Standard facelifting

Abstract

Face-lift surgery (rhytidectomy) has continued to evolve since the definition of the superficial aponeurotic system (SMAS) introduced by Mitz and Peyronie in 1970. The techniques have ranged from simple skin undermining to more complex procedures involving the manipulation of the SMAS system, minimally invasive face-lifting, and even subperiosteal approaches. Most face-lift surgeons will agree that some type of modification of the SMAS is necessary to achieve an acceptable result. The technique presented in this chapter involves developing a relatively large skin flap, tightening the SMAS and redraping the skin.