My “standard” facelift (deep plane rhytidectomy) involves skin excision and re-draping with a shortening of the SMAS (a tissue layer over the facial muscles). I believe the best results come from concentrating on the finer details:
- Attention to concealing the scars;
- Attention to the ear position and occasionally reducing the earlobe size;
- Avoiding undue pulling on the mouth, thereby avoiding the “face-lift look”;
- Addressing the neck. This involves dealing with the platysma muscles in the neck and may be combined with conservative liposuction;
- Micro fat grafting. Facial aging involves the loss of facial fat, so for optimum results fat frequently needs to be replaced as part of a facelift.