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I have no clue as to what “segmental stepwise facelift” is. It may be another marketing ploy by some individual as it is certainly not a procedure that is widely known or published in the literature.
Whatever this marketing term means, I can assure you that it is more terminology than an actual advance in Facelift technique. Every Facelift is performed in a sequential or "stepwise" fashion, because a Facelift required a series of steps in order to achieve the end result. Creative marketing does not correlate with better results: Be careful!
Just today in a medical aesthetics magazine I got in the mail, was advertised, The Stem Cell Lift, The New Future Lift and the Adjustable Facelift. I assume the Segmental Stepwise Facelift falls into this category, ie a slick marketing of a routinue facelift, perhaps with some small variations, that by "branding" it makes the procedure seem somehow differant and innovative and implys that it is better. Do not choose based on a name given to the procedure, instead find a board certified plastic surgeon with an excellant reputation who will fully discuss your problems and what would be done to fix them. View photos of his/her work and if possible speak with some of the patients. This is the safest way to proceed and most likely to give you a satisfying result.
Be careful of brand named facial procedures. Often these are marketing strategies without even mentioning the physician or physicians providing the care. The most important advice is finding a board certified plastic surgeon qualified to perform a facelift. The consultation with your doctor will determine if you need segments of the face tightened. For instance the neck/jawline, the midface or the forehead. The SMAS is used in tightening/lifting the jawline and midface. All these areas of the face can be lifted and tightened in one surgical procedure, as determined by the plastic surgeon during your consultation.
Truly effective cosmetic surgical techniques do not require a catchy name or significant marketing. An experienced, trustworthy facial plastic surgeon that you feel comfortable with will help you alot more than any marketing gimmick. Stephen Weber MD, FACS