Step 4: Understanding the Layers

During the next step in your Colorado facelift procedure, underlying facial tissue is tightened. These underlying structures that support the face are often misrepresented as muscle. All facial muscles are used either to chew or create facial expression; therefore, these muscles are never cut or sewn during any facelift procedure. A layer between the muscles and the skin called the SMAS (superficial musculo-aponeurotic system) is used to support the face. This is a strong, globular layer depicted in the illustration within the pocket of the face. In the neck, the SMAS connects to the platysma muscle, which is depicted by the lines in the illustration. The separation of skin in the face exposes the underlying SMAS layer up to within a few centimeters of the nasolabial folds, jowls, and marionette lines. In the neck, the pocket extends over the edge of the platysma muscle.

Mini-facelift compared to traditional facelift:

During a traditional facelift, the pocket extends over the jowls and around the neck, connecting to the opposite side of the face. This exposes a larger area of SMAS in the face and platysma muscle in the neck. The traditional technique usually adds an incision beneath the chin to allow for this larger area of skin separation and underlying tissue exposure. For most patients, this more extensive pocket adds no surgical advantage in achieving long-lasting, natural facial rejuvenation and may increase surgical risk and recovery time.

To learn more about Denver facelift surgery, be sure to check out all the resources on our site and when you're ready, request your free appointment with Dr. Vath or Dr. Wolfe at The Center for Cosmetic Surgery in Cherry Creek or in Golden.