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Facelift Variations (Cont’d.)

facelift denver co | Fante Eye and Face CentreWhen you think of a facelift, what do you imagine? Would you be surprised to know there are several different kinds of facelifts, depending on different facial conditions? At the Eye and Face Center in Denver, Colorado, Dr. Fante does them all.

Facelifts can be categorized by these criteria:

  • The type of incision needed
  • The number of tissue layers to be treated
  • The specific area of the face being treated
  • The invasiveness of the specific procedure needed

This is the facelift that movie stars have been requesting for decades. It’s the one that can give that youthful look by tightening the skin back toward the ears. Incisions are made on each side in an S shape from behind the hair at the temple, in front of the ear, then under and back into the hairline.

Beneath the skin is the SMAS (superficial musculoaponeurotic system), a sheet of small muscles and connective tissue beneath the skin. Another name for a traditional facelift is the SMAS facelift. The SMAS covers the face and neck and protects the deeper-lying structures. The skin is separated from it, and is lifted to a higher position. Excess skin is removed, and the remaining skin reshaped over it, lending your face the younger and fresher look it had before the force of gravity worked its mischief on you.

A traditional facelift is often done with liposuction below the chin and in the neck. Any scars remaining are virtually invisible, largely hidden in the hairline.

This traditional lift, when done well, provides the most long-lasting benefits and can dramatically enhance the facial appearance of older people who are beginning to notice severe sagging and laxity in their face.

Deep Plane Facelift

The deep plane facelift is similar to the traditional facelift. Incisions are the same, the SMAS is detached from the skin and both are moved upwards. The difference is in how deeply the surgery is done in the mid-face to separate the SMAS from muscles and nerves beneath it.

As with the traditional facelift, the SMAS is pulled gently up and back to restore the youthful facial contours. The deep plane lift is often recommended to smokers, as the level at which separation of the SMAS is done contains fewer blood vessels, so the procedure gives less interruption to areas rich with blood supply.


The platysma is the muscle below the neck skin. As we get older, it loses elasticity and develops ridges. A platysmaplasty is surgery to separate this muscle from the skin, remove the ridges (also known as chords), remove excess skin, and place it all in a tighter position. This restores a youthful look to the neck and jawline.

The Mid-Facelift

If you’re between the ages of 40 and 50, you might notice that your cheeks are sagging and the folds of skin around your nose (nasolabial folds) are starting to droop. The mid facelift may be just what you are looking for. The mid-face is the central third of our face, extending from the centers of the eyebrows inwards and including the smile lines and nasolabial folds.

With this procedure, several small incisions can be made along the hairline, inside the mouth, or within the lower eyelids. Using an endoscope, Dr. Fante can lift and reposition the SMAS. An endoscope is a tiny camera at the end of a narrow tube, which is connected to a computer. By viewing the procedure on a computer monitor, Dr. Fante achieves a great deal of control and precision over the procedure.

There is little scarring, which is usually virtually invisible. One side effect of a mid facelift may be extra swelling, usually lasting from three to five weeks. But after your procedure, you’ll notice an improvement in those nasolabial folds and your cheekbones will be more round, giving you much more youthful appearance.

The Subperiosteal Lift

This variation is a step beyond the deep plane facelift and a variation on the mid facelift. It works on the midface, lifting and repositioning the cheeks vertically, smoothing those folds and giving the upper cheeks a fresher and more youthful shape. It works at a deep level, below the muscles, and right down to the bone. You enjoy longer-lasting results than procedures which lift only the skin layers.

The Skin Lift

This variation lifts and repositions the skin for people who desire a less significant difference in their appearance.

The Mini-Facelift

The term ‘mini-facelift’ describes a somewhat temporary solution for younger people who do not need a true facelift. It is less invasive than the other methods described, and may only work on a particular part of the face, depending on what the individual needs.

Just as there are many different types of patients, there are different facelift variations to meet their needs.

Results last up to five years, although a touch-up procedure may be needed after three or four months.

These various types of facelifts are some of the more popular procedures offered by Dr. Fante at the Eye and Face Center in Denver, Colorado. If you would like to find out whether you’re a good candidate, please call or email us to schedule an initial consultation. Ask questions, meet our staff, look around our comfortable facilities, and think about how you can enhance your facial appearance.

Schedule a Consultation

If you are interested in a facelift and would like more information, contact our Denver office today! Call (303) 839-1616 to schedule a consultation with board certified plastic surgeon Dr. Robert Fante.