Is it true that a SMAS facelift is a better option for crepey, wrinkly cheek skin than a deep plane facelift?

Hello, and thank you for your question. In my experience, neither technique is a one-size-fits-all solution for crepey, wrinkly skin. When it comes to managing reduced skin elasticity, the Deep Plane facelift seems to offer a slight advantage. This approach, especially when executed with a more vertical vector and an extended temple scar along the hairline, can discreetly enhance the mid-face and lower face appearance.

That said, the deep plane facelift tends to require less fat transfer or ancillary treatments to achieve significant and lasting improvement. It also exerts a stronger impact on the contour of the neck. In many cases, combining a facelift with a neck lift can yield the most comprehensive rejuvenation for both the lower face and neck.

For most people, yes, the SMAS lift is better at treating facial wrinkles. However, neither addresses thin crepey skin. For your skin, micro-needling with Sculptra injections can be helpful.

There are definitely pros and cons to both facelift types. DEEP plane involves less undermining of skin whereas SMAS goes more superficial and provides wider separation of skin from underlying structures. Both provide great results in the right hands. Whatever your surgeon is most comfortable with is probably the right type of lift to choose IF YOU LIKE HIS OR HER RESULTS IN THE BEFORE AND AFTER PHOTO GALLERY. But yes, the SMAS would be considered the better choice for more tightening of thin wrinkly cheek skin.