I have read that plication of SMAS is preferred in patients with thin faces and that SMASectomy is preferred in patients with fuller faces. BUT then, I have also read that bunching can occur with plication of SMAS in thin faces. Is the bunching issue more or less prevalent in purse string plication lifts? Or is it technique specific to the surgeon as to whether plication results in bunching or added/needed fullness? Thank you!
March 2, 2015
Answer: Best Facelift For A Thin Face One of the challenges of a thin face is creating volume to help balance and improve the dimensions of the face. In some facelifts, the SMAS layer is resected and removed from the patient's face. In a thinner faced individual, ideally deeper tissues are preserved and repositioned to help with volumetric imbalance. I prefer a version of deep plane facelift, but am conscious of creation of preservation of volume. Other measures such as fat transfer and fillers can be helpful in achieving volume to your face if necessary.An in person consultation with a facelift expert can be helpful.
Helpful
March 2, 2015
Answer: Best Facelift For A Thin Face One of the challenges of a thin face is creating volume to help balance and improve the dimensions of the face. In some facelifts, the SMAS layer is resected and removed from the patient's face. In a thinner faced individual, ideally deeper tissues are preserved and repositioned to help with volumetric imbalance. I prefer a version of deep plane facelift, but am conscious of creation of preservation of volume. Other measures such as fat transfer and fillers can be helpful in achieving volume to your face if necessary.An in person consultation with a facelift expert can be helpful.
Helpful
March 2, 2015
Answer: There is no specific type the facelift that is best for a given clinical situation. I almost always perform a full composite facelift on patients presenting with facial aging. In my opinion it gives a predictably good result and is very safe. I patients are prepared by viewing multiple galleries of patients that have undergone this operation in particular those with very similar aesthetic problems.
Helpful
March 2, 2015
Answer: There is no specific type the facelift that is best for a given clinical situation. I almost always perform a full composite facelift on patients presenting with facial aging. In my opinion it gives a predictably good result and is very safe. I patients are prepared by viewing multiple galleries of patients that have undergone this operation in particular those with very similar aesthetic problems.
Helpful