A preservation facelift refers to a novel facelift technique aimed at rejuvenating the face while preserving the natural appearance, reducing recovery time, and avoiding over-resecting soft tissue and skin undermining.
Dr. Kevin Sadati is a board-certified facial plastic surgeon offering our Newport Beach preservation facelifts to his patients. He is double board-certified and has extensive experience performing this procedure, and has performed over 5000 face and neck lifts during his career. Dr. Sadati will help you achieve your aesthetic goals and give you a natural-looking result.
This approach to facelift surgery has evolved over the past few decades, incorporating new techniques and advancements in technology to achieve more natural and long-lasting results. The evolution of facelift surgery from 50 years ago to the present day is a testament to the constant pursuit of improved outcomes and patient satisfaction. Forty years ago, facelift surgery primarily focused on pulling the skin tight to reduce sagging and eliminate wrinkles. However, this approach often resulted in a stretched or tight appearance, giving the face an unnatural look.
Over the years, surgeons have recognized the limitations of this traditional approach and have sought to develop techniques that address not only the skin but also the underlying structures of the face, including the superficial musculoaponeurotic system and platysma muscles. By understanding facial anatomy and how it changes with aging, surgeons have been able to refine their techniques to achieve more natural-looking results.
One major evolution in facelift surgery is the shift towards a vertical facelift elevation approach. Understanding the midfacial ligaments enhances our insight into how they contribute to the support structure of facial soft tissues and their role in the aging process. This insight led to the development of various facial rejuvenation techniques and advancements in the field. One such advancement is the use of sub-SMAS or deep plane dissection during facelift procedures. In a Deep Plane Facelift technique, the retaining ligaments are released and repositioned to a higher position, which results in a more comprehensive correction of the midface, lower face, and neck tissue as a whole.
Around 30 years ago, some surgeons also explored even more aggressive techniques, such as the subperiosteal method, which elevated the soft tissue from the bone, and some used composite midface lifting. Both techniques lost popularity over time due to their complexity and high complication rates.
As a student of medicine and art, I am constantly evolving to better serve my patients. I started with a composite facelift technique, but due to its excessive tissue dissection causing prolonged swelling and healing, I changed my technique to a SMAS facelift. With the SMAS facelift, I was able to obtain great lower face and neck lift results, but it did not provide the midface rejuvenation that would match the rest of the face. The reason for that is that in a SMAS technique, the facial retaining ligaments were not released, resulting in poor midface rejuvenation.
To rejuvenate the face as a whole while preserving the tissues, I perform the preservation facelift technique, which is a combination of high SMAS and Deep Plane Facelift techniques. By doing so, I am minimizing the skin elevation of the face and neck in order to access the deep retaining ligaments. There is virtually no tension on the skin, and it minimizes the need for drains. The entire mid and lower face, as well as the neck, is lifted in a vertical fashion, resulting in a youthful face, with quicker recovery and longevity.
The evolution of facelift surgery also involves a greater emphasis on preserving the natural contours and features of the face. This involves a more conservative approach to tissue removal and repositioning with a focus on preserving the natural fat compartments and volumetric balance of the face. Dr. Sadati’s preservation facelift technique is truly the next generation of facial rejuvenation.
Candidates for a preservation facelift, also known as preservation Deep Plane Facelift, are individuals who range in age from 40 to 75 and exhibit signs of aging in the mid-face, lower face, and neck area. These signs can include sagging skin, jowls, deep wrinkles, and loose neck muscles. These candidates are seeking long-lasting and natural results, and this technique will help them achieve a more youthful appearance with shorter recovery compared to the traditional Deep Plane Facelift.
This facelift technique is a suitable option for individuals who are looking for comprehensive facial rejuvenation, targeting multiple areas of the face and neck to achieve optimal results. The presence and degree of aging changes should be defined before the procedure. If you'd like to find out if you'd make a good candidate for a preservation facelift Newport Beach facial plastic surgeon, Dr. Kevin Sadati, can address that and any other questions you have during an initial consultation. Call us today!
During the initial evaluation, normal anatomical variances and facial type should be assessed through palpation of the facial soft tissue. It is important for the surgeon to have a thorough understanding of the patient's facial anatomy to tailor the procedure to their specific needs. Additionally, candidates should be in good overall health and have realistic expectations about the procedure.
The preservation facelift is a variation of the Deep Plane Facelift, in which the deep retaining ligaments below the SMAS are released and repositioned. However, it is further refined to reduce soft tissue injury at the skin level. By reducing skin dissection of the face and neck, this technique can eliminate unnecessary tension on the skin and reduce the dead space, which may accumulate fluid or dry blood. The reduction in skin dissection will preserve the blood flow to the skin and reduce the chances of skin necrosis.
The results of preservation Deep Plane Facelift, also known as preservation facelift, are similar to a Deep Plane Facelift technique by repositioning the malar fat pad, SMAS, and platysma muscles in a vertical direction, leading to more natural and longer lasting results. However, there is less skin undermining in a preservation facelift, leading to better healing and less chance of skin necrosis or hematoma formation. Basically, it is the next generation of Deep Plane Facelifts.
Preservation facelift and SMAS facelift are two different approaches to facial rejuvenation surgery.
While both techniques aim to rejuvenate the face and reduce signs of aging, there are key differences between preservation Deep Plane Facelift and SMAS facelift. Preservation facelift is the next generation of the Deep Plane Facelift technique that focuses on minimizing tissue injury during the procedure. This approach involves separating the deeper layers of facial tissue and minimal lifting of the skin to preserve the blood supply to the skin, resulting in less pulling on the skin and less dead space for hematoma development, as well as minimizing scar formation.
The SMAS facelift is a technique that targets the superficial layer of the face known as the SMAS (superficial musculoaponeurotic system). During a SMAS facelift, the surgeon undermines more of the skin tissue while attempting to reposition the SMAS layer, which requires more pulling on the skin.
By contrast, a preservation facelift goes under the SMAS layer and involves deeper tissue manipulation to achieve a more comprehensive facial rejuvenation. Additionally, preservation Deep Plane Facelift provides longer-lasting and more natural results as it addresses deeper tissue layers that contribute to facial aging.
The preservation Deep Plane Facelift is the next generation of the Deep Plane Facelift, and it is known for its shorter recovery time and reduced risk of complications such as bruising, seroma formation, and hematoma. Additionally, this technique allows for repositioning of the malar fat pad and achieves the same results as the traditional Deep Plane Facelift (P & F, 2020).
Furthermore, proponents of the preservation Deep Plane Facelift argue that it provides better improvement at the nasolabial fold and longer-lasting results compared to the traditional Deep Plane Facelift. However, it is important to note that proving the durability of a facelift procedure can be challenging. Various sources have highlighted the advantages of the preservation Deep Plane Facelift technique, such as its ability to restore a more youthful and natural appearance, the release of facial retaining ligaments, and the repositioning of facial fat compartments. Additionally, the preservation facelift technique with platysma dissections in the neck results in a musculo-fasciocutaneous flap with excellent blood supply and less reliance on the skin flap blood supply.
The preservation Deep Plane Facelift offers several advantages over the traditional Deep Plane Facelift, including a shorter recovery time and reduced risk of complications. Furthermore, it achieves the same results as the traditional Deep Plane Facelift by repositioning the malar fat pad and improving the nasolabial fold. However, it is important to consider individual patient factors and consult with a qualified plastic surgeon to determine the most suitable facelift technique for each specific case.
The preservation Deep Plane Facelift technique, also known as preservation facelift, is a highly beneficial approach for individuals who have undergone previous facelift procedures, such as the SMAS facelift, traditional facelift, or mini facelift.
This technique allows for a more thorough and precise correction of any issues or imperfections that may have resulted from previous surgeries. By accessing the deeper layers of facial tissue, including the retaining ligaments and malar fat pad, the Deep Plane Facelift can provide a more comprehensive and long-lasting rejuvenation of the face. Additionally, the preservation facelift technique helps to minimize scarring and avoid the formation of pixie ears, which can be common complications of traditional facelift techniques.
This technique also yields more natural-looking results, as it allows for a smoother and more harmonious repositioning of facial fat pads and tissues. In summary, preservation facelift technique is advantageous for revisional surgeries due to its ability to address previous issues with precision and thoroughness while also minimizing scarring and producing more natural-looking results.
Looking for the best preservation facelift Newport Beach has to offer? Schedule a consultation today with Board Certified Surgeon, Dr. Kevin Sadati.
359 San Miguel Dr, Suite 200 Newport Beach CA 92660
Clients from around the globe travel to see Dr. Sadati for his surgical expertise. He and his surgical team provide the highest standard of patient care, from the initial consultation, to complete recovery and conclusion of your care. Our friendly staff is available to accommodate you in any way that we can.