What are the different types of facelifts?
In this interview, Mrinal Supriya discusses what the best variety of a facelift is.
Laura Livesey: What are the different types of facelifts? Can you tell us more about them?
Mrinal Supriya: Sure, Laura. Broadly you can divide facelifts into a nonsurgical and a surgical variety. Nonsurgical would be things like putting fillers or doing thread lift. The problem with these nonsurgical techniques is that they give a very subtle short-lasting impact. Therefore, they are only appropriate for people who are in their 20s or early 30s. Once you are beyond that age group, you have to choose one of the surgical techniques.
The best kind of facelift, which would be applicable to most people who are above the age of 40, would be a deep plane facelift.
The surgical facelifts are divided into three different types. The first and more commonly offered is when a surgeon just pulls your skin back. The problem with that is it gives you a very artificial, tight, stretched out appearance, which does not look natural. Most patients will not be satisfied with this technique.
Laura Livesey: Is that the type of facelift that most people are familiar with, would you say?
Mrinal Supriya: I would say so because most of the offering clinicians are not well versed in the other variety of facelift. They tend to offer just a skin lift, which is quicker and can be done under local anaesthesia. This means that you do not need to be put to sleep. But as I said, it gives a very artificial appearance, and the outcome does not last long.
This brings me on to the second type of facelift, called a SMAS lift. This involves pulling the underlying tissue a little bit, which is a bit better than the skin variety of facelift. But again, it does not give you an optimum outcome because you have not mobilized the whole underlying muscle and the tissues and the ligaments, which have sagged. It can be useful for somone in their 30s, who has a very subtle impact of ageing and does not require extensive surgery.
The best kind of facelift, which would be applicable to most people who are above the age of 40, would be a deep plane facelift. The deep plane facelift differs from the first two varieties in the sense that it addresses the underlying muscle and the ligaments in totality. These ligaments and muscles are the main cause of sagging over time, that leads to the ageing of our faces.
The deep plane facelift goes under those muscles and takes care of these lax ligaments so that we can completely elevate and reposition them back into place. Once you do that, the benefit is that you have a natural lift, the results last for longer, and you do not have that artificial, stretched out, or pulled back skin appearance.