Facelift 101: The Differences Between Different Types of Facelifts | Aesthetic Minutes
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- čas přidán 14. 06. 2024
- What are the differences between different facelift techniques? And how do surgeons decide which ones to use? In this episode of Aesthetic Minutes, Dr. Soares a Facelift 101 lesson. #Facelift #Necklift #FaceliftTechniques
00:00 - Introduction
00:20 - Behind the Name: Cervicofacial Rhytidectomy, or Facelift
02:05 - The First Facelift, Dr. Erich Lexer, Eugen Hollander
02:20 - The Early Skin-Only Facelift Technique (elliptical skin excisions)
02:40 - The Classic Skin-Only Facelift technique (with skin undermining)
03:11 - Dr. Tord Skoog and the Birth of The Low-SMAS Facelift Techniques
03:24 - The Superficial Musculoaponeurotic System (SMAS)
04:27 - The SMAS Plication Suspension Technique
04:52 - The SMAS Imbrication Suspension Technique
05:10 - The Lateral SMASectomy Facelift Technique
05:32 - The Challenge of the Cheek:, The lateral sweep deformity, and the birth of the Extended SMAS Facelift techniques.
07:33 - The Deep Plane Facelift Technique (Dr. Sam Hamra)
08:04 - The High SMAS Facelift Technique (Dr. Fritz Barton)
08:51 - The Lamellar High SMAS Facelift Technique
The Facelift has been around for more than 100 years, and it has evolved a great deal over time. Presently, there exist multiple types of facelifts, which can differ greatly in how they handle the face. Some techniques are best for younger faces, while other more advanced techniques are critical for achieving natural results in the older face. Dr. Soares briefly reviews the history of the facelift and some of the most popular techniques in existence today. Tessier's Sub-Periosteal Rhytidectomy is not included in this talk, but it is worthwhile learning about it as well. Other popular facelift types not included in this video include those that essentially play around with short incisions and different methods of SMAS plication, such as:
- The S-Lift - Circa 1999. A short scar facelift with an S-shaped incision placed in the temporal region. The SMAS is plicated with a two purse-string sutures. (Saylan, Z. The S-lift: Less is more. Aesthetic Surg. J. 19: 406, 1999).
- The MACS (Minimal-access Cranial Suspension) Lift - Circa 2001. Essentially an S-lift with a more diagonal (45) vector of lift with slight differences in how the SMAS is plicated. The SMAS is still plicated with purse-string suture and the incision is mostly S-shaped in the temporal region and in front of the ear. (Tonnard P, Verpaele A, Monstrey S, et al. Minimal access cranial suspension lift: a modified S-lift. Plast Reconstr Surg 2002;109 (6) 2074- 2086).
I learned more in this video than in like a year of looking at surgery sites and journals for that matter since this summarizes a lot of different techniques. Instead of hiding this from the patients.
Pubs in zee
you prolly dont care but does anybody know of a tool to log back into an instagram account??
I somehow forgot the login password. I would love any assistance you can offer me.
Watched ALOT of videos about facelifts, and this one answered foundational questions that no other videos seemed to address… good video!! Appreciate knowing how and why different procedures are done. Helps me be more educated and knowledgeable in what I am asking for, and ultimately the value and longevity of the surgery.
this is a great explanation for this procedure, no BS, no marketing bs.....there is a doctor who trade marked the term "ponytail facelift" as if it was a special face surgery he invented....well as you can see in this great educational and honest video, that "ponytail" term crap is just marketing BS.
An extremely valuable explanation of the essence of, and pros and cons of the various facelift techniques. Extremely high production values make the information clear. A cut above.
Dr Soares, thank you so much for your highly educational and informative videos.
Super well done!!! Thank you so much😊
amazing video... thank you!!
Brilliant! Love how you give the history, too.
Brilliant - very clear education - your results are stunning
Oh wow, what a great video.
It was very interesting to see the history as well.
Thanks for sharing.
Excellent detailed anatomical depiction and explanation!
Really good Video and excellent results!
thank you for this informative video, best ive seen yet
This was soooo good. Subscribed
Great explanation
i understand now what i need THANKS
Thank you Doctor, was a helpful video
Ok
Kk
Amazing explanation - I cannot wait to get my facelift now! I think I am going to wait just a few years more but I LOVE your work and will be traveling to see you when I am ready to have mine done!
Very informative......appreciated very much.
Thank you very much! Very well done!
DR. Hamra, and Dr. Jocomo, with the deep plane. get very you8ng looking results, as in 20 years!
Excellent explanation and visuals
Wow. This was so interesting. I feel this little bit of knowledge makes me less fearful of the whole facelift procedure. Thank you.
Wow...very informative with a professional content...
Thank you so much for the information, God Bless
nice review & nice results
Great information to help select a surgeon.
Wow, incredible how far medicines has advanced! Thank you for sharing your knowledge. I am currently in nursing school and I think it would be so cool sitting along side a board certified plastic surgeon watching first hand how these procedures are done! I am so fascinated with surgeries! Thanks again!
This isn't "medicine", Carla.
@@oldbrasso808 Ummmm, yes its is medicine!! As a nurse, I know this......
Very informative, video, !
Well organized video and presentation. I'll bet it mirrors the doctor's surgical style. Thank you (:
Excellent video.
I'm agree with you Tina
Great video!!😃👍
Great video
❤️❤️❤️❤️ thank you .
This helped tremendously as I will be traveling overseas for a face lift. Already found out one only does plication, that is how and why he is so inexpensive. That would be disastrous for my 65 year old face. And highly disappointing. Learned a lot with you. Thanks.
Annie Oakley so glad to hear that, best of luck!
I was wondering, How did the lift go? What doctor and how much?
@@kstp7155 It went FANTASTIC. I tripped across the 'best' and cheaper than the rest. I found a group of flight attendants that had seen him. Plan to stay 10 days after surgery. I have seen long recoveries on USA youtubes. I was fine in 10 days. No idea why it would take longer. My friend had it all, and she also was fine in 10 days.
@@AestheticMinutes Before and after CAN be deceiving. I was very concerned they would say one thing and do another. Luckily I found several women that had seen this doctor. I am now 3 years in and fantastically happy. It has changed my life.
Very nice
I only want my jowls and neck lift. Thank you so much. God Bless
Very interesting, direct and understood...Thx for this most excellent lesson
Subbed
Great video. Love it
Very edifying. Thank you.
Great explanation. Scary to me, though
Amazing presentation!!!which facelift would you recommend to a 53 year old woman with mild laxity in the jowls?
I'd wait a few years.... If not you'll be back sooner rather than later.... Just saying.....
...
He is a good presenter
Thank you thank you.....
Which face lift wud u recommend I am 65 .ok skin jowels laxity.typical ageing face.
excellent explanation. Thank you very much. Question: If a rhytidectomy is meant to remove or reduce wrinkles, please explain why plastic surgeons are performing a facelift on patients that do not have wrinkles, such as 20 or 30-year-old patients? Based on the information. you have provided, would it be less invasive to just perform fat-transfer for patients that do not have wrinkles?
More up to date videos,please Dr Soares
Sergei Fitzgerald Fih there is amazing new content on the way. Stay tuned!
@@AestheticMinutes excellent!! Thank you!!
Is there such a thing as high smas combined with deep plane facelift? I am so confused about what is best.
Will this procedure remove your dimples?
What about the endoscopic facelift or the ponytail facelift?
Fantastic video. Greetings from Russia
I want to look like the doctor himself! super handsome.
Are you him ,,,the ringer
Thank you very much for this video! You are so handsome, and very intelligent. I am dreaming of doing it for many years.
Interesting video.
Thank you.
I want s face lift.
Where to go?...
Luis, I suggest that you start with a search for board certified providers. Each country has a board and association that credentials surgeons (ABFPRS/AAFPRS or ABPS/ASPS in the US). From their website, you can search for providers in your location. Once you find a couple, go and meet with them, ask to see their results and listen to their recommendations. If you like them, have good rapport and communication with them, and their credentials suggest they’re qualified, then choose from your two best picks. Remember, when it comes to your face, you want to maximize the chance of getting it right the first time. Best of luck!
Is SMAS the same as a deep plane?
Where are located ? Is it possible to schedule consultation?
My doc sayez a lower face left will fix mt smill lines . The other doc sayes that it want fix them.
Are you in ucla?
I need to get a lift what the name of that place
This video demostrates why certain facelift procedures cost varies from one surgeon to the next,what I mean is you cannot have a decent facelift and then have coffee with your friends on the same day!!!In my view deep plane face lift can yield the best results
Angela Markopoyloy I agree with you on most of your points, but I would actually, myself, be a bit more nuanced and specific, and say that “facelifts employing a -deep plane of dissection- yield the best results” because, though there are several techniques that use the “deep plane of dissection” (e.g. deep plane, high-smas, composite, etc; I.e. extended SMAS techniques), I feel strongly that the High-SMAS technique is the most favorable technique due to its strong vertical vector. Even well-known advocates of the deep plane technique, like Dr. Jacono, favor a vertical vector, which makes it almost the same as the High-SMAS lift. Dr. Sam Hamra himself, who was the original creator of the deep plane facelift technique, abandoned it in favor of his “composite facelift” which, you probably guessed it, also uses a strong vertical vector of lift. Most surgeons like myself, who perform large numbers of facelifts day in and day out will feel this way. Thanks for your comment!
112 years ago, I did not know that long.
it is worth noting that face surgery would last only for 2 to 3 years, so, take this into consideration.
Correction: Not 100 years. Face-lift surgeries can be traced back to thousand plus years ago in ancient India. Charaka was the famous physician surgeon who recorded these operative procedure details, including tools used in such surgeries. Refer to Charaka Smrithi. These manuscripts found their way to Arab merchants who passed it along to ancient Greek and roman/ European practicioners.
He is called the Father of Plastic surgery. Worth researching
Nicely made video, but the literature doesn’t really support better or longer lasting result with more complicated SMAS or deep-plane techniques. It’s ironic that the masters of the procedure are frequently doing simpler procedures these days having recognized that more wasn’t better
Thank you; however, I don’t completely agree with your generalizing statement. Although SMAS techniques have been around for more than 50 years, there is a relative paucity of data adequately comparing the different techniques. The studies that do exist are inadequate at extrapolating differences in terms of longevity for a variety of reasons, including small sample size, inadequate follow-up, non-validated techniques that yet are used as being representative of the different surgical extents of surgery, to name a few. It’s a difficult area to build an intensive, quality study, especially when even, today, most surgeons can’t even agree on what to call a standard SMAS technique, extended technique, or even, comically, a mini lift. What most surgeons with expertise in facelifting do know, is that the cheek should be mobilized in patients with moderate midfacial aging (most 60+ patients). Although longevity differences between SMAS techniques haven’t been established, we do know that extended SMAS techniques have the ability to minimize issues such as the lateral sweep deformity, RSTL distortion, and incomplete jowl correction. This doesn’t mean that extended SMAS don’t also carry additional risks, mostly due to the more extensive dissection. It’s interesting you mention that most “masters” are doing simpler procedures; I’m not sure to which masters you’re referring. Dr. Hamra is a lifelong proponent of an extended dissection, and so is Dr. Barton as far as I’m aware. What you might be referring to is surgeons advertising “mini” techniques, which is entirely different. Even Dr. Jacono, an excellent deep plane facelift surgeon, has a “mini” technique, but it still employs a midface release and suspension that would certainly not be comparable to a simple MACS or S-lift. Going even further, the reality is exactly the opposite, almost all facelift surgeons with extensive experience and expertise in facelifting, throughout history, have eventually realized the importance of mobilizing the midface in a strong vertical vector. When you operate on a 65-75 year old face, you quickly realize that a “mini” technique becomes an absolute waste of time or a recipe for severe distortion.
@@AestheticMinutes Danny, when our specialty members are polled on this, most have drifted towards Dan Baker’s observations that more complex techniques with the SMAS add more clear risk for no clear benefit. There’s a strong preference for plication methods over complex smasectomy and deep plane dissections in 2020 when this is polled at meetings. VERY few people would still regularly do the Hamra or Barton style procedures anymore I’d suggest.
Great results but there is something very noticeable about the ears of someone who has had a facelift ... I don’t like the way the ears look pulled down ... maybe it is unavoidable or maybe it ‘loosens up’ over time but it’s a very distinctive indicator to me that a lift has been performed 🤷🏻♀️ just sayin’
Que Guapo!!!!!!!!!!!!! ^L^
IT MUST BE SO EXPENSIVE SURGERY.
Thank you I have the same Name lol
❤️🌷👍🌺😍😍😍😍
No matter why n how you spend money to look good and the hell you go through how long it’s going to last??
N aging process will go in ... is there anyone who can suggest best option without cutting flash off
❤❤❤❤❤❤❤❤❤❤❤❤❤
That was a lot to take in.
People lacking that melanin gene got it rough! 😳😳 Don’t smoke, don’t drink alcohol, don’t drink coffee, and stay out of the sun!!! The sun is not for you!!
Makeda’s Wrath I am part Israelite and Italian. I may lose my tan, but tan immediately. If pale as I am now it would be wise of me to stay out all day. As soon as I have a base it’s all good. Even those with very low melanin it’s still good to get a little light. We need it to make vitD3 so many have issues with their immune systems because of lack of D3. Sunlight is not all bad. It’s ones strength of their immune system that is the culprit of any cancer. Which is why making your own D3 is important.
Sun is good, just not too much..
Coffee???? I doubt that.... Coffee is LOADED with antioxidants!!!!
How much is the cost?
Hey poonam...
I think u r also from india
Even i m planning for face lift...bcoz i have loose skin bcoz of weight loss
@@meirakorwal8118 EWWWW... Not a great thing to say when you are trying to make friends on youtube...😜😂
You do not name Bruce Connell at all? What kind of face lift history is that?
That is the hard part about making educational content in a concise manner, you’re always bound to not mention some key figures, not because they weren’t influential, but because the need to properly recognize someone in this context rests solely upon a “first to publish ” basis. The reality is that the state of plastic surgery owes a great deal to many surgeons that are too numerous to mention, but I will try to do my best as I continue to create more content. On a personal note, Dr. Bruce Connell is one of my own idols of plastic surgery; his technical ability, results, and contributions were truly impactful. However, the content of this video focuses on a very summarized history of the facelift procedure, beginning with its inception, limited SMAS procedures, then extended SMAS. I could have mentioned Connell especially with regard to his platysmaplasty techniques and adaptations to facelifting, but in the end I chose to keep it short; you certainly can’t please everyone in this line of work. However, just for completeness, and so that people realize the extensive research that it takes to be able to create a video like this, please note that, in addition to Connell, there are many other giants of plastic surgery that I did not have time to recognize appropriately in this video, but whose publications I reviewed in preparation for this, some of which are listed below but many of which I’m probably forgetting:
- Jacques Joseph
- Julien Bourguet
- Raymond Passot
- František Burian
- Mario Gonzalez- Ulloa
- Paul Tessier
- Oscar Ramirez
- David Ralph Millard
- Jose Guerrero-Santos
- Sherrell Aston
- Thomas Rees
- Frank Kamer
- Val Lambros
- Hugo Obwegeser
- David Furnas
- And so many others...
Okay
The guy is damn handsome
Hi ! It's a nice to meet you Dr
Would you give me your e-mail
I'm 73 years OLD I need a full facelift
Could you tell me how much does it cost ? I'd like to know it. Thank you Dr loving you may God blessing all of you.
😱😫😫 why do I feel like the only person who says they would never have a facelift ..I know iam not I know there are many people who would not have them..but jeeeeeeze 😫😫 I just don't think this is for me no matter how old I get, hopefully I will age as well as my aunt's have ( well I think they have aged rather well.. I will be happy if I age the same)
Wow great result, but 15 syringes.. I feel like you might as well go for a facelift, unless surgery really scares the person..
👍👍👍👍🙏🙏🙏🙏🙏🙏🙏
Hi, I've sent an email for asking your permission to using this video in our upcoming project. Would you please check your inbox! Thank you so much!
:)
Man, I need to Chad-up.
your a handsome woman
martli tips
So why the hell he cut me under the eyes !!! I fucking hate it been swollen three months and I look like I'm melting
😲😲😲😲😲😲😲😲😲😲
Is 30 too young ?
He is hot
hotel-looking brothels, cooking show, gym channel; facelifts, thin body image & cartoon Disney land commercial 2 sell superficiality
Just workout, eat well and wear sunscreen and you don't need any of this.
Thanks doctor real beneficial info.
Great video.......Thank you so much!!