Surgery to lift sagging tissue of the neck and face.

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Over time, the skin of the neck and face may appear to sag. This is usually due to drooping of the SMAS — the superficial musculoaponeurotic system. Rather than the skin-pulling procedures that were so popular ten years ago, treatment of the aging face now focuses on resuspension of the SMAS to eliminate the droop. During the procedure, the SMAS is hitched to deep, immobile structures, which then pull back the excess tissue. The extra skin is then removed behind the ears, at the hairline, and at the natural crease between the earlobe and face.

Excess fat of the neck is removed at the same time. Recovery is about a week and one half, although many patients can look great when they come for suture removal at five days. The procedure is usually relatively painless, but does require an overnight stay so that proper nursing care can be given.

Facial rejuvenation has reached a new era. Rather than the skin-pulling procedures that were so popular ten years ago, treatment of the aging face now focuses on restoring youthful contour in a way individualized for each patient. For some, this may mean a facelift. For others, however, this may mean injections that restore youthful contour, or operations done with a tiny camera and tiny incisions. Please bring a photograph of yourself from your early thirties, preferably not smiling, and from an angle, for your consultation.