Approaches to Facelifting

  • Danny J. SoaresEmail author
  • William E. Silver


The evolution of the cervicofacial rhytidectomy spans more than 110 years, witnessing many successes and failures along the way and yielding the variety of facelift techniques available today. In this chapter, we review the key features and differences between the most common and well-established techniques in facelifting, including conventional SMAS (superficial musculoaponeurotic system) techniques such as the lateral-SMASectomy and extended-SMAS procedures such as the deep plane and high-SMAS rhytidectomy techniques. At the core of understanding the differences between these varied facelift types lies a comprehensive understanding of facial anatomy and the facial aging process. In this chapter, the history of facelifting, surgical approaches, and complications pertaining to this iconic surgery are discussed.


Rhytidectomy Facial anatomy History of facelifting Facelift approaches Facelift complications 

Technical Terms and Abbreviation


Relaxed skin tension lines SMAS Superficial Musculoaponeurotic System


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Otolaryngology, Head and Neck SurgeryUniversity of Central Florida College of MedicineOrlandoUSA
  2. 2.Mesos Plastic and Laser SurgeryLady LakeUSA
  3. 3.Department of Otolaryngology, Head and Neck SurgeryEmory UniversityAtlantaUSA
  4. 4.Atlanta Institute for Facial Aesthetic SurgeryAtlantaUSA

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