Step 5: Trimming and Tightening

Most modern facelift techniques tighten the underlying SMAS layer in order to support the face from beneath, enhance the longevity of the rejuvenation, and reduce scar tension and widening. Although there are several methods to achieve SMAS elevation, the exact approach is not important as long as the technique is performed well. During the mini-facelift procedure in Colorado, a SMASectomy and plication technique is used to tighten and elevate the face. An ellipse of SMAS is trimmed out of the face (SMASectomy). This ellipse is parallel to the nasolabial folds and marionette lines so that a perpendicular pull on these creases is achieved when the edges are sewn together (plication). This is an extremely safe technique to tighten the SMAS since the nerves that control facial movement are beneath the SMAS. By trimming off this ellipse, at no time is the surgery performed under the SMAS where the nerves are at risk of injury. Therefore, Drs. Vath and Wolfe can confidently report never having caused a temporary or permanent facial nerve paralysis in any patient.

Mini-facelift compared to traditional facelift:

Traditional facelift techniques usually elevate the SMAS in similar fashion to the lifting of skin. In other words, the SMAS is separated off of the underlying tissues as a second layer. It is then pulled up, the overlapping excess is cut off, and the SMAS edges sewn back together. This common method entails surgery beneath the SMAS, where nerves that control facial movement may be injured. The SMAS plication technique used in a mini-facelift provides an equally effective, supportive elevation of the SMAS without the possible increased risk of nerve injury.

To learn more about face lift in Denver, 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.