After a SMAS Facelift is performed, what prevents the sutures from slicing thru the tissues and the face dropping back down and what causes little fat pouches beside the side of the mouth after Facelift?
How Long Will a SMAS Facelift Last?
Doctor Answers 21
Longevity of cosmetic surgery
The longevity of cosmetic surgery procedures depends upon the happiness of the patient, not the skill of the surgeon. All of these “lifting and tightening” procedures we perform are dependent upon the patient’s satisfaction with themselves, not the strength of the lift. For example, if we perform a great facelift on one of two aging twins then the “lifted” twin will always be the more youthful in appearance as they both continue to age. But the more youthful twin may still want to be lifted again and again. I have performed many repeat facelifts on patients just as a barber performs many haircuts when the client feels their hair is too long.
SMAS Facelift can last forever
That is a great question. As someone who does approximately 35 SMAS facelifts every month, I feel I have an amazing experience to draw from. I always tell people that a facelift will last forever...if you stop aging. Perhaps a better way to look at it is in how long will your appearance be improved. Typically, people will look anywhere from 7- 20 years younger after my facelift. This, of course , depends on how old they are and how much improvement they needed.. So, I tell them that they will always look 7-20 years younger THE REST OF THEIR LIFE, versus if they never had anything done.
Hope this helps. Good Luck.
Robert F. Gray, MD, FACS
SMAS Duration varies, but typically several years
My other colleagues make good points. In adding to the discussion, I would offer several points:
1. Any cosmetic procedure will provide longer-lasting results if you reduce the amount of future insult to the tissues. Typically, we discuss this point with laser resurfacing. You can think of it as waxing your car. If you park it in the sun, it won't last as long as if you park it in the garage. Sun-blocking make up and skin care products will help your investment last longer. Surgery is similar. Don't get a face lift, and then lay out every day for 5 years and complain when you age faster than you wish.
2. The sutures will pull through the tissue when there is a lot of tension on them. For this reason, I prefer to place several sutures deep in order to evenly distribute the downward forces over many points, thereby reducing the amount of tension on any given point of pull or fixation. This reduces the amount that any given suture will tear through the tissue. However, realize that the tissues are elevated and moved, and then simply held in place by the sutures until scarring between the layers develops, which ultimately provides the final "hold". Therefore, it's really only an issue if a suture break or tears in the immediate post-op period, which is another reason to place several so that all your work isn't "hanging" or depending on one suture.
3. SMAS lifting means that the surgeon is doing something with that layer, but is not specific as to what they are doing to it. Some surgeons simply put a pleat or plication in the SMAS folding it up on itself, and call that an SMAS lift. Others actually develop a separate layer of elevated SMAS tissue and remove a section of this layer, shortening it, and increasing the pull.
Since I am an ASOPRS-certified oculoplastic surgeon first, I frequently utilize this technique as it is more consistent with our field's surgical beliefs and principles, and the excised SMAS tissue can be used during endoscopic brow lifts to fill the glabella (between the eyebrows) or round out the lateral orbital rims (under the brow tails). It makes a wonderful filler in these areas, whcih I am typically doing in conjunction with the facelift.
Just beware not all SMAS lifts are the same. Ask your surgeon which approach they use and why. As long as they have a good reason, and good results, you should be fine.
I hope this helps!
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The type of motion of the face.
Unlike a knee or shoulder, there is little tension on the face tissue. The tissue is held with strong sutures. The swelling around the corner of the mouth is due to swelling after a lift and aging before the lift with sagging tissue.
Facelift duration with SMAS
Face lift results should last several years. Sometimes patient will require touch-up or revision aesthetic procedures earlier. Keep in mind your face & skin continues to age, so you will naturally loose some of the cosmetic results.
Any sutures that are used during facelift surgery generally do not hold tissues permanently. Sutures can slice through tissue over time. The skin & underlying tissues develops fibrous attachements or scars itself in-place a bit after face lift surgery to help maintain cosmetic results.
SMAS Facelift Can Last for Up to 10 Years
As in any surgery, the sutures used to close the wound in an SMAS facelift either dissolve or are removed within a week to 10 days. Therefore, the face is not “hanging” off of thin threads. Rather, the sutures act to seal the tissues together as they heal, allowing them to form scar tissue that can then support the new position of the face for up to 10 years even as the patient continues to age. As for the fat pouches beside the mouth, these will not occur in a facelift that has been performed by a board-certified facial plastic surgeon with deep knowledge of anatomy and facial aesthetics. Lifting the face is not sufficient; all of the elements of the patient's facial structure must be in symmetry and harmony and look perfectly natural. That is the mark of a successful SMAS facelift. I hope this helps.
How long does a facelift last
However, if a proper maintenance program is performed, which includes taking care of your skin with medical grade products and if you support the lifted tissue with volume to address the volume that all of us lose over time, then you can make that lift last much longer.
SMAS Facelifts: Release and Reposition not Stretch and Pull.
SMAS Facelift Duration
How Long Will a SMAS Facelift Last?
All of these techniques will last your lifetime but the deeper tissue procedures seem to stand up a little better according to the comparative studies.
I hope that helps.