I’m considering a facelift & I want a long lasting results . The doctor I had consulted said that he would use High SMAS technique to do my facelift. Does high SMAS technique have a dissection under SMAS layer like deep plane technique? Does High SMAS correct cheek, jowls & marionette lines? Which technique will give a longer lasting & better results? For How long?
Answer: Facelift durability Great question! A facelift of any type turns back the clock but can not stop the aging process, and a well-performed facelift using either technique mentioned can last ~10 years. Most surgeons are partial to one technique or another, and their before-and-after portfolio demonstrates the type of results that are achievable with their technique. In general the happiest people are those who find a surgeon who shares their goals and expectations. Hope this helps!
Helpful 1 person found this helpful
Answer: Facelift durability Great question! A facelift of any type turns back the clock but can not stop the aging process, and a well-performed facelift using either technique mentioned can last ~10 years. Most surgeons are partial to one technique or another, and their before-and-after portfolio demonstrates the type of results that are achievable with their technique. In general the happiest people are those who find a surgeon who shares their goals and expectations. Hope this helps!
Helpful 1 person found this helpful
Answer: Deep Plane vs High SMAS facelift Thank you for your question. The main differences between the high SMAS facelift and deep plane facelift are in the point of access under the SMAS which is more lateral in the high SMAS and more anterior in the deep plane technique. Both techniques represent a SMAS lift approach. There are aspects discussed about the degree of mobilisation of the SMAS from the facial ligaments with the two techniques but there are also surgeons that produce similar levels of ligaments release with the high SMAS as with the deep plane. The more important consideration is to examine the types of results that your surgeon of choice achieves and if you feel satisfied that they reflect your aspirations, whether you are dealing with a high SMAS or deep plane, the longevity of the treatment is relatively similar. From personal experience I would say that the deep plane approach may have a marginal benefit for improvement in the jown and marionette lines, but I have seen over the years in presentations very elegant results with a variety of techniques.
Helpful
Answer: Deep Plane vs High SMAS facelift Thank you for your question. The main differences between the high SMAS facelift and deep plane facelift are in the point of access under the SMAS which is more lateral in the high SMAS and more anterior in the deep plane technique. Both techniques represent a SMAS lift approach. There are aspects discussed about the degree of mobilisation of the SMAS from the facial ligaments with the two techniques but there are also surgeons that produce similar levels of ligaments release with the high SMAS as with the deep plane. The more important consideration is to examine the types of results that your surgeon of choice achieves and if you feel satisfied that they reflect your aspirations, whether you are dealing with a high SMAS or deep plane, the longevity of the treatment is relatively similar. From personal experience I would say that the deep plane approach may have a marginal benefit for improvement in the jown and marionette lines, but I have seen over the years in presentations very elegant results with a variety of techniques.
Helpful
October 27, 2019
Answer: SMAS Thank you for your question. The SMAS is part of the deep plane technique in a facelift. We believe the results are more natural and longer lasting. Also not all surgeons perform this technique. The high SMAS goes high to the level of the chick bone.
Helpful
October 27, 2019
Answer: SMAS Thank you for your question. The SMAS is part of the deep plane technique in a facelift. We believe the results are more natural and longer lasting. Also not all surgeons perform this technique. The high SMAS goes high to the level of the chick bone.
Helpful
February 6, 2019
Answer: Facelift Options There are several different types of facelift techniques that are currently performed by facelift surgeons. The most important factor is that the technique that is used by a facial surgeon will create a youthful, natural with long lasting result. An ideal facelift result includes in part not having anyone assume you have had a face lift procedure. I think a patient that desires improved appearance but wants a natural, non-operated result will have to communicate this to his or her prospective surgeon but also seek out an experienced facelift surgeon that prefers to achieve these types of results. Experience is the key in facial rejuvenation. Vectors of facial tightening vary from patient to patient. For a 45- 50-year-old patient, I would not apply the same vector and tension that I normally apply to a 70-year-old face. In addition, direction of vectors must be modified during secondary or tertiary facelift to avoid artificial look. I have performed well over 3,500 face and neck lifts and published a specific technique that describe the rotational angles and amount of tension that must be applied during SMAS plication to avoid over or under tightening. A well-performed neck lift during facial rejuvenation is the paramount in a youthful-appearing face. I apply gradual tension on my SMAS as follow: starting at temple area there is only 20-30% tension on muscle plication, once at the jawlines the muscle is tightened 100%. This prevent pulled looked at the corner of mouth. In neck area the muscle must be tighten with greater tension than 100%, depending on the neck laxity. Look at the doctor’s before and after pictures, a talented and experienced facelift surgeon will have a smooth and well-contoured neck that enhances the facelift results. The face ages through a combination of changes including volume loss, skin changes, and soft tissue drooping. When facial rejuvenation is desired all of these changes must be addressed. Therefore, fat grafting, a facelift, and skin resurfacing frequently must be combined to accomplish a natural result.
Helpful 1 person found this helpful
February 6, 2019
Answer: Facelift Options There are several different types of facelift techniques that are currently performed by facelift surgeons. The most important factor is that the technique that is used by a facial surgeon will create a youthful, natural with long lasting result. An ideal facelift result includes in part not having anyone assume you have had a face lift procedure. I think a patient that desires improved appearance but wants a natural, non-operated result will have to communicate this to his or her prospective surgeon but also seek out an experienced facelift surgeon that prefers to achieve these types of results. Experience is the key in facial rejuvenation. Vectors of facial tightening vary from patient to patient. For a 45- 50-year-old patient, I would not apply the same vector and tension that I normally apply to a 70-year-old face. In addition, direction of vectors must be modified during secondary or tertiary facelift to avoid artificial look. I have performed well over 3,500 face and neck lifts and published a specific technique that describe the rotational angles and amount of tension that must be applied during SMAS plication to avoid over or under tightening. A well-performed neck lift during facial rejuvenation is the paramount in a youthful-appearing face. I apply gradual tension on my SMAS as follow: starting at temple area there is only 20-30% tension on muscle plication, once at the jawlines the muscle is tightened 100%. This prevent pulled looked at the corner of mouth. In neck area the muscle must be tighten with greater tension than 100%, depending on the neck laxity. Look at the doctor’s before and after pictures, a talented and experienced facelift surgeon will have a smooth and well-contoured neck that enhances the facelift results. The face ages through a combination of changes including volume loss, skin changes, and soft tissue drooping. When facial rejuvenation is desired all of these changes must be addressed. Therefore, fat grafting, a facelift, and skin resurfacing frequently must be combined to accomplish a natural result.
Helpful 1 person found this helpful
January 12, 2019
Answer: Facelift - so many options You like others have concerns regarding the terminology of the word "facelift." Deep plane, SMAS, vertical lift, etc. The video attached will help you understand some of these concerns. The weblink will allow you to see short and long term results. Hope this helps.Sincerely,Michael Kulick MD - San Francisco, Ca Board Certified Plastic Surgeon Member of ASPS, ASAPS Recipient of the Klingbeil Award – Teaching Safe Techniques and Advanced Technologies
Helpful 1 person found this helpful
January 12, 2019
Answer: Facelift - so many options You like others have concerns regarding the terminology of the word "facelift." Deep plane, SMAS, vertical lift, etc. The video attached will help you understand some of these concerns. The weblink will allow you to see short and long term results. Hope this helps.Sincerely,Michael Kulick MD - San Francisco, Ca Board Certified Plastic Surgeon Member of ASPS, ASAPS Recipient of the Klingbeil Award – Teaching Safe Techniques and Advanced Technologies
Helpful 1 person found this helpful