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A high SMAS facelift makes the incision in the SMAS over the mid portion of the lateral cheek bone, so as the SMAS is elevated vertically, it overlaps the tissue already present on the lateral cheekbone enhancing the volume in this area. This added volume restores the midface width, which is lost with aging and the vertical traction on the SMAS corrects jowling to straighten the jawline. The end result is more youthful facial shape and contours. Deep plane facelifts are not done as frequently due to more post operative complications. Best wishes.
Thank you for your question. Surgeons have been able to achieve elegant and natural results with both lamellar SMAS facelift and deep plane SMAS facelift, and in most instances the answer is based on the abilities of the surgeon rather than the name of the technique.In general, if the jawline is heavier or the labio-mandibular lines (marionette lines) are deeper and the corners of the mouth are lower, the deep plane may have better purchase on changing them. To assist you with your decision I would suggest that you see surgeons that offer both options and examine before and after images to help you decide which features are more appealing to you.
I doubt that your vitiligo would worsen from having your surgeries. However, you should check with a dermatologist who would be far more experienced in this field and determine whether there should be any thing done preoperatively or postoperatively to minimize the risk of it worsening. Best...
In our practice, we perform a high-SMAS lower face and neck left. The goal of a lower face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove any fatty deposits in the neck which also includes a platysma-plasty. The...
Overall, you have excellent facial contour and volume retention. The aging you see in your face is normal. A facelift with a SMAS vertical plication would accent the volume of your face upward over your cheekbones, smooth your mid cheek and jawline, and contour your neck. The common line in all...