Various options are available according to the skin laxity and areas of lift or tightening you wish or need.
We can consider: a traditional face and neck lift, short scar face and / or neck lift, endoscopic approaches and most recently the minimally invasive use of Thread Lifting.
The recent resurgence of the S-Lift (created in the early 1900's), also called by other names as the Quick-Lift, Lifestyle-Lift, Swift-Lift, Soft-Lift, MACS-Lift and others; are a single modification of the S-lift targeted to elevate sagging lower cheeks jowls and lateral upper neck. The pinch-style shorter scar, minimal undermining and very limited second layer lift achieve the "quicker" procedure but not necessarily the quicker recovery.
The short scar facelift I perform in appropriate patients is unique to the patient's needs as it can address the forehead, upper cheek and neck. By virtue of the wider undermining, this technique will smoothen the nasolabial and marionette folds and corner of the mouth, suspend the neck structures, lift the deeper facial layers and re-drape rather than pull on the skin which these "quicker" procedures do not.
Other procedures which our patients consider at the same time include a upper blepharoplasty or eyelid lift which removes extra skin and fat under the upper eyelid to create the inward smoothening and more youthful eyelid tuck. A lower lid blepharoplasty or eyelid lift also removes skin excess and fat bags and truly elevates the features of the descending cheek including a reduction in the naso-jugal fold also known as the tear trough.
Many brow lifts have been tried in the last 30 years. The coronal brow lift uses a incision across the crown of the head. While the results can be spectacular, the down-side includes hair loss, obvious scar, numbness and funny sensations of the scalp and sometimes, a surprised appearance with a longer forehead. To obviate most of these problems, a lateral brow lift at the temporal hairline smoothes the forehead skin, removing extra skin and carrying the scalp forward. Since its focus is to raise the hooded skin on the sides of the eyebrows and eyelids, the incision is much smaller but can be visible just along the hairline or hidden behind the hairline. Most recently, the endoscopic brow lift has lost favor. While the incisions maybe smaller and / or more hidden the results simply don’t last. One of the endoscopic brow lift virtues is it’s ability to divide the corregator muscle which creates the number “11” between the brows and improves of the brow and forehead. These options can be performed through the eyelid lift too without the use of the endoscopic approach.
Of the minimally invasive approaches, Thread Lifts remain an available option for some. Unfortunately, the technique was given negative appeal to the public by non-core physicians (ie non-facial surgeons) performing poor outcomes. I have found it to be a great option for those with thicker tissues of the cheek, jowls and jawlines who need lift and no skin removal. There are 2 puncture sites along the sideburn and no other incisions. It works for me because I use the barbed sutures to lift and recontour the soft tissues under the lifted skin rather than depending on the suture to hold the face up. The threads hold the tissues in place until the surgery is healed in their new position.
For those with no down time available, non-invasive and home skin programs will help tighten the skin. Consider our Emerge home skin tone evening and skin tightening options, various chemical peels and light and laser programs.