Facelift: Which One Is Right for You?

Several Types of Facelifts Are Available

There are several types of facelifts you can choose from depending on your aesthetic goals and preferences regarding recovery time, risks, and facial anatomy. Generally, different facelift types vary based on the type of incision, the number of tissue layers addressed, the area of the face targeted, and their degree of invasiveness.

 

Types of Facelifts

Deep Plane Facelift

A deep plane facelift is a cutting-edge technique aimed at freeing the underlying muscle layer under the skin and repositioning it without tension. This procedure involves discreet incisions along the hairline so that the facial muscles and upper layers of fatty tissue can be easily lifted and repositioned. Starting from the temple area, the incisions are extended downwards along natural creases, passing inside the ear, and then along the earlobe, ending out of sight behind the ears.

 

During a deep plane lift, the facial plastic surgeon separates the skin from the superficial layer of muscles and then goes into the "deep plane." Once the various muscle layers are repositioned, excess and loose skin are removed, and edges are sutured or stapled into place. The deep plane facelift is ideal for people with significant facial sagging and laxity, and those who desire a more lasting lift. Deep lift results are dramatic, particularly in the mid-face area.

 

Short-Scar Facelift

A short-scar facelift involves an S-shaped incision at the temple or in front of the ear. Unlike other types of facelifts, the short-scar facelift incision doesn't extend behind the ear. Your surgeon can still suspend the tissues that support your smile lines and tighten a moderate amount of your sagging skin. Another example of a short scar lift is the MACS lift. With this technique, the incision stops at the earlobe. Short scar facelifts, whether S-shaped or MACS, can be options for people in their 40s and 50s with minimal to moderate skin excess. This procedure is also ideal if a shorter scar is a priority, or if you have no visible signs of aging on your neck.

 

Endoscopic Facelift

In an endoscopic facelift, your surgeon uses a probe with a tiny camera attached, an endoscope, to transmit video images of your internal facial structures to a monitor in the operating room. The endoscope is inserted through three or more small incisions, often less than an inch long and easily concealed. Endoscopic facelifts are typically performed under local or intravenous anesthesia. The small incisions can reduce the risk of nerve damage. The trade-off is that this type of lift is only effective for cheek sagging. This type of lift loses effectiveness as results are not comparable to other facelifts. Neck lifts cannot be performed endoscopically.

 

Mid-Face Lift or Cheek Lift

These facelifts target the middle third of your face. Incisions are placed at the hairline and inside the mouth. Your surgeon then lifts and repositions the natural fat layer over your cheekbones.

Mid-face lifts improve the lines from the nose to the mouth and lift sagging cheeks. This area can also be addressed with a deep plane facelift. An isolated mid-face lift may be performed endoscopically or through the lower eyelid at the same time as eyelid surgery (blepharoplasty). This lift allows for subtle rejuvenation with minimal risks and recovery time.

 

Stem Cell Facelift

Technically, a stem cell facelift isn't a true facelift. Whereas a surgical facelift involves lifting the skin and connective tissue to address facial sagging, a stem cell facelift involves injecting fat into the face to add volume. A stem cell facelift is a two-step process. First, fat cells and the stem cells they contain are harvested via liposuction from areas of the body where they are abundant such as the abdomen, buttocks, and thighs. The fat cells are then processed, focusing on the stem cells residing within. Next, the fat and stem cells are injected into the face to reshape and fill cheeks, under-eye hollows, temples, lips, and other facial areas.

 

Why Get a Facelift?

As we age, our skin loses much of its elasticity and firmness. Over time, this can lead to sagging skin in the lower face, as well as deep wrinkles and loose skin in the jawline and neck. While this is a fairly normal aspect of aging, many people are unable to accept or struggle to accept these changes to their face. Patients wishing to minimize these effects of time may consider a facelift. If you feel self-conscious about the appearance of your face or neck, you may be a good candidate for a facelift.

 

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