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World Experts in Facial Aging and Facial Rejuvenation

Dr. Yousif is credited with being the first in the world to describe the association of midface descent with gravity and the nasolabial fold, which was published in the Journal of Plastic and Reconstructive Surgery as “The Nasolabial Fold: A Photogrammetric Analysis.” This was awarded the Aesthetic Associations “Best Paper” of that year. Additionally, he was the first to use the Gortex Mid-facelift which he has performed for the last 12 years.

 

Complete Facial Rejuvenation

Typical skin lift

The typical full facelift includes elevation of the skin from both sides of the face connecting across to the other side by the neck.  This typically does not include the lift of the mid-face or cheeks.  It does usually include an incision beneath the chin and some type of tightening of the neck muscle.
This type of face-lift is indicated for patients who do not have significant descent of the cheek pads, deep nasolabial folds, jowls or marionette lines. 

SMAS lift

The SMAS (Superficial Myo-Aponeutotic System) is a supportive structure that lies beneath the fibro-fatty layer of the face but above the muscles layer.  This layer connects the platysma, a muscle in the neck, to the deeper layers of the face and the corner and muscles of the mouth.  Some surgeons believe that lifting this layer helps the facelift last longer.  There have been many papers trying to support or discount that idea.  Whether the surgeon uses this lift may depend to a greater degree on the training he or she has had. 

It is Dr. Yousif’s opinion that the lifting and tightening of the SMAS simply does not add any benefit to the face lift and in many respects contributes to many of the typically unwanted effects of the facelift such as the widened appearance of the mouth. It is also his opinion that the SMAS lift does not lengthen the results of the face-lift. 

Aging of the face

Regrettably, correction of facial aging is a difficult process. That maybe why there are so many proposed surgical procedures for the restoration of the youthful face. In fact the best way to unravel this confusion maybe in understanding the aging process. Aging of the face is a combination of factors that affect multiple areas. Skin changes, internal weakening of support structures, and the gradual effects of gravity take a combined toll that results in the aging face. In this series of photographs of the same person in different decades of her life, the aging process is graphically seen. There is a gradual thinning of the skin, slow descent of the cheeks, known medically as the mid-face, and a visible loss of definition of the neck. With the decent of the cheeks several secondary changes occur. This includes a visual lengthening of the lower eyelids, a deeper appearance of the nasolabial fold, the appearance of jowls, and a widening of the lower third of the face.

Other changes include excessive upper lid skin, and descent of the eyebrows. In those patients that have significant mid-face descent, the only way to correct all the effects of that mid-face descent to the anatomic repositioning of the mid-face back to it’s original youthful position. That repositioning requires the vertical repositioning of the soft tissue toward the lower eyelids lids. Any repositioning other than in a direct vertical direction takes the soft tissue out of its normal youthful position and distorts the facial soft tissue giving the face an abnormal appearance.

Leadership Counts

Although each person's results will differ, before and after photos are good examples of potential changes. They should be used not only as a comparison of techniques and surgeons, but are good starting points for evaluation, comparison and discussion with your surgeon. Please note that these are post surgical photos that are not suitable for all audiences. Viewers should be 18 or older to view the gallery images.

See More Before and After Photos >

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Leadership Counts

• World expert on facial aging.
• First to describe and perform the Gortex Mid-Face Lift.
• Published over 100 articles on plastic/reconstructive surgery with the
• majority focusing on facial anatomy.
• Continues to investigate the structure and treatment of the aging neck.
• Listed in Best Doctors of America.

Dr. Yousif has published over 100 articles, abstracts, book chapters, and is recognized as a world leader in plastic surgery. He has received numerous awards for his publications and continues to investigate and describe various aspects of plastic surgery. He is also one of the board examiners for Plastic Surgery. He has been mentioned in Allure Magazine as a world expert in facial anatomy.

Aesthetic and Reconstructive Surgery Associates, S.C. 10554 N. Port Washington Rd., Mequon, Wisconsin 53092 ph. 414.352.2766 | info@drjohnyousif.com