This is a YouTube video titled "Explain the different types of facelifts" created in July 2023. It features a monologue by Corey Goldberg, who explains various facelift techniques including skin-only facelifts, SMAS lifts, and deep plane facelifts, discussing their benefits and risks. The content is educational and focused on cosmetic surgery options tailored to individual needs.
Hi everyone, this is Corey Goldberg. I'm going to be talking to you today about different types of facelifts. Facelifts in general involve work on the skin as well as the deeper layers underneath it. There are some surgeons that do what would be considered a skin only facelift, in which the skin is tightened and removed and then pulled tight. This doesn't generally result in a good outcome. It can look overdone, it doesn't last very long, and it often results in thicker scars because the skin is under so much tension from being pulled on. Most foot surgeons will do what would be considered a SMAS type lift or a lift which involves some of the deeper structures. These deeper structures, that SMAS thing, that's an acronym S M A S for Superficial Musculo Aponeurotic System. The SMAS is a layer of fiber and muscle within the face. It continues down onto the neck to the platysma, which is the neck muscle. The muscle and fiber system of the face is the workhorse of a facelift. And most surgeons will do either a tightening, a lifting, or sometimes remove some of that SMAs layer in order to achieve proper tightening and lifting of the face. And then once the work is done on the inside, the excess skin is trimmed and removed, giving the smoother appearance on the surface. There are some surgeons that would do what would be considered a deep plane facelift, and these are facelifts that generally go under this mass and go to deeper layers, that kind of surgery. Some surgeons would say that it can result in better lifting, but other surgeons would say that it results in excess swelling and additional risk to injuring the nerves of the face. I generally do what would be considered a SMAS type lift. I tighten and sometimes remove a portion of the SMAs. I also lift and go underneath the neck muscle in order to properly tighten that. So there are many, many different types of facelift, even more than what I've just discussed. And in fact, there are hundreds of variations of facelift. The surge surgeon that you go see, it's important to ask what type of facelift they would recommend for you. And the most important thing ultimately is that a facelift is tailored to your individual needs. There's no such thing as one facelift that fits everybody. And so you should discuss with your surgeon what your goals are so that you can settle on what the plan will be. Wishing you all the best and hope to see you soon.
