Full Facelift with Short Incision

Full Facelift with Short Incision

Full Facelift with Short Incision


Dr. Buonassisi is a highly specialized facial rejuvenation specialist with 20 experience performing facelift surgery at his practice in Vancouver, BC. As a Board Certified Facial Plastic Surgeon. Dr. Buonassisi specializes in and has vast experience performing a high volume of facelift surgeries, including mini lifts, short incision lifts (explained in detail here) and long incision facelifts.

The aging process is natural and unavoidable. Some of us accept the signs of aging as a natural part of growing older. Others believe that there is not good reason to look older than they feel, and explore cosmetic surgery as a way of regaining the smooth and tight facial appearance they enjoyed in their youth. Major advancements in facelift surgery over the past decade has resulted in more natural looking results. No one wants the “obvious” or “pulled” plastic surgery look that comes from an overaggressive or outdated surgical face-lift technique. When performed by an expert facial surgeon, facelift surgery can take years off your face and help restore an overall more youthful appearance.

There are a variety of facelifts available and the most appropriate one for you depends on your facial features and the degree of laxity of the lower face. This video explains the short incision facelift and who it is appropriate for.



The SMAS Facelift Using a Short Incision


The techniques used by Dr. Buonassisi address the SMAS (superficial musculo-aponeurotic system), which is a deep underlying structure of the face that, when it begins to sag, contributes as much to the aging face as does loss of elasticity of the skin. The classic or traditional facelift surgery addresses only the superficial skin, and usually results in a “too tight” or pinched look. The complete facelift that Dr. Buonassisi performs addresses the SMAS, so that the deeper structures of the face are elevated.

The term “short scar” refers to the types of incision used behind and below the ear. Patients who want to be able to wear a pony tail after surgery may choose this approach. Long incision facelifts are recommended for people who require neck lifting. In most cases, incisions are small enough and located in well-concealed areas to make scarring a minor issue. People should notice your youthful facial contour, not your scars.


Recovering from Short Incision Facelift


  • Most patients take 2-3 weeks off work
  • Bruising and swelling is at it’s worst on day 3, then will start to resolve over the next week or so
  • You will be up able to move around the house on your own and do light household activities the day after surgery
  • No strenuous exercise or heavy lifting for 3 – 4 weeks
  • While you will be comfortable being seen in public after 2-3 weeks, your result improves over the next few weeks
  • You can easily hide incision with makeup until they begin to fade—incisions heal well and are usually very difficult to see


Types of Facelifts


There are several different types of facelift and necklift surgeries, each with their own unique benefits and risks. The type of facial rejuvenation surgery that is best for you depends on your objectives, the specific features of your face and skin, and the degree of sagginess of the neck and jowl area. Board Certified Facial Plastic Surgeon Dr. Buonassisi is an expert facelift surgeon and uses a wide variety of techniques to achieve your facial rejuvenation objectives. He treats the deep underlying structures of the face to reverse the visible signs of aging and restore a more youthful, rested appearance, with natural looking results. In you surgical consultation, Dr. Buonassisi will evaluate your facial features and recommend which type of facelift is best for you.

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How a Full Face Lift Is Performed


Facial Plastic Surgeon Dr. Buonassisi places incisions in the natural skin creases in front and behind the ear. They may extend upward into the temporal scalp. “Short scar” refers to the posterior incisions, which stop in the skin behind the ear.  They do not extend posteriorly into the scalp (this kind of incision is used in a long insicion). The skin of the lower face and neck is elevated away from the underlying muscle and fat.  These deep SMAS structures are then suspended upward and slightly backward to a more youthful position.  Excess skin is then trimmed and the incisions are meticulously closed to minimize their appearance. Significant reshaping of the aging features of the face and neck can be achieved with this technique.  The abbreviated posterior scar (short scar) allows for patients to continue wearing their hair in a ponytail if that is specifically requested. The short scar techniques allows for slightly less lifting of the neck area.


Benefits of Facelift Surgery:


  • Sharpening of the jaw line
  • Definition of the neck angle
  • Reduction of double chin
  • Reduced neck fullness
  • Cheek volume and elevation


Are You a Good Candidate?


You may be a candidate for a Short Incision Facelift if you have any of the following physical features:

  • Jowls
  • Double chin
  • Flattening and sagging of the cheeks