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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. 

Natural Looking Designed To You.

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 >

Anesthesia and Surgery Facility

In most instances the procedure is done under general anesthesia but depending on the patient’s desires it may be done under local anesthesia with some type of sedation.

Side Effects

There is expected temporary discomfort, swelling, and bruising. A temporary feeling of tightness may also be possible.

Smoking

Smoking may be one of the most important factors that increase the risk to facial surgical complications. If you are a smoker, you will need stop smoking for least two weeks before the surgery and two weeks after. You must not smoke for this time period to ensure proper healing, because cutting down is not adequate. Nicotine gum and nicotine skin patches can lead to the same healing problems caused by smoking.

Other Medications:

Some medications that increase bleeding times may add to the risk of bleeding during any surgery but especially during facial surgery. It is important to discuss all medications that you are taking both prescription and over the counter.

Risks

These include infection, pooling of blood beneath the skin (hematoma), and loss of sensation.

Recovery

Bruising is usually minimal but may last 2-3 weeks. The patient is usually asked to limit motion of the neck over the same period of time. The neck may feel numb for several months.

Duration of Results

Results may be enjoyed for 7 to 10 years.