Facelift Surgery

Facelift Surgery Expert Dr. Buonassisi Explains The Difference Between the Various Facelift Procedures

Are you researching face or neck lift surgery with the aim of assessing if a procedure of this type might be right for you? Welcome to the website of Vancouver Facial plastic surgeon Dr. Thomas Buonassisi. Over the last 20 years, he and his team have prepared an extensive resource section of videos and FAQs about surgery to help educate our facelift patients on the various procedures that are available for helping to restore a more youthful look to your lower face and neck. On this page, you will learn about: Mini Lifts, Full Facelifts with SMAS Elevation, Full Facelifts with Deep Plane Elevation and more.

Surgery at 8 West Clinic isn’t just for Vancouver patients and we have a well developed out of town patient process. Many patients choose beautiful Vancouver and Dr. Buonassisi for their surgery. Out of town patients can take advantage of our virtual consultation.

 

About Facial Rejuvenation Surgery at 8 West Cosmetic Surgery

We are thrilled to have been voted #1 Place for Cosmetic Surgery in 2018 by the Best of Georgia Straight! Thank you to our many long term patients for your support. 8 West Cosmetic Surgery is a full service plastic surgery and medical spa clinic, working under the direction of our founder Facial Plastic Surgeon Dr. Buonassisi. Dr. Buonassisi is a well respected surgeon with 20 years experience performing thousands of cosmetic facial procedures. Our team of medical professionals includes plastic surgeons, registered nurses, medical aestheticians, makeup artists and our amazing patient care managers. To speak to one of our experts please call 604 733 1669 or contact us here.

 

About Facelift and Facial Rejuvenation Procedures in Vancouver

If you been researching on the internet, you will have noticed that there are many different types of facelifts, and even more non surgical technologies touted to create the same result as a facelift. We’ve developed a huge information section on our website that will help clear up the types of facelifts and incisions available, and what they can and can’t do for you.

There are several different types of facelifts and the one for you will depend on your features, aging pattern, tolerance for downtime and expectations. An in depth consultation with Dr. Buonassisi is essential to determine which approach would be ideal for you.

 

Facelifts are Customized for You

While this website is intended to provide information about the various facelift and necklift techniques, it is important to note that the procedure is highly customized for each patient by Dr. Buonassisi. For example, it may make sense for him to go into the deep plane for one patient, but not for another. A patient may be a good candidate for a platysmaplasty to further improve their result, but in consultation Dr. Buonassisi and the patient may decide not to proceed with a platysmaplasty for lifestyle reasons.

To get started with Dr. Buonassisi, please request a complementary consultation with one of our patient care managers. As a service, we often have Dr. Buonassisi review the patients photos (at no charge) so that we can give preliminary information about expected costs and downtime. Then, you may wish to proceed to the next stage and book an in person or virtual (for out of town patients) consultation with Dr. Buonassisi.

 

Types of Facelifts, Neck lifts and Incisions

 

 

MINI LIFT: A MINI SMAS FACELIFT WITH MINI RESULTS AND LESS DOWNTIME THAN A FULL FACELIFT

A mini lift is sometimes called a slift (because of the shape of the incision) and like all facelifts is completely customized to each patient by Dr. Buonassisi. In general, a mini lift is appropriate for patients with early signs of jawline laxity. Because of the nature of the mini lift (the area of dissection is smaller which means the recovery is shorter) the result is also mini when compared to a full facelift (full facelifts are explained below).

Please note that the mini lift performed by Dr. Buonassisi is not a skin lift (an old technique that didn’t look natural), rather it is a SMAS lift (explained below). However the extend of the SMAS elevation is small and the lift “mini” because of small area of dissection. Learn more about the mini lift.

 

FULL FACELIFT WITH SMAS ELEVATION

Facelifts have changed and are no longer just skin lifts, which resulted in a wind blown look. Now, facial specialists dissect down to the SMAS and then pull on it, which brings the deep layers of the face along with it in an upward motion. Extra skin is then trimmed away and the sagging features of the face lifted to a more youthful position. In some cases, a  SMAS lift is appropriate for the patient, however in other patients Dr. Buonassisi may choose to go deeper below the SMAS (deep plane facelift which is explained below) to get even more mobility of the deep layers of the face and have more control over the direction of pull. A deep plane facelift is not by definition better than a SMAS lift, however it will be the better technique in some patients.

 

FULL FACELIFT WITH DEEP PLANE DISSECTION (DEEP PLANE FACELIFT)

In some cases, the patient will get the best result if Dr. Buonassisi doesn’t just stop at the SMAS layer, but then dissects deeper into the deep plane of the face. Please note that this is a highly advanced technique that few surgeons are comfortable with. As Dr. Buonassisi is a Facial Plastic Surgeon who focuses a great deal on facial rejuvenation surgery, the deep plane technique is something that he performs on a regular basis. The benefits of the Deep Plane Facelift is that Dr. Buonassisi can get even more mobility of the deep structures of the face, with a very extensive but natural looking lift. He has more control over the direction of pull and the extent of pull. As mentioned, this will not be his preferred technique in all patients.

In the right patient, here are some of the benefits of a deep plane facelift over a SMAS elevation facelift:

  • More significant movement (repositioning) of the volume of the face (not just the skin) – for example moving the cheek volume back to its more youthful position
  • While other SMAS techniques (plication and imbrication) are helpful in some cases, they are not as powerful as what can be achieved with a deep plane (rather than just pulling on it, it is elevated and completely repositioned)
  • During a a deep plane lift, Dr. Buonassisi releases the tethering points and ligaments of the face in the deep plane, so that more mobility can be achieved for lifting, and the direction of pull can be more customized

 

SHORT INCISION FULL FACELIFT : A FULL FACELIFT USING SHORT INCISIONS WHICH MEANS LITTLE IMPROVEMENT TO THE NECK

This is a full facelift that Dr. Buonassisi performs with a short incision and is most commonly for someone who does not need any improvement to their neck. While Dr. Buonassisi does offer this approach, it is less common than the long incision full facelift (explained below) because most patients would would would benefit from a lower facelift also require some improvement to the neck. As the lower sags, the neck goes along with it.

With the short incision full facelift, because the incision is slightly shorter and the area of dissection is slightly smaller, the recovery can also be slightly shorter. However, we strongly encourage you to consider having the facelift that will get you the best result, even if it means a longer incision with a few more days of bruising a swelling. Dr. Buonassisi will help manager your expectations during your consultation.

The short incision facelift could be a SMAS elevation facelift or could include some elements of a deep place facelift. Dr. Buonassisi will determine which approach will deliver the best result for each specific patient. Learn more about the Short Incision Full Facelift.

 

LONG INCISION FULL FACELIFT: LONG INCISIONS ARE USED SO THAT THE NECK IS ALSO IMPROVED – ALSO KNOWN AS FACE AND NECKLIFT

Patients who have done research on necklifts will have learned that a necklift is an extension of a lower facelift. A long full facelift with a long incision is actually a lower face and necklift done with either a SMAS elevation or deep plane lift, through a longer incision which provides greater improvement to the neck. Dr. Buonassisi will assess each patient carefully and determine the best approach for them. Learn more about the Long Incision Full Facelift.

 

PLATYSMAPLASTY

A platysmaplasty is an additional procedure to a facelift done through a small incision under the chin that can improve the result in that area. Learn more about the platysmaplasty neck tightening.

 

COMBINATION FACIAL REJUVENATION SURGERY

Many patients decide to have their upper and/or lower eyelids treated at the same time as their facelift. Other common procedures to add on include browlifts. This is also a great time to consider non surgical laser and other treatments to help improve the condition of the skin. Learn more about Combination Facial Rejuvenation Surgery.

 

NON SURGICAL FACELIFT

While there are not any non surgical treatments that produce the same result as a facelift, there are many options for rejuvenating the skin. At 8 West Clinic we have a team of medical aestheticians who specialize in the various technologies. Learn more about non surgical rejuvenation.

Not sure how to get started? Have all your questions answered in our complementary pre consultation. Schedule one now!