| Diagram of facial anatomy for face lift. | |
| Face lift diagram with lifting of deeper tissues. | | | The support is placed on the fascial or SMAS layer of tissue.
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A face lift involves raising of the tissues of the face
and resuspending them for an improved skin surface with less wrinkles and folds. The raising of the tissues is done
at three different levels.
Subcutaneous level
Subfascial or sub-SMAS level
Subperiosteal
level or at the level of the bone
I prefer the subfascial or intermediate level. This level is known as the
SMAS in Plastic Surgery. I feel it has the following advantages:
Support with less tension on the skin
Improved blood supply to the skin
Longer lasting support for the lift.
No alteration of the
basic facial shape
Smoother appearance of the skin around the eyelids.
| "Before" Picture | | | Note facial folds and jowl |
| "After" Picture | | Note appearance of smooth hand rubbed across the face.
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| "Before" Picture | | Note the neck contour
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| "After" Picture | | Note the improved contour of the neck.
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| "Before" Pictue | | Note neck, jowl, and mid-face folds.
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This patient has had the lower
two thirds of the face lifted. The forehead and eyebrows were not lifted. She also has not had the benefit of
eyelid surgery.
This
patient has had the lower two thirds of the face lifted. The forehead and eyebrows were not lifted. She also has
not had the benefit of eyelid surgery.
This
patient has had the lower two thirds of the face lifted. The forehead and eyebrows were not lifted. She also has
not had the benefit of eyelid surgery.
This
patient has had the lower two thirds of the face lifted. The forehead and eyebrows were not lifted. She also has
not had the benefit of eyelid surgery.
This patient has had the lower two thirds of the face lifted. The forehead and eyebrows were not lifted.
She also has not had the benefit of eyelid surgery.
| "After" Picture | | A smooth contour to the face is noted.
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| "After" Picture | | Note smooth jowl contour.
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This woman had the supporting layer lifted at both the area around the eyes and the face and neck.
This total support produces a smooth contour of all three areas. If the upper face is not lifted with the brow there
is often crowding of the tissues around the eyes.
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