Oleh Slupchynskyj, MD, Board Certified Facial Plastic Surgeon
Facelift Before and After Photos
Facelift Procedure Information
Lower Facelift Plastic Surgery Techniques
There are many lower facelift surgical techniques for improving the face, jowl and neck area.The two of the most common techniques are: SMAS / Platysma Facelift Technique and the Deep Plane Facelift Technique.
The difference of the two is described in the illustrations to follow. In a published study where the authors did a deep plane technique on one side and a SMAS/Platysma on the other side, they found that there was no difference in outcome. However the study did have some flaws in the design and patient selection.
In my practice, I use both techniques depending on the anatomical features of the face. Every patient is unique in his or her facial anatomy and the technique should vary accordingly.
There are no guidelines as to which technique is should be used, it is a judgment call based on the experience of the surgeon.
We hope you will find these diagrams useful and please feel free to contact us with any further questions.
SMAS Facelift Technique
In all traditional lower facelifts a skin flap is raised to expose the underlying SMAS Muscle (Submuscular Apeuneurotic Fascia) and the Platysma. The SMAS in the face and the Platysma in the neck are the layers of muscle tissue, which will be pulled, trimmed and sutured to the preauricular or pre-earlobe area for tightening of the loose skin in the face and neck. |
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SMAS Facelift Technique
Next the SMAS Muscle and Platysma are tightened sutured and trimmed. |
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SMAS Facelift Technique
The skin is the redrapped over the ear in a tensionless fashion, trimmed and sutured in place. |
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SMAS Facelift Technique
The result is an even pull and removal of sagging skin from the jowl area and the neck area. There is also no tension on the wound creating an ideal circumstance for scareless healing. |
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Deep Plane Facelift Technique:
In deep plane lower facelifts the skin flap, SMAS
(underlying muscle in the face) and the Platysma (underlying muscle in the neck) are raised as unit. The SMAS in the face and the Platysma in the neck are the layers of muscle tissue, which will be pulled, trimmed and sutured to the preauricular or pre-earlobe area for tightening of the loose skin in the face and neck. |
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Deep Plane Facelift Technique:
Next the SMAS Muscle and Platysma are tightened sutured and trimmed. |
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Deep Plane Facelift Technique:
The skin is the redrapped over the ear in a tensionless fashion, trimmed and sutured in place. |
 |
Deep Plane Facelift Technique:
The skin is the redrapped over the ear in a tensionless fashion, trimmed and sutured in place.
The result is an even pull and removal of sagging skin from the jowl area and the neck area. There is also no tension on the wound creating an ideal circumstance for scareless healing.
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Facelift Before and After Photos
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