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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)

From board-certified doctors and trusted medical professionals
Michael Boggess, MD profile photo
Dr. Michael Boggess, MD
Board Certified Facial Plastic Surgeon
4.9 | 111 Reviews
Answer
1 person found this helpful
Thomas A. Mustoe, MD, FACS profile photo
Dr. Thomas A. Mustoe, MD, FACS
Board Certified Plastic Surgeon
4.9 | 337 Reviews
Answer
Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) profile photo
Dr. Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast)
Specialist Registered Plastic Surgeon
4.9 | 533 Reviews
Answer
Jeffrey H. Spiegel, MD profile photo
Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 382 Reviews
Answer
Anna Petropoulos, MD, FRCS profile photo
Dr. Anna Petropoulos, MD, FRCS
Board Certified Facial Plastic Surgeon
4.9 | 84 Reviews
Answer
Andrew Campbell, MD profile photo
Dr. Andrew Campbell, MD
Board Certified Facial Plastic Surgeon
4.8 | 102 Reviews
Answer
Jeffrey Rockmore, MD profile photo
Dr. Jeffrey Rockmore, MD
Board Certified Plastic Surgeon
4.8 | 164 Reviews
Answer
Frank P. Fechner, MD profile photo
Dr. Frank P. Fechner, MD
Board Certified Facial Plastic Surgeon
4.4 | 103 Reviews
Answer
Ran Y. Rubinstein, MD profile photo
Dr. Ran Y. Rubinstein, MD
Board Certified Facial Plastic Surgeon
4.8 | 191 Reviews
Answer
Richard G. Reish, MD, FACS profile photo
Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1706 Reviews
Answer
Jeffrey M. Darrow, MD profile photo
Dr. Jeffrey M. Darrow, MD
Board Certified Plastic Surgeon
4.9 | 171 Reviews
Answer

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