Hi, there. It’s James Southwell-Keely from Woollahra Health & Beauty, the big blue building on the corner of Edgecliff Road. Guys and girls, I’m talking today about facelifts, and I’ve brought a friend here to help me just go through some of the processes, the technicalities, where the scars will be, and that sort of thing. So, here we go.

First of all, facelift is not a single operation. Rather, it’s multiple different techniques that all combine surgically to rejuvenate the face. So, it’s not one single technique, rather multiple. We can break it down to several parts. We can break it down to what’s happening on the skin surface, and what’s happening deep to the skin surface. Depending on what you do at both levels, you will affect a different result. It might be longer-lasting. It might have a slightly longer recovery, but a more rejuvenating effect. Using this combination of different techniques, we can target to specifically what it is that is affecting you in terms of your facial aging. So, let’s go on our journey into the world of facelift.

Alright, it’s James Southwell-Keely here again from Woollahra Health & Beauty, the big blue building on the corner of Edgecliff Road in Woollahra, just below Bondi Junction Shopping Center, talking about different types of facelifts. The first type of facelift that I’ll talk about is called the SMAS-plication facelift. Now, we talk about facelift as mentioned in my introductory discussion in terms of both what happens at the skin surface and what happens deep to the skin surface. In terms of what happening deep to the skin surface, we have a layer of muscle and fat that in the process of aging distends, creating heaviness at the bottom part of our face, and a relative thinning out of the soft tissues in the top part of our face. We call this a skeletonization. In other words, you’re seeing more of the bone around the cheek than you did when you had full cheeks in youth, and you’re seeing a squaring off of the jawline that we see in older age.

The SMAS layer is under the skin and it’s a combination of fatty and a muscular layer. When we tighten that layer up, we’re restoring the volume and the fatty tissues to the upper part of face. Then, all that needs to happen is we need to rejuvenate what’s going on on the skin’s surface. If we’re looking at the SMAS now, I’m going to take my trusty scalpel and imagine that the skin has been peeled back. The SMAS will be lifted in an upward direction in the top part of the face. In this part of the face, so the middle portion of the cheek, it’s lifted in more of an upwards and a backwards direction. As we dip down into the jawline, the lift is more backwards. Combining those different vectors or directions of movement, it creates a much more gentle and a much more natural elevation of the underlying soft tissues.

Remember those tired and tight old facelifts of yesteryear looked so abnormal because the skin did all of the lifting, and hence, the skin was too tight, and you had that wind tunnel look. If we do all of the heavy lifting under the surface of the skin, then the skin is just laid back down and left look as natural as you did 10, 15 years ago.

So, there you go. That’s what’s happening under the surface of the skin with this SMAS in a SMAS-plication lift. That’s all for now. I look forward to catching up at our next installment. Bye, bye.

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