Reversing the effects of aging on the face is a highly sought-after procedure. Turning back the clock with respect to sagging cheeks, jowls, and especially the neck is a highly desirable state of being. To achieve this, we must have a facelift.
The principle of a facelift is to create incisions usually in relatively inconspicuous locations on the face including behind the ear and along the hairline. Also, incisions across the top of the scalp are needed to elevate the central and lateral brow areas. The incision for the classic brow lift is across the top of the scalp.
Endoscopic Facelift
Endoscopic surgery requires and utilizes smaller incisions and camera equipment to loosen tissue, reposition it, and secure it in some fashion to a new location more desirable on the upper brow area. This endoscopic technique is only usable for the upper portion of the face.
It is not practical to address the lower cheek and neck area. Therefore, the endoscopic technique as stated is limited to as an alternative to the traditional classic brow lift. The classic brow lift in my opinion is better in that it removes extra skin, allows repositioning of deeper tissues as well as in my opinion a better result.
The endoscopic lift as stated does not address the neck bands. I utilize the deep plane technique and the SMAS plication technique to address the cheek and neck. I am very aggressive about deep neck and deep plane dissection to maximize removal of and hopefully prevention of the neck muscle bands. Our goal with a facelift is primarily to achieve an excellent smooth neck area void of any unnecessary sagging. When we feel good about how we look we can live life to the fullest.
THOMAS TREVISANI, MD
BOARD-CERTIFICATION PLASTIC SURGEON
MEMBER OF THE AMERICAN SOCIETY OF AESTHETIC PLASTIC SURGERY
