Men as well as women seek advice about facelifts. There are a range of operation methods with, unfortunately for patients, confusing names.
Surgical techniques can be fundamentally differentiated based on the anatomical structure of the SMAS. Additionally, there are variations in terms of the extent of the tightening. You can only decide that after an examination of your individual anatomical data.
SMAS means superficial musculo aponeurotic system and is an important anatomical structure. This thin tissue structure consists of, among other things, muscle cells, which are important for the transmission of facial expressions. You can achieve an anchoring of the facial skin, which is tightened upwards and backwards, on this strong tissue. The preparation of the SMAS layer leads to less swelling and better results. As early as 1974, Skoog recommended that the special SMAS layer should be included in the preparation, so that a long-lasting result could be achieved.
I do not perform non-SMAS lifts in this manner. As already explained, the SMAS needs to be tightened or doubled or anchored. The exclusive preparation of the subcutaneous fat tissue can be traced back to Beames (1927) and is, therefore, an old, no longer appropriate method.
The very finely sewn wound edges are connected with a skin-coloured Steristrip. A cotton bandage is placed on top of this in the operating room, which is removed after 24 hours.