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Posted under Facelift q&a

What is the best (and longest-lasting) facelift technique to lift heavy jowls?

heartsease
I am confused by different techniques & vectors etc. It seems conclusive that the SMAS is the key, but is an extended/high SMAS lift different to a standard SMAS lift? What's the difference between plication, imbrication, SMASectomy, etc? What about a MACS lift - is this an imbrication technique? What is a purse-string? Where should the lift be sutured to achieve long-lasting & effective jowl lifting? A lot of people on this website seem to have recurrent jowls after full SMAS facelifts - why?

Answers (29)

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Michael Boggess, MD profile photo
Dr. Michael Boggess, MD
Answered on May 31, 2016
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Dr. Michael Boggess, MD
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Dr. Thomas A. Mustoe, MD, FACS
Answered on Jun 28, 2016
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Dr. Thomas A. Mustoe, MD, FACS
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Dr. Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast)
Answered on Jun 9, 2016
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Dr. Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast)
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Dr. Jeffrey H. Spiegel, MD
Answered on Jun 6, 2016
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Dr. Jeffrey H. Spiegel, MD
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Dr. Anna Petropoulos, MD, FRCS
Answered on Jun 2, 2016
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Dr. Anna Petropoulos, MD, FRCS
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Dr. Andrew Campbell, MD
Answered on May 31, 2016
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Dr. Andrew Campbell, MD
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