training. The most common type of facelift done these days is the SMASectomy or SMASplication facelift. Not to many surgeons perform a composite facelift because they didn't train on it and also because is a difficult one to do.In my practice I perform the malar fat pad facelift, which is a type of composite facelift that includes a cutaneous component, an SMAS component and the most important component: the elevation of the malar fat pad which gives a NATURAL look result to the facelift with a long lasting result.
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Answer: Why do most doctors not do the composite lift? = because it depends on their training #facelift There are many types of facelift techniques (skin only, SMAS, deep plane, composite, etc). The type of facelift that a surgeon performs usually is the one he or she learned during training. The most common type of facelift done these days is the SMASectomy or SMASplication facelift. Not to many surgeons perform a composite facelift because they didn't train on it and also because is a difficult one to do.In my practice I perform the malar fat pad facelift, which is a type of composite facelift that includes a cutaneous component, an SMAS component and the most important component: the elevation of the malar fat pad which gives a NATURAL look result to the facelift with a long lasting result.
Helpful 1 person found this helpful
August 10, 2017
Answer: Why most doctors not to do the Composite, deep plane, smas lifting face lift? Hello and thank you for this great question. I am pretyy sure that you know other face lifting procedures like limited incision face lifting, skin only etc... Dissection under the SMAS ( a layer of thick deep face tissues just under the skin ) increases the technical challenge of the procedure. And it increases the duration of the surgery as well. In our hands it takes 5 hours. The others take 3 hours. In my practice, I use a smas lifting technique with deep-plan facelift technique in a great majority of cases. I believe there are great advantages of this approach. Firstly the fake looking effect of face lifting like wind-blown appearance does not seen with this deep plane tectechnique. This is important for some sort of aging face. Secondly, you have the advantage of lifting the fat pads over the cheek and chin bones with smas lifting techniques. There is debate on this issue among plastic surgeons, but my perspective is that these points are true and important in the techniques that I use. On the other hand I am not against with some of the other answers here. Best
Helpful 1 person found this helpful
August 10, 2017
Answer: Why most doctors not to do the Composite, deep plane, smas lifting face lift? Hello and thank you for this great question. I am pretyy sure that you know other face lifting procedures like limited incision face lifting, skin only etc... Dissection under the SMAS ( a layer of thick deep face tissues just under the skin ) increases the technical challenge of the procedure. And it increases the duration of the surgery as well. In our hands it takes 5 hours. The others take 3 hours. In my practice, I use a smas lifting technique with deep-plan facelift technique in a great majority of cases. I believe there are great advantages of this approach. Firstly the fake looking effect of face lifting like wind-blown appearance does not seen with this deep plane tectechnique. This is important for some sort of aging face. Secondly, you have the advantage of lifting the fat pads over the cheek and chin bones with smas lifting techniques. There is debate on this issue among plastic surgeons, but my perspective is that these points are true and important in the techniques that I use. On the other hand I am not against with some of the other answers here. Best
Helpful 1 person found this helpful
August 1, 2017
Answer: Why do most doctors not do the composite (Deep plane) lift? What is more important than the specific technique is the experience and artistry of the plastic surgeon. In a SMAS procedure, the tissue deep to the skin is either tightened, parially resected, or elevated which generally achieves a longer lasting and better result. Each surgeon has his or her own approach of how they dissect and what they do with the SMAS. Artistic natural results need to be individualized depending on the patient's anatomy. Some surgeons claim that “Deep Plane Facelifts” last longer, but there is no valid scientific evidence to support those claims.
Helpful 1 person found this helpful
August 1, 2017
Answer: Why do most doctors not do the composite (Deep plane) lift? What is more important than the specific technique is the experience and artistry of the plastic surgeon. In a SMAS procedure, the tissue deep to the skin is either tightened, parially resected, or elevated which generally achieves a longer lasting and better result. Each surgeon has his or her own approach of how they dissect and what they do with the SMAS. Artistic natural results need to be individualized depending on the patient's anatomy. Some surgeons claim that “Deep Plane Facelifts” last longer, but there is no valid scientific evidence to support those claims.
Helpful 1 person found this helpful
August 1, 2017
Answer: Conceptually, the composite lift was very important. Unforuntately what makes compelling anatomy for surgoens does not always translate into a natural serene facelift result. These are very mechanical procedures that often result in very unnatural results. They are often associated with an extreme appearance. Also due to the anatomic necessary for these radical procedures, they are associated with a significant rate of motor nerve injury (about 5%) even in the best of hands. There is also very persistent swelling associated with these procedures. In my expereince, there can also be unexpected fat atrophy with these procedures that contributes to a skeletonized appearance in some patient. The counter trend is small incision facelifts featuring more natural results. Be careful what you look for and you might find it.
Helpful 2 people found this helpful
August 1, 2017
Answer: Conceptually, the composite lift was very important. Unforuntately what makes compelling anatomy for surgoens does not always translate into a natural serene facelift result. These are very mechanical procedures that often result in very unnatural results. They are often associated with an extreme appearance. Also due to the anatomic necessary for these radical procedures, they are associated with a significant rate of motor nerve injury (about 5%) even in the best of hands. There is also very persistent swelling associated with these procedures. In my expereince, there can also be unexpected fat atrophy with these procedures that contributes to a skeletonized appearance in some patient. The counter trend is small incision facelifts featuring more natural results. Be careful what you look for and you might find it.
Helpful 2 people found this helpful
