The High SMAS Facelift tightens the fascial layer located beneath the skin, rejuvenating the face from its deeper supporting structures. This technique provides a natural, refreshed appearance and long-lasting facial rejuvenation.

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  The High SMAS Facelift is an advanced version of the traditional SMAS facelift technique. It is named after the Superficial Musculoaponeurotic System (SMAS), a layer of tissue beneath the skin that, like all structures in the body, is affected by the aging process. Over time, the SMAS loses elasticity and support, causing the overlying skin and soft tissues to sag. By repositioning and tightening the SMAS, a more youthful and refreshed facial appearance can be achieved.

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  Unlike conventional SMAS facelift techniques, the High SMAS Facelift allows the surgeon to elevate tissues above the cheekbone and carefully reshape the cheek fat pads. This extended dissection is the reason for the term “High” SMAS. In addition, the midface can also be elevated, creating a more natural result while avoiding an overly tight or artificial appearance. During the procedure, which is performed under general anesthesia, the SMAS layer is first repositioned, followed by the removal of excess skin.

 

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Deep Plane Facelift

 

  The Deep Plane Facelift is performed in an even deeper anatomical layer. This technique is generally preferred for patients with less skin excess who do not require extensive lifting. The rejuvenating effect is achieved by repositioning the deeper facial tissues together with the SMAS layer.

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  Results may last approximately 10 to 15 years. However, the natural aging process continues over time.

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Classic Facelift

 

  A Classic Facelift is primarily performed to address sagging in the cheeks, jawline, neck, and lower facial region.

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  During the procedure, the plastic surgeon tightens the deeper tissue layers toward the hairline and cheekbone region. The incision typically begins within the hairline, extends around the front and back of the ears, and ends within the hair-bearing scalp. The skin of the face and neck is carefully elevated, allowing the underlying muscles and connective tissues to be repositioned and tightened. When necessary, an additional small incision beneath the chin may be made to perform a platysmaplasty (neck muscle tightening).

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  Excess skin is then removed and the incisions are meticulously closed. The operation is performed under general anesthesia and typically takes 4 to 5 hours.

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Lower Face Lift

(Mini Facelift)

 

  A Lower Face Lift, also known as a Mini Facelift, is an effective solution for sagging cheeks and loss of definition along the jawline.

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  The incision is made around the cheekbone area and extends along the front of the ears. After the skin is carefully elevated, the underlying muscles and connective tissues are tightened and repositioned. Excess skin is removed, and the incisions are closed with fine sutures.

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  The procedure is performed under general anesthesia and generally lasts about 3 hours.

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Upper Face Lift

(Forehead and Temporal Lift)

 

  A forehead lift and temporal lift can dramatically improve the appearance of the forehead, temples, eyebrows, and upper facial region.

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  Facial expression is strongly influenced by the position of the eyebrows, eyelids, and forehead skin. As the forehead tissues lose support over time, they descend due to gravity, leading to drooping eyebrows and a tired or sad appearance. Deep forehead wrinkles may further contribute to an aged expression.

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Forehead and Temporal Lift

 

  A forehead lift elevates the eyebrows and smooths unwanted forehead wrinkles. Raising the eyebrows opens the eyes and can improve the appearance of the upper eyelids and surrounding facial tissues, creating a noticeably rejuvenated look.

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  A temporal lift involves a small incision hidden within the hair-bearing scalp of the temple region. The resulting scars are typically well concealed. Through this approach, the outer forehead and temple areas can be effectively tightened and smoothed. Excess skin is removed, and the repositioned tissues maintain their improved position.

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  The results are long-lasting and naturally evolve only with the aging process. The procedure is performed under general anesthesia and takes approximately 2 hours.

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Midface Lift

 

  A Midface Lift is a specialized facelift technique that can be beneficial even in relatively young patients who experience premature facial aging due to weak connective tissue support.

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  As aging occurs, the fat pads that normally sit over the cheekbones descend, leading to under-eye bags, flattened cheeks, and sagging around the corners of the mouth. For this reason, a Midface Lift is often an excellent complement to lower eyelid surgery, allowing simultaneous correction of under-eye bags, descended cheek tissues, and nasolabial folds without additional external incisions.

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  The procedure is performed through an incision placed along the lower eyelid, extending slightly outward when necessary. The connective tissues, muscles, and, when indicated, fat tissues are elevated and secured to the periosteum near the outer corner of the eye.

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  The goal is to restore lost volume to the cheekbone area and rejuvenate the midface by repositioning the descended tissues and removing excess skin. Since the deeper facial structures are repositioned rather than simply tightening the skin, the face maintains its natural expression and avoids an unnatural or “over-pulled” appearance.

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  The procedure is performed under general anesthesia and typically lasts 2 to 3 hours.

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Procedures That Can Be Combined with a Facelift

 

  A facelift can be combined with various facial rejuvenation procedures, including:

• Eyelid Surgery (Blepharoplasty)

• Lip Lift

• Forehead Lift

• Temporal Lift

• Fox Eye Surgery

• Neck Lift

• Liquid Facelift

• Lipofilling (Fat Transfer)

 

  For deeper facial folds, such as nasolabial folds and marionette lines, fat transfer may be recommended. The patient's own fat is harvested and injected into specific facial areas to restore volume, improve contours, and create a more youthful appearance.