Facial soft tissue surgery –fundamentally face and/or neck lifts– is a contentious topic with FFS patients above the age of 40.
Today, facial bone sculpture is the gold standard in FFS, with surgery involving the soft parts being a fantastic cosmetic complement once the structure-based FFS has been completed.
Short scar lifting
These are basically facelifts with minimal scarring and a skin detachment that does not exceed 3-4 cm.
Minilifts are also known as weekend facelifts due to the patient’s speedy recovery and the low associated morbidity. They generally have a medium-term effect. It is possible to do this type of lift at the same time as a structural FFS operation, although it has almost no effect on the lower third or the neck. It only has an effect on the facial middle third and is indicated for patients with sagging cheeks.
2. FACE & NECK LIFT
Cervicofacial lift surgery has evolved a great deal in recent decades. It has gone from simply stretching and lifting the skin, which has very poor results (‘wind tunnel face’) of short duration, to today’s deep plane or SMAS (superficial muscular aponeurotic system) treatments, which leave a much more natural and long-lasting result.
With this face and neck lift, the skin is detached from the face and neck to suspend the SMAS and neck platysma muscle and retighten and eliminate the excess skin. Very careful incisions are made in front of the ears, sideburns and behind the ears and completely hidden in the natural folds. The SMAS can be worked on in different ways including imbrication, plicature and lifting the SMAS flap. FACIALTEAM almost always uses the last of these options since our working philosophy does not differentiate the face from the neck, given that it makes no sense to tighten only the neck or only the face instead of treating it as a unit. This is commonly combined with lipofilling or peeling techniques to improve the texture and luminosity of the skin.
Why should cervicofacial lifts be performed in a separate, second surgery and not at the same time as bone sculpture?
At FACIALTEAM, we have a working philosophy that whenever bone sculpture is done on the body or jaw angle, we prefer to postpone cervicofacial lifts for at least 6 months for the following reasons:
- The results are more predictable. Doing a lift over a recently inflamed area due to bone sculpture means that the surgeon does not have the necessary control over the skin and deep plane (SMAS).
- Lower risk. Decreasing the surgical time reduces the risks associated not only with general anesthesia but also with extensive hematomas and cutaneous necrosis resulting from a deficit of blood flow.
At FACIALTEAM, we always do a COMPREHENSIVE FACELIFT. In other words, we always work on the deep plane to return volume to areas that have lost it, whether by lifting, tightening or repositioning the SMAS itself or by using injections of the patient’s own extracted and purified fat (lipofilling).