Renowned facelift surgeon Dr. Tarick Smiley said the surgery should not solely rely on pulling tight the tissue and removing the excess skin lest it results in a “done” or “fake” look.
In his recent Snapchat video post, he has explained how he delivers natural results from facelift, which he almost always combines with ancillary procedures (e.g., fat transfer, neck lift, eyelid surgery, etc.) to achieve a more natural, proportionate result.
In the video, the celebrity plastic surgeon has enumerated the “age-related problems” of a certain patient.
- Loose neck skin
- Fullness of the neck due to the excess fat
- Fullness of the upper eyelid
- Sagging of the mid face
Dr. Smiley started off the surgery with neck liposuction in which the excess fat has been removed. He placed a tiny round incision behind each ear where a slender probe called microcannula was moved back and forth to remove a small amount of fat.
Next, he proceeded to performing SMAS facelift in which all the incisions were hidden—i.e., inside the hairline and then curved behind the tragus (the small bump in front of the ear) before reaching the back of the ear or nape area.
The incision in front of the ear was positioned at the natural skin crease and so the resulting scar is expected to be invisible once healed.
Dr. Smiley said one of the most important elements is the vector of pull. After removing the excess skin, the tissue must be pulled at a 45 degrees angle before closing the wound.
“The right vector of pull results in natural fullness of the cheek and the best neck position,” he explained.
He has warned that the tissue should not be pulled straight up due to risk of skin pleating of the lateral face, nor horizontally because of the ensuing flat cheeks and poor neck appearance.
To further achieve proportionate results, Dr. Smiley also tightened the neck platysma muscle in the midline and removed the fat underneath. The goal is to create a smoother and tighter “angle” between the neck and chin, he said.
Then, he proceeded to upper eyelid surgery in which he removed a strip of excess skin with the use of incisions made precisely at the natural skin fold for optimal scar concealment. He also tightened the deeper muscle to further eliminate the appearance of fullness and thus achieve a more youthful eye.
He also injected fat to create a smooth transition between the lower lid and cheek, further contributing to the more youthful appearance.