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The Evolution of Facelifts: From Traditional to Sub-SMAS Methods

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Facelift treatments have come a long way from their rudimentary beginnings to advanced methods that deliver natural-looking and lasting results. Whether you're looking to reverse the signs of aging or simply curious about the advancements in cosmetic surgery, this guide will take you through the fascinating evolution of facelifts, culminating in the deep plane technique.

What is a Facelift?

A facelift is a surgery that reduces visible signs of ageing in the face and neck. It tightens loose skin, repositions sagging tissues, and smooths deep creases, giving a rejuvenated and youthful appearance. Facelifts are often combined with complementary treatments like eyelid surgery or skin resurfacing for all-around facial rejuvenation.

A Brief History of the Facelift

Facelift treatment techniques have significantly evolved over the decades, driven by technological advancements and a deeper understanding of facial anatomy.

Early Facelift Techniques and Their Origins

The first facelift treatments in the early 1900s involved pulling and stitching excess skin to create a smoother appearance. While these procedures achieved modest results, they often left patients with a "windswept" or overly tight look, as only the skin was addressed without considering the underlying tissues.

By the mid-20th century, surgeons began addressing deeper anatomies of the face, such as the superficial musculoaponeurotic system (SMAS). The SMAS facelift offered longer-lasting results and a more natural appearance compared to skin-only techniques. The introduction of better anaesthesia and surgical tools also made the procedure safer and more accessible.

Today, facelift treatments focus on restoring facial harmony rather than simply tightening skin. Modern techniques, like the deep plane and high SMAS facelifts, emphasise repositioning the deeper layers of the face, ensuring a refreshed but natural outcome.

Furthermore, in candidates who require a facelift but where the skin is still of a relatively good quality, sub-SMAS facelifts can even be performed minimally invasively without visible scars.

The Sub-SMAS Facelift Method

Sub-SMAS facelift treatments are now recognised as one of the most effective facelift techniques. It is highly sought after by both men and women for the subtle, natural results it delivers. Whilst there are many forms of a SMAS facelift, the more popular examples are the deep place facelift and the high SMAS facelift.

What Makes the SMAS Facelifts Unique?

Unlike traditional methods, SMAS facelifts involve release of the ligaments holding the SMAS in a fixed position, and  lifting the SMAS more anteriorly and effectively in the face along with the overlying skin which largely remains attached. This technique minimises tension on the skin, reducing the risk of an unnatural appearance by releasing facial ligaments and repositioning tissues as a cohesive unit. By utilizing different forms of the Sub-SMAS facelift, such as the deep plane and high SMAS methods, the vector of pull of the facelift can be adjusted to give a lasting, natural result.

Benefits Over Traditional Methods

The deep plane and high SMAS facelift techniques offer:

  • Natural-Looking Results: By lifting the deeper structures, the face looks naturally rejuvenated rather than artificially tightened.
  • Longer-Lasting Effects: Results tend to last longer than traditional methods because the deeper tissues are repositioned rather than relying solely on skin tightening.
  • Improved Midface Rejuvenation: This method addresses the cheeks and nasolabial folds more effectively than other techniques.

Typical Candidates for a Sub-SMAS Facelift

Ideal candidates are individuals in their 40s to 70s who exhibit moderate to severe sagging in the midface, jawline, or neck. They should also be in good general health and have realistic expectations about the procedure's outcomes. However, it’s important to note that everyone’s aging process is unique, and people outside this typical age range may also benefit from a deep plane facelift. 

The best way to determine if this procedure is right for you is to consult with a qualified doctor who can assess your individual needs and recommend the most suitable treatment.

Face lifting Treatment with Polaris Plastic Surgery

The evolution of facelift techniques highlights the journey from superficial improvements to deep, transformative results. The deep plane facelift is proof of how far the field has come, blending art and science to achieve youthful, natural beauty.

At Polaris Plastic Surgery, we specialise in tailored facelift treatments that prioritise your needs and desired outcomes. Our experienced surgeons are skilled in traditional and modern facelift techniques, including the SMAS facelift method. We focus on safety, precision, and natural results, helping you look and feel your best.

Book a consultation today to explore how our face lifting treatments can transform you.

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