Board Certified
Plastic Surgeon
Since 1989


Halloween may have passed, but scary results from poorly performed cosmetic surgery continue. In the words of a registered nurse, “One woman I took care of recently had terrible scarring around the ears from a badly done facelift by a ‘cosmetic surgeon’ she later found was not a plastic surgeon. He was really an ENT man, (an ear, nose and throat surgeon), but he hadn’t been board certified in plastic surgery,” she recalls. “The scars behind her ears were wide and thick, and she was complaining that her earlobes were lopsided and misshapen.”  The nurse continues, ““It happens all the time. I hear there’s a gastroenterologist who’s doing liposuction, because he took a weekend course. So now he has a certificate in lipoplasty!”

Despite these frightening stories, the benefits of cosmetic surgery are far more positive when placed in experienced, skilled hands. For example, my full and partial MACS, (Minimal Access Cranial Suspension), procedures lift the saggy deep tissue which presents as deep nasolabial folds, jowls and ‘turkey’ bands. This is accomplished by using strong permanent sutures that are weaved into the deep tissue and anchoring them to higher, strong structures such as bone etc. This method provides longevity to the facelift. Additionally, the skin is elevated vertically, creating a very youthful and natural look. This procedure is suitable for both young and mature patients with different skin laxity and tone.

Today’s facelift surgeries are much different than in the past. There are numerous techniques used, depending on the age of the patient, as well as the condition of the skin, and amount of laxity. Some techniques address the skin’s surface only, while others go deeper into the underlying tissues. In addition, a full facelift will address the entire face, while a forehead lift, cheek lift, or neck lift, addresses the top, middle, and/or bottom sections alone. Some of the more common variations are Skin Only, SMAS Facelift, Deep Plane Lift.


Skin only: Also known as a cutaneous facelift, this facelift procedure is less invasive due to the fact that it addresses the skin only. The recovery is much quicker and the results are a bit more subtle than some of the other more invasive facelift procedures. Scarring is minimal as it is placed in the hairline just near the temple. This particular facelift offers the lowest risk to patients.

SMAS facelift: This is considered a traditional facelift approach, which in many cases is the gold standard for facelift surgery. It is a process that goes beneath the superficial layer of skin and manipulates a group of muscles known as the superficial musculo-aponeurotic system (SMAS). This surgery does garner more dramatic results with a longer recovery period. The incision is placed along the hairline from behind the earlobe to the temple so that the skin can be separated and lifted. Once the facial structures are in their new position, sutures are used to tighten, and secure the skin for a natural appearance.

Deep plane lift:This lift is appropriate for older patients with severe sagging and drooping. Facial cosmetic surgeons who are experienced in facelift surgery can create natural results even though this is the most invasive of all facelift procedures. This procedure goes deeper than the other approaches and adjusts the tissues and muscles so that deeper wrinkles can be addressed. Loose skin is removed and pulled gently tight for a rejuvenated appearance.

The bottom line in avoiding misinformation is to consultwith aplastic surgeon Certified by the American Board of Plastic Surgery. You will receive a thorough examination and be provided with an astute evaluation as to which Facelift approach is the best for you. My practice will be pleased to provide you with in-depth educational information at no charge. So, feel free to call: (703) 506-0300.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.