Most surgeons who are experienced in cosmetic surgery today, do
not depend upon pulling up the skin. we know that this results in much
more visible incision scars and a pulled look. Instead, the skin is gently
lifted and the underlying muscle and fat repositioned. This approach
results in a more natural look.
There is another reason that the SMAS* Facelift is a
better way. Hanging jowls are present in many people who need a
facelift. It is very tempting just to liposuction these.
If you look at the face of a young child, they have round chubby
cheeks. If you look at the face of an elderly man or woman they have
hollow gaunt cheeks. The fat that was in their cheeks has now fallen down
to their jowls. One of the keys to successful and natural facial
rejuvenation is to move this fat backup to the mid cheek where it
belongs.
That is what the SMAS facelift accomplishes. The deeper
structures are elevated and hold all of the tension. The skin is lifted
comfortably and the extra removed.
The result is a more natural looking facelift that lasts longer.
*(SMAS means submuscular aponeurotic system, a muscle lift instead of just a
skin lift.)