Facelifts
A facelift focuses on the lower part of the face, from the cheekbones down to the neck. The upper part of the face is tackled with a brow lift, a forehead lift, and upper and lower eyelid corrections.
Facelift techniques differ in how the deeper tissue is repositioned. These tissues can be moved by folding them back, removing a strip of the SMAS layer and stitching the skin back in a better position, or moving the deep tissue as a whole. All methods have advantages and disadvantages. Facelifts that only tighten the skin (often called a "mini facelift") usually have a limited and short-term effect.
Lipofilling is an essential part of facial rejuvenation nowadays because ageing causes the thinning of the fatty layer in the face. In addition to adding volume, lipofilling also positively affects the quality and texture of the skin.
There are multiple treatment options for people looking for a facelift, so do not be surprised that different surgeons present and use varied methods. My technique restores volume and contour by lifting and building up the subcutaneous fat and tissue layers. I do this using the Enbloc technique combined with SMAS folding.
MIDFACE LIFT
Due to ageing, the cheeks can start to droop and appear to "fall off' the cheekbones. While a facelift can add some volume to the cheeks, a midface lift focuses solely on this result. The skin and the fatty tissue are moved back towards the cheekbones. The midface lift can be considered an extension of the lower eyelid correction. However, the intervention is only suitable for a limited group of clients.
NECK LIFT
The neck lift is usually part of the facelift but can occasionally be performed as a stand-alone procedure. If the client has a voluminous neck, liposuction may be an option. A prerequisite for liposuction is the presence of disproportionate fat in the neck and sufficient elasticity of the skin so it can adapt to the new contour. In a pronounced 'turkey neck', surgical correction via a scar in the neck or under the chin can be an option. Liposuction and surgical correction can also be combined. As mentioned earlier, the surplus in the neck is always the result of ageing in the entire face, and the facelift is the central pillar of the treatment.
SMAS
The SMAS (superficial musculoaponeurotic system) is a layer of fat and fascia connected to the neck's platysma muscle. This method leads to a longer-lasting result, and lifting this layer has a positive effect on the neck. The extent to which the neck benefits depends on the extent of the procedure. For a greater effect on the neck, the facelift gradually changes into a face-neck lift. A scar under the chin allows additional work on the neck; the scar behind the ear can be extended into the hairline..