Will lift up a face or will lift toward both sides during a Facelift?

I would like ask that during a facelift , toward which side lifts the face? Toward up or toward both sides? Or that is depend from type of surgery or from surgeon? Also will lift up surgeon the end of eyebrow during a facelift? Or that is different surgery? Thanks.

Doctor Answers 11

Facelift Lifts And Tightens In Two Directions

A facelift addresses sagging in the neck, lower face and cheek area. Lifting the brow line is a separate surgery, although it can be accomplished at the same time.

During a facelift, a small incision is made underneath the chin, where it will not be seen. Excess fat and skin are then removed from the chin and neck area. The neck muscle, or platysma, is also tightened. Further incisions are made at the temple and hairline, then continued around the ear so they will be hidden by the ear or a natural crease. Next, the superficial muscular aponeurotic system (SMAS), which comprises deep-layer fascia and muscle, is identified and lifted in two directions: upward in the cheek region and outward in the neck region. These opposing forces help to create a natural look. The excess skin is then removed and the incisions are closed with sutures. An individual consult will help you decide which procedures will work best for you.


There are usually two vectors of pull during a facelift.  The SMAS is lifted vertically and the skin is then tighened superolaterally.  This provides the best correction of all issues from cheeks to neck.  Best wishes, Dr. T. 

Vectors of pull during a face lift

Thanks for sharing your question. I can appreciate your concern.
Your comments are right on target. The answer is both. the deeper planes will better move on a diagonal upward direction, while the skin moves backwards. this dual plane technique will give a natural result.
Finally, make sure that you have a consultation with a board certified plastic surgeon.

Wishing you the best in your journey

Lift vertical or horizontal

Horizontal pull is associated with Joan Rivers . Amore vertical lift simulates the reverse of the fallen tissues.

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 27 reviews

Lifting during a Facelift

Dear ladylady101, The direction of a lift during a facelift depends on the needs of the patient however the lift is typically done both vertically and laterally to avoid a "pulled look" and provide a natural youthful looking appearance. A browlift is often done in conjunction with a facelift to lift the upper third of the face and brows. An examination and consultation will determine the best procedures to provide you with the desired result. Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 196 reviews

Direction of Elevation in Facelift Surgery

The exact direction of lift will vary depending on the needs of each patient but is typically up towards your temples. Some type of a brow lift will be necessary in addition to the facelift to raise the end of the eyebrow.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews


We do a SMAS facelift and typically lift in 3 directions to give YOU the most natural looking results. To lift the eyebrows you would need to do a coronal brow lift. Do good research and make sure you find a Board Certified plastic surgeon that you feel comfortable with to do this procedure. Best Wishes!

The goals of lower face and neck lift

In our practice, the goals of a face and neck lift is to tighten loose facial and neck skin, tighten loose facial and neck muscles, lift the jowls, and remove the fatty deposits in the neck including a platysma plasty. We also perform a high-SMAS technique. The loose skin in the neck is lifted back behind the ears, while the loose facial skin is lifted towards the sideburn. It is  Very important to not shift hairlines, therefore the incisions are placed  at the hair lines and non-hairbearing skin is removed to rejuvenate the face. Choose your surgeon very wisely based on experience producing natural results, since this is  your face. For more information and many examples, please see the video and the link below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 126 reviews

Face lift - what direction is the lift?

Thank you for asking about your face lift.
  • The direction of lift during a face lift will depend on the changes in your tissues -
  • In general it is up (vertical) with a slight sideways (lateral) repositioning.
  • A brow lift will lift the outer eyebrow - a face lift will not.
Always see a Board Certified Plastic Surgeon. Best wishes  - Elizabeth Morgan MD PHD FACS

Direction of lifting in facelift

I am not certain of your exact question, but I believe you are wondering which direction the face is lifted during a facelift.  If that is the case, it can depend on the surgeon.  In some cases, the lift may be directly upward but in some cases it may be pulled up and back.  A typical facelift would not affect the eyebrows but only the lower face and neck.  A brow lift or forehead lift would be a procedure to affect the eyebrows.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.